Response Category of Acute Radiation Syndrome - Overview
Adapted from Fliedner, TM, Friesecke, I, Beyrer K. Medical Management of Radiation Accidents: Manual on the Acute Radiation Syndrome. Oxford: British Institute of Radiology; 2001.
What are the Response Categories and how are they used?
- Response Categories were developed by Fliedner1 and have been modified by others.
- Global RC for a specific patient suggests where victim should be transported for care 2-4:
(See Figure 1)
- Ambulatory monitoring
- Hospital routine care on a medical/surgical floor
- Hospital critical care unit
Figure 1. Response Category-based Triage
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- How do you calculate a Response Category for an individual patient?
- Assess manifestations of each of the 4 ARS Subsyndromes
- Record Subsyndrome Severity Score for each Subsyndrome: Interactive Tool
- Use individual Subsyndrome Severity Score to calculate Global Response Category (RC): Interactive Tool
- Example of Response Category assignment (see Figure 2 below)
Figure 2. Example of Responce Category Assignment
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References |
- Fliedner, TM, Friesecke, I, Beyrer K. Medical Management of Radiation Accidents: Manual on the Acute Radiation Syndrome. Oxford: British Institute of Radiology; 2001.
- Waselenko JK, Armitage JO, Dainiak N; Treatment of radiation injury in the adult. www.UpToDate.com (Subscription required)
- Waselenko JK, Dainiak N; Biology and clinical features of radiation injury in adults. www.UpToDate.com (Subscription required)
- Waselenko JK, MacVittie TJ, Blakely WF, Pesik N, Wiley AL, Dickerson WE, Tsu H, Confer DL, Coleman CN, Seed T, Lowry P, Armitage JO, Dainiak N; Strategic National Stockpile Radiation Working Group. Medical management of the acute radiation syndrome: recommendations of the Strategic National Stockpile Radiation Working Group. Annals of Internal Medicine 2004; Vol. 140:1037-51. [PubMed Citation]
- Fliedner TM, Graessle D, Meineke V, Dorr H. Pathophysiological principles underlying the blood cell concentration responses used to assess the severity of effect after accidental whole-body radiation exposure: an essential basis for an evidence-based clinical triage. Exp Hematol. 2007 Apr;35(4 Suppl 1):8-16. [PubMed Citation]
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