GeneralClinical Practice

Management of Ionizing Radiation Injuries and Illnesses, Part 4: Acute Radiation Syndrome

Doran M. Christensen, DO; Carol J. Iddins, MD; Steven J. Parrillo, DO; Erik S. Glassman, EMT-P, MS; and Ronald E. Goans, PhD, MD, MPH
Notes and Affiliations
Notes and Affiliations

Received: May 13, 2013

Accepted: November 13, 2013

Published: September 1, 2014

J Osteopath Med; 114(9): 702-711

To provide proper medical care for patients after a radiation incident, it is necessary to make the correct diagnosis in a timely manner and to ascertain the relative magnitude of the incident. The present article addresses the clinical diagnosis and management of high-dose radiation injuries and illnesses in the first 24 to 72 hours after a radiologic or nuclear incident. To evaluate the magnitude of a high-dose incident, it is important for the health physicist, physician, and radiobiologist to work together and to assess many variables, including medical history and physical examination results; the timing of prodromal signs and symptoms (eg, nausea, vomiting, diarrhea, transient incapacitation, hypotension, and other signs and symptoms suggestive of high-level exposure); and the incident history, including system geometry, source-patient distance, and the suspected radiation dose distribution.

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