Tabla de Contenidos:
  • Cover
  • Preface
  • Contents
  • 1. Executive Summary
  • 2. Introduction
  • 2.1 Overview
  • 2.2 Purpose of this Report
  • 2.3 Target Audiences of this Report
  • 2.4 Scope of this Report
  • 3. Background Information
  • 3.1 Internal Deposition of Radionuclides
  • 3.1.1 Inhalation
  • 3.1.2 Ingestion
  • 3.1.3 Absorption from Skin Contamination
  • 3.1.4 Absorption Through Wounds
  • 3.2 External Contamination
  • 3.3 Effects of Weather
  • 3.4 Complications Due to the Presence of Multiple Agents or Serious Injuries
  • 3.5 Radiological Triage
  • 3.6 Proximity to the Incident3.7 Previous Experience with Internal Contamination
  • 3.8 Conclusions
  • 4. Settings in Which Persons May Become Contaminated with Radioactive Material
  • 4.1 Radiological Dispersal Device
  • 4.1.1 Incident Characteristics
  • 4.1.2 Nature of Contamination
  • 4.2 Aerosol Dispersal into a Public Area
  • 4.2.1 Incident Characteristics
  • 4.2.2 Nature of Contamination
  • 4.3 Contamination of Food or Water Supplies
  • 4.3.1 Incident Characteristics
  • 4.3.2 Nature of Contamination
  • 4.4 Improvised Nuclear Device
  • 4.4.1 Incident Characteristics4.4.2 Nature of Contamination
  • 4.5 Nuclear Reactor Incident
  • 4.5.1 Incident Characteristics
  • 4.5.2 Nature of Contamination
  • 4.6 Large-Scale Fires and Incidents
  • 4.6.1 Incident Characteristics
  • 4.6.2 Nature of Contamination
  • 4.7 Sealed Radioactive Source Incidents
  • 4.7.1 Incident Characteristics
  • 4.7.2 Nature of Contamination
  • 4.8 Summary
  • 5. Coordination with the Incident Command System
  • 5.1 Introduction
  • 5.2 Incident Command System
  • 5.3 Hospital Incident Command System
  • 5.4 Coordination Between Incident Command System and Hospital Incident Command System5.5 Communicating Information from the Scene to the Hospitals and from the Hospitals to the Scene
  • 6. Radiological Triage and Screening Guidance
  • 6.1 General Guidance for Emergency Responders
  • 6.1.1 Selecting an Appropriate Radiation Survey Instrument
  • 6.1.2 Presurvey Radiation Survey Instrument Checks
  • 6.1.3 Surveying for Radioactive Contamination
  • 6.2 Radiological Triage and Screening Procedures
  • 6.3 Initial Screening at Scene
  • 6.4 Initial Screening at Hospital
  • 6.5 Mass Screening Following the Emergency Phase6.6 Biodosimetry
  • 7. Clinical Decision Guide: Concept and Use
  • 7.1 Clinical Decision Guide Concept
  • 7.2 Clinical Use of the Clinical Decision Guide
  • 7.2.1 Decision-Making Process
  • 7.2.2 Use of the CDG Tables
  • 7.2.3 Use of a Single-Void Urine Sample Collected During the First 24 h
  • 7.2.4 Using the CDG with an Intake of Multiple Radionuclides
  • 7.2.5 Determining an Intake for Times More than 24 h in the Past
  • 7.2.6 Special Considerations for Uranium CDGs