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Re: Primary Response to Medical Emergencies



Dear Wade


I do believe it is better to have a broadly information on the responsible
parties attitudes, action and training necessary when dealing with medical
radiological or nuclear accident. Probably you can find extensive literature
in USA, however I would like to recommend some IAEA texts that I think that
will help you to a better understanding. In USA use the following e-mal to
obtain information on these documents:  query@bernan.com

good luck

Jose Julio Rozental
joseroze@netvision.net.il
Israel

Medical Handling of Accidentally Exposed Individuals Safety Series No. 88
(old however valid document)
The present manual is the first of a set of three Safety Series publications
dealing with assessment and treatment of over- exposures which will
constitute an articulated system of documents covering all aspects of
diagnosis, prognosis and treatment of overexposures. It establishes a set of
general criteria and recommendations to aid specialists involved in the
medical handling of overexposed persons.
Contents: 1. Introduction; 2. Accidental external exposure; 3. Procedures to
follow in the event of an external over-exposure; 4. Radioactive
contamination; 5. Organization, planning and training; 6. Medical advice
following accidental occupational exposures; Appendix 1: Internationally
available radiation assistance programmes; Appendix 2: Centres for treatment
of accidentally exposed individuals and for training; Appendix 3: Specimen
of accident report form; Appendix 4: Early clinical symptoms associated with
partial body exposure; Appendix 5: Definitions.

Diagnosis and Treatment of Radiation Injuries - Safety Reports Series No. 2
The main purpose of this report is to assist physicians involved in the
early medical handling of radiation victims to apply prompt diagnostic
measures and emergency treatment. Special emphasis is given to localized
radiation injuries, which are the most frequently occurring direct health
effects observed from ionizing radiation. The lessons learned from the
accidents at Chernobyl (Ukraine, 1986), Goiânia (Brazil, 1987), San Salvador
(El Salvador, 1989), Soreq (Israel, 1990) and Nesvizh (Belarus, 1991) on the
early medical handling of radiation injuries have been incorporated into
this report.
Contents: 1. Introduction; 2. Types of accidental exposure and their medical
management; 3. External exposure; 4. Contamination with radionuclides; 5.
Combined radiation injuries; 6. Consulting system; 7. Record keeping;
References; Annex I: Accidental exposure form samples; Annex II: Diagnosis
and treatment of persons exposed to caesium-137: The Goiana experience.

Planning the Medical Response to Radiological Accidents -  Safety Reports
Series No. 4
This Safety Report was jointly sponsored by the IAEA and WHO. It outlines
the roles and tasks of health authorities and hospital administrators in
emergency preparedness for radiological accidents and provides information
relevant to the integration of medical preparedness into emergency plans.
Contents: 1. Introduction; 2. Classification of possible radiological
accidents; 3. Basic medical response to radiological accidents; Annex I:
Major radiation accidents (1945-1997) in nuclear industry, non-nuclear
industry, research and medicine involving workers as well as members of the
public; Annex II: List of international consulting centres; Annex III: Plan
of an ideal reception centre for radiation casualties.
==================================================


----- Original Message -----
From: Wade A Sewell <Wade.A.Sewell@dupontpharma.com>
To: Multiple recipients of list <radsafe@romulus.ehs.uiuc.edu>
Sent: Friday, April 21, 2000 1:33 PM
Subject: Primary Response to Medical Emergencies


>
> --Boundary_(ID_zT10vO4ZOerpfPL7DTJDCg)
> Content-type: TEXT/PLAIN
>
> Dear Radsafers,
>
> I am curious what your Emergency Response Team has adopted as policy for
responding to medical emergencies involving contamination.  I am
specifically interested in radioactive contamination of the victim(s) or
area where the are "down".
>
> Will they respond immediately to life threatening medical emergencies,
such as heart attack, regardless of radioactive contamination?  Or, do they
wait for the Radiation Safety Office staff (or other knowledgeable and
authorized individual) to tell them that it is OK to enter the area and
treat the patient?  Will they only treat the patient after decontamination?
>
> What is your policy for the transportation of contaminated individuals to
the hospital?  Decon first?
>
> Primarily I am interested in radioactive contamination events that are
typical of biomedical research, dealing with 1 mCi or less of H-3, C-14,
P-32, P-33, S-35, or I-125.
>
> Please send all responses directly to me.
>
> Thank you!
>
> Wade Sewell
> wade.a.sewell@dupontpharma.com
>
> --Boundary_(ID_zT10vO4ZOerpfPL7DTJDCg)--
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