Mass Casualty Radiation Injury Triage

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Canadian Nuclear Commission canadienne INFO - 0754 - 2 Safety Commission de sûreté nucléaire Radiation Incident Mass Casualty Radiation Injury Triage Produced by the Canadian Nuclear Safety Commission for First Responders THE FOLLOWING ARE RECOMMENDATIONS ONLY. LOCAL OR PROVINCIAL PROCEDURES AND PROTOCOLS MUST BE FOLLOWED. To be performed after standard medical triage and decontamination Always wear personal protective equipment (PPE) when dealing with loose contamination. Immediate care of critical injuries takes precedence over care of radiation injuries and radioactive contamination control. Time to emesis (vomiting) is an initial but crude treatment indicator for individuals who have been exposed to very high doses of radiation. Physiological responses to radiation doses vary from person to person. Some unexposed individuals will vomit (e.g. due to stress), while others who received very high doses will not. A gamma dose rate measured one metre from a person’s chest is a crude indicator of gross internal radioactive contamination, but is not reliable for all radionuclides. Any information available concerning the radionuclide should be relayed to hospital staff. Vomiting Seek immediate medical care within 1 hour of exposure Possibly life threatening if left untreated Gamma Dose Rate Seek immediate medical care > 1 μSv/h Possibility of high levels of internal contamination one metre from chest Localized otherwise seek immediate unexplained erythema Mark area with surgical marker and medical care (skin reddening) for possible radiation burn to skin Vomiting Seek medical care for possible high radiation dose 1-4 hours after exposure Dose Rate In case of persistent external contamination, continue cleaning and approx. twice background level monitoring the area. Seek medical care for possible one metre from chest internal contamination Nausea, vomiting or Seek follow-up medical care for possible diarrhea within 24 hours external exposure Canadian Nuclear Safety Commission 24-hr Duty Officer’s number: (613) 995-0479 Cat. No.: CC172-30/2005E-PDF ISBN: 0-662-42101-9 .

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