Citation

Parrish JS, Seda G. Crit. Care Clin. 2019; 35(4): 619-631.

Affiliation

Department of Pulmonary and Critical Care Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, Suite 301, San Diego, CA 92134, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.ccc.2019.06.005

PMID

31445609

Abstract

Radiation accidents are rare, but can produce large numbers of casualties with predictable patterns of injury. Casualties may suffer from a wide range of radiation exposures. Triage based on presence or absence of conventional injuries and an accurate assessment of radiation dose based on event history, symptoms, and laboratory testing, is critical. Treatment of acute radiation syndrome is supportive: including fluids, antibiotics, blood products, colony-stimulating factors, and stem cell or bone marrow transplantation. Care of radiation-injured patients with conventional trauma or burns needs to be modified to account for adverse effects of radiation on wound healing and susceptibility to infections.

Published by Elsevier Inc.

Language: en

Keywords

Acute radiation syndrome; Biodosimetry; Chelating agents; Colony-stimulating factors; Internal contamination; Radiation injury