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Management of medical and psychosocial consequences of a radiological or nuclear terrorist event

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Treść / Zawartość
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Medical, psychological, and social consequences of a terrorist event involving the release of ionizing radiation will differ significantly from attacks with “classical” explosives. Victims of a detonation of a “dirty bomb” or a nuclear device can actually or allegedly absorb various doses of radiation and should be viewed as radiologically contaminated patients. Hence, both first responders and medical personnel should behave and act accordingly. General rules, guidelines, and procedures are described that should be implemented at all levels of medical management from the on-site emergency care until admittance to and treatment of the victims at a specialist hospital ward. The causes, manifestations and management of psychosocial sequelae of radiological terrorist incidents are also discussed.
Czasopismo
Rocznik
Strony
393--399
Opis fizyczny
BIbliogr. 26 poz., tab.
Twórcy
autor
  • Department of Radiobiology and Radiation Protection, Military Institute of Hygiene and Epidemiology, 4 Kozielska Str., 01-163 Warsaw, Poland, Tel.: +48 22 681 8518, Fax: +48 22 810 4391, mjaniak@wihe.waw.pl
Bibliografia
  • 1. Alves RN (1990) Contamination control in the Cs-137 accident in Goiania. In: Ricks RC, Fry SA (eds) The medical basis for radiation accident preparedness 2. Elsevier, New York, pp 271–281
  • 2. American College of Radiology (2002) Disaster preparedness for radiology professionals – response to radiological terrorism. A primer for radiologists, radiation oncologists and medical physicists. ACR, USA
  • 3. Commander’s Guidebook (2002) MTF preparedness and response to radiological and nuclear terrorism. Bureau of Medicine and Surgery, Chemical, Biological, Radiological, Nuclear and High-Yield Explosives Program Cell MED-02 and the Integrated Product Team (CBRNE IPT), USA
  • 4. Covello VT, McCallum DB, Pavlova MT (eds) (1989) Effective risk communication: the role and responsibility of government and non-governmental organizations. Plenum Press, New York
  • 5. Erikson KA (1994) New species of trouble: the human experience of modern disasters. W W Norton and Co., New York
  • 6. Falkenrath RA (1998) Confronting nuclear, biological and chemical terrorism. Survival 40:43–65
  • 7. Flynn D, Goans RE (2006) Nuclear terrorism: triage and medical management of radiation and combined-injury casualties. Surg Clin N Am 86:601–636
  • 8. Gale RP (1987) Immediate medical consequences of nuclear accidents. Lessons from Chernobyl. JAMA 258:625–628
  • 9. Goans RE, Wasalenko JK (2005) Medical management of radiological casualties. Health Phys 89:505–512
  • 10. IAEA (2002) Preparedness and response for a nuclear or radiological emergency. Safety standard series no. GS-R-2. Jointly sponsored by FAO, IAEA, ALO, OECD/NEA, PAHO, UN-OCHA, and WHO. International Atomic Energy Agency, Vienna
  • 11. IAEA (2005) Generic procedures for medical response during a nuclear or radiological emergency, emergency preparedness and response EPR-Medical 2005, Co-sponsored by IAEA and WHO. International Atomic Energy Agency, Vienna
  • 12. IAEA (2006) Chernobyl’s legacy: health, environmental and socio-economic impacts and recommendations to the governments of Belarus, the Russian Federation and Ukraine. The Chernobyl forum: 2003–2005, 2nd revised version. International Atomic Energy Agency, Vienna
  • 13.ICRP (2005) Publication 96. Protecting people against radiation exposure in the event of a radiological attack. In: Valentin J (ed) Ann ICRP 35 (1). International Commission on Radiological Protection, Elsevier Ltd, Oxford
  • 14.Janiak MK (2005) Prophylaxis and treatment of health disorders in victims of radiological incidents In: Janiak M, Wójcik A (eds) Medicine of the radiation-associated threats and injuries. Wydawnictwa Lekarskie PZWL, Warsaw, pp 155–167 (in Polish)
  • 15. Janiak MK, Jaworowski Z (2005) Threats from nuclear and radiological weapons In: Janiak M, Wójcik A (eds) Medicine of the radiation-associated threats and injuries. Wydawnictwa Lekarskie PZWL, Warsaw, pp 137–154 (in Polish)
  • 16. Koenig KL, Goans RE, Hatchet RJ et al. (2005) Medical treatment of radiological casualties: current concepts. Ann Emerg Med 45:643–652
  • 17. Littlefield LG, Joiner EE, Coyler SP et al. (1991) The 1989 San Salvador Co-60 radiation accident: cytogenetic dosimetry and follow-up evaluations in three accident victims. Radiat Protect Dosim 35:115–123
  • 18. Mettler FA Jr, Upton AC (2008) Perception of radiation and psychological effects. In: Mettler FA Jr, Upton AC (eds) Medical effects of ionizing radiation, 3rd ed. Saunders Elsevier, Philadelphia, pp 459–472
  • 19. NCRP (1980) Management of persons accidentally contaminated with radionuclides. Recommendations of the NCRP. Report no 65. National Council on Radiation Protection and Measurements, Bethesda, Maryland
  • 20. NCRP (2001) Management of terrorist events involving radioactive material. Recommendations of the NCRP. Report no 138. National Council on Radiation Protection and Measurements, Bethesda, Maryland
  • 21. Ring JP (2004) Radiation risks and dirty bombs. Health Phys 86;S1:S42–S47
  • 22. Rojas-Palma C, Liland A, Jerstad AN et al. (eds) (2009) TMT handbook, triage, monitoring and treatment of people exposed to ionising radiation following a malevolent act. C Lobo Media AS, Norway
  • 23. Turai I, Veress K, Gunalp B, Soulchkevitch G (2004) Medical response to radiation incidents and radionuclear threats. Brit Med J 328:568–572
  • 24. US EPA (1992) Manual of protective action guides and protective actions for nuclear incidents. EPA 400-R-92-001. United States Environmental Protection Agency, Washington
  • 25. Valverde NJ, Cordeiro JM, Oliviera AR, Brandao-Mello CE (1990) The acute radiation syndrome in the Cs-137Brazilian accident In: Ricks RC, Fry SA (eds) The medical basis for radiation accident preparedness 2. Elsevier, New York, pp 89–109
  • 26. Yehezkelli Y, Dushnitsky T, Hourvitz A (2002) Radiation terrorism – the medical challenge. IMAJ 4:530–534
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BUJ7-0014-0061
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