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Description of differences between radiological and nuclear incident Overview/algorithm for evaluating contamination and/or exposure Discovering different types of radiation events Perform lifesaving tasks before managing radiation problems D
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Detailed decontamination procedures How to survey Dose Estimator: Biodosimetry tool for calculating dose from exposure Body chart for recording result of radiation survey Follow-up instructions for patients Follow-up instructions for patients No Contamination or Exposure Decontamination procedures for shrapnel How to survey Algorithm for managing whole/partial-body exposure and acute radiation syndrome Illustration and description of external and internal contamination Illustration and description of exposure Algorithm for managing external and internal contamination Algorithm for managing whole/partial-body exposure and acute radiation syndrome Table of radioisotopes of interest Table of countermeasures, blocking agents, chelating agents, etc. Caution and comments about radiation countermeasure for treatment of internal contamination Video: Decontamination of infants and children Illustration: Wound contamination with radioactive shrapnel How to survey Management of the deceased Caution - when and why changes in these guidelines may be necessary in mass casualty event Gallery of radiation survey meters/detection devices Gallery of radiation survey meters/detection devices Gallery of radiation survey meters/detection devices Swab each nostril separately to help estimate level of internal (lung) contamination Caveat about using radiation survey meters to detect external and/or internal contamination Swab each nostril separately to help estimate level of internal (lung) contamination Consider total body radiation survey with modified hospital nuclear medicine equipment Management modifiers for burns Management modifiers for trauma/injuries Timing of surgery in exposed victims Use of blood products in exposed victims Management modifiers for at-risk/special needs populations Less than 2 times background radiation as target for acceptable level of residual contamination after decontamination procedures Less than 2 times background radiaton as target for acceptable level of residual contamination after decontamination procedures Instructions for sample collection, labeling, packaging and shipping

US Department of Health & Human Services     
U.S. Department of Health & Human Services Office of the Assistant Secretary for Preparedness and Response National Library of Medicine