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Title: Development of a statewide hospital plan for radiologic emergencies

Abstract

Although general guidelines have been developed for triage of victims in the field and for hospitals to plan for a radiologic event, specific information for clinicians and administrators is not available for guidance in efficient management of radiation victims during their early encounter in the hospital. A consensus document was developed by staff members of four Connecticut hospitals, two institutions of higher learning, and the State of Connecticut Department of Environmental Protection and Office of Emergency Preparedness, with assistance of the American Society for Therapeutic Radiology and Oncology. The objective was to write a practical manual for clinicians (including radiation oncologists, emergency room physicians, and nursing staff), hospital administrators, radiation safety officers, and other individuals knowledgeable in radiation monitoring that would be useful for evaluation and management of radiation injury. The rationale for and process by which the radiation response plan was developed and implemented in the State of Connecticut are reviewed. Hospital admission pathways are described, based on classification of victims as exposed, contaminated, and/or physically injured. This manual will be of value to those involved in planning the health care response to a radiologic event.

Authors:
 [1];  [2];  [3];  [4];  [5];  [6];  [7];  [6];  [8];  [9];  [10];  [9];  [5];  [11];  [12];  [9];  [10];  [9]
  1. Department of Medicine, Bridgeport Hospital, Bridgeport, CT (United States) and Yale University School of Medicine, New Haven, CT (United States). E-mail: pndain@bpthosp.org
  2. Greenwich Hospital, Greenwich, CT (United States)
  3. Yale-New Haven Hospital, New Haven, CT (United States)
  4. Bridgeport Hospital, Bridgeport, CT (United States)
  5. State of Connecticut Department of Environmental Protection, Hartford, CT (United States)
  6. Yale University School of Medicine, New Haven, CT (United States)
  7. State of Connecticut Office of Emergency Preparedness, Hartford, CT (United States)
  8. American Society for Therapeutic Radiology and Oncology, Alexander, VA (United States)
  9. Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT (United States)
  10. Hartford Hospital, Hartford, CT (United States)
  11. University of Connecticut Health Center, Farmington, CT (United States)
  12. Center for Emergency Preparedness and Disaster Response, Yale New Haven Health, New Haven, CT (United States)
Publication Date:
OSTI Identifier:
20793450
Resource Type:
Journal Article
Resource Relation:
Journal Name: International Journal of Radiation Oncology, Biology and Physics; Journal Volume: 65; Journal Issue: 1; Other Information: DOI: 10.1016/j.ijrobp.2005.12.047; PII: S0360-3016(06)00083-6; Copyright (c) 2006 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
61 RADIATION PROTECTION AND DOSIMETRY; 54 ENVIRONMENTAL SCIENCES; ACCIDENTS; CLASSIFICATION; CONNECTICUT; ENVIRONMENTAL PROTECTION; EVALUATION; HOSPITALS; LEARNING; MANUALS; MEDICAL PERSONNEL; RADIATION INJURIES; RADIATION MONITORING; RADIATION PROTECTION; RADIOLOGY; RECOMMENDATIONS

Citation Formats

Dainiak, Nicholas, Delli Carpini, Domenico, Bohan, Michael, Werdmann, Michael, Wilds, Edward, Barlow, Agnus, Beck, Charles, Cheng, David, Daly, Nancy, Glazer, Peter, Mas, Peter, Nath, Ravinder, Piontek, Gregory, Price, Kenneth, Albanese, Joseph, Roberts, Kenneth, Salner, Andrew L., and Rockwell, Sara. Development of a statewide hospital plan for radiologic emergencies. United States: N. p., 2006. Web. doi:10.1016/J.IJROBP.2005.1.
Dainiak, Nicholas, Delli Carpini, Domenico, Bohan, Michael, Werdmann, Michael, Wilds, Edward, Barlow, Agnus, Beck, Charles, Cheng, David, Daly, Nancy, Glazer, Peter, Mas, Peter, Nath, Ravinder, Piontek, Gregory, Price, Kenneth, Albanese, Joseph, Roberts, Kenneth, Salner, Andrew L., & Rockwell, Sara. Development of a statewide hospital plan for radiologic emergencies. United States. doi:10.1016/J.IJROBP.2005.1.
Dainiak, Nicholas, Delli Carpini, Domenico, Bohan, Michael, Werdmann, Michael, Wilds, Edward, Barlow, Agnus, Beck, Charles, Cheng, David, Daly, Nancy, Glazer, Peter, Mas, Peter, Nath, Ravinder, Piontek, Gregory, Price, Kenneth, Albanese, Joseph, Roberts, Kenneth, Salner, Andrew L., and Rockwell, Sara. Mon . "Development of a statewide hospital plan for radiologic emergencies". United States. doi:10.1016/J.IJROBP.2005.1.
@article{osti_20793450,
title = {Development of a statewide hospital plan for radiologic emergencies},
author = {Dainiak, Nicholas and Delli Carpini, Domenico and Bohan, Michael and Werdmann, Michael and Wilds, Edward and Barlow, Agnus and Beck, Charles and Cheng, David and Daly, Nancy and Glazer, Peter and Mas, Peter and Nath, Ravinder and Piontek, Gregory and Price, Kenneth and Albanese, Joseph and Roberts, Kenneth and Salner, Andrew L. and Rockwell, Sara},
abstractNote = {Although general guidelines have been developed for triage of victims in the field and for hospitals to plan for a radiologic event, specific information for clinicians and administrators is not available for guidance in efficient management of radiation victims during their early encounter in the hospital. A consensus document was developed by staff members of four Connecticut hospitals, two institutions of higher learning, and the State of Connecticut Department of Environmental Protection and Office of Emergency Preparedness, with assistance of the American Society for Therapeutic Radiology and Oncology. The objective was to write a practical manual for clinicians (including radiation oncologists, emergency room physicians, and nursing staff), hospital administrators, radiation safety officers, and other individuals knowledgeable in radiation monitoring that would be useful for evaluation and management of radiation injury. The rationale for and process by which the radiation response plan was developed and implemented in the State of Connecticut are reviewed. Hospital admission pathways are described, based on classification of victims as exposed, contaminated, and/or physically injured. This manual will be of value to those involved in planning the health care response to a radiologic event.},
doi = {10.1016/J.IJROBP.2005.1},
journal = {International Journal of Radiation Oncology, Biology and Physics},
number = 1,
volume = 65,
place = {United States},
year = {Mon May 01 00:00:00 EDT 2006},
month = {Mon May 01 00:00:00 EDT 2006}
}