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Tabla de Contenidos:
  • Cover Page
  • Preface
  • Contents
  • 1. Introduction
  • 1.1 Purpose of this Report
  • 1.2 Target Audiences of this Report
  • 1.3 Scope of this Report
  • 1.4 Acronyms
  • 2. Considerations Impacting Response
  • 2.1 Unique Features and Potential Impacts
  • 2.2 Factors Complicating the Decision-Making Process
  • 2.2.1 Law Enforcement Interests
  • 2.2.2 Public Health and Safety
  • 2.2.3 Mass Casualties and Damage to Infrastructure
  • 2.2.4 Psychosocial Impacts
  • 2.2.5 Environmental Concerns
  • 2.3 Functional Approach
  • 2.3.1 Crisis Management
  • 2.3.2 Consequence Management3. Characteristics and Consequences of Terrorist Incidents that Involve Radioactive Materials
  • 3.1 Radiological Dispersal Events
  • 3.1.1 Localized Sources
  • 3.1.2 Widely Dispersed Sources
  • 3.2 Nuclear Weapons
  • 3.2.1 Yield
  • 3.2.2 Effects
  • 3.2.3 Discussion
  • 4. Medical Management of Radiation Casualties
  • 4.1 Basic Terminology
  • 4.2 Spectrum of Health Effects
  • 4.2.1 General Considerations: Cellular Damage and Absorbed Dose Rate
  • 4.2.2 Early Effects of Ionizing Radiation in Humans
  • 4.2.3 Radiation Carcinogenesis
  • 4.2.4 Effects of In Utero Irradiation4.2.5 Other Late Effects
  • 4.3 Medical Management of Radiation Casualties
  • 4.3.1 On-Scene Triage
  • 4.3.2 Patient Radiological Assessment
  • 4.3.3 Personnel Decontamination Procedures
  • 4.4 Hospital Management of Radiation Casualties
  • 4.4.1 Hospital Preparations
  • 4.4.2 Patients with Wounds or Burns
  • 4.4.3 Treatment of Patients Who Have Received Large Absorbed Doses of Ionizing Radiation
  • 4.4.4 Treatment of Internal Contamination
  • 4.4.5 Combined Injuries
  • 4.5 Pharmacological Radioprotection
  • 4.6 Medical Follow-Up of Persons Exposed to Ionizing Radiation5. Psychosocial Effects of Radiological Terrorist Incidents
  • 5.1 Key Psychosocial Features of Radiological Terrorist Incidents
  • 5.2 Spectrum of Psychosocial Effects
  • 5.3 Identifying and Assisting High-Risk Groups
  • 5.3.1 Children
  • 5.3.2 Emergency Workers/Responders
  • 5.3.3 Pregnant Women and Mothers with Young Children
  • 5.3.4 Other High-Risk Groups
  • 5.4 Potential Magnitude of Psychosocial Impacts After a Radiological Terrorist Incident
  • 5.5 The Problem of Social Stigma
  • 5.6 Prevention as the Guiding Principle5.7 A Shortage of Resources, Training, and Trained Personnel
  • 5.8 Training Exercises
  • 5.9 Research
  • 5.10 Restoring and Maintaining Trust
  • 5.11 Conclusion: The Centrality of the Psychosocial Dimension in Consequence Management
  • 5.12 Recommendations
  • 6. Command and Control
  • 6.1 Critical Elements of Command and Control
  • 6.2 The Federal System
  • 6.3 The Fog between Crisis and Consequence Management
  • 6.4 Command and Control Plans
  • 6.5 Communications
  • 7. Public Communication
  • 7.1 Communication Policy