Hospital Preparedness for Radiation Emergencies and Medical Management of Multiple Combined Radiation Injury Victims
Radiological accidents and disasters can have a huge and lasting impact on public health. Hospitals should be prepared to respond to potential radiation emergencies as determined by risk assessments based on local and regional radioactive hazards, threats and vulnerabilities. Approach to hospital ma...
Saved in:
Published in | Proceedings of Singapore Healthcare Vol. 20; no. 3; pp. 197 - 207 |
---|---|
Main Authors | , , , |
Format | Book Review Journal Article |
Language | English |
Published |
London, England
SAGE Publications
01.09.2011
SAGE Publishing |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Radiological accidents and disasters can have a huge and lasting impact on public health. Hospitals should be prepared to respond to potential radiation emergencies as determined by risk assessments based on local and regional radioactive hazards, threats and vulnerabilities. Approach to hospital management of multiple combined radiation injury victims require attention to casualty triage, decontamination and prevention of secondary contamination, healthcare personnel radiation safety, trauma care system, medical staff knowledge of radiation related injuries and availability of pharmaco-therapeutic options. Considering surge science, preparedness strategies are described according to the key components of the “3 S” system. |
---|---|
AbstractList | Radiological accidents and disasters can have a huge and lasting impact on public health. Hospitals should be prepared to respond to potential radiation emergencies as determined by risk assessments based on local and regional radioactive hazards, threats and vulnerabilities. Approach to hospital management of multiple combined radiation injury victims require attention to casualty triage, decontamination and prevention of secondary contamination, healthcare personnel radiation safety, trauma care system, medical staff knowledge of radiation related injuries and availability of pharmaco-therapeutic options. Considering surge science, preparedness strategies are described according to the key components of the “3 S” system. |
Author | Tan, Hock Heng Lim, Hoon Chin Steven Leong, Kok Wah Gabriel Ng, Keng Sin |
Author_xml | – sequence: 1 givenname: Hoon Chin Steven surname: Lim fullname: Lim, Hoon Chin Steven – sequence: 2 givenname: Keng Sin surname: Ng fullname: Ng, Keng Sin – sequence: 3 givenname: Hock Heng surname: Tan fullname: Tan, Hock Heng – sequence: 4 givenname: Kok Wah Gabriel surname: Leong fullname: Leong, Kok Wah Gabriel |
BookMark | eNp9kd1q3DAQhUVJoWmaF-iVXsDNjGRb0mVZ0mYhS0Jpe2v0M1602NIieS_y9vVmSykUylzMMJzzwcx5z65STsTYR4RPiErdCcC1Oo0IAgAkmDfsWkBnGiGFuTrPCM1Z8Y7d1npYNdhLhSiu2fKQ6zEuduLPhY62UEhUKx9z4d9siHaJOfH7mcqeko9UuU2B7yhEv1p2Ntk9zZQWnke-O01LPE7EN3l2MVH4i7BNh1N54T-jX-JcP7C3o50q3f7uN-zHl_vvm4fm8enrdvP5sfGyk0sjleyMRqNbkp0AUqja3jiBgRD6vtdWG9eS094gCdCjdMF54zqwWktAecO2F27I9jAcS5xteRmyjcPrIpf9YMsS_USDMdD2KwGMotY754JWUolgRmNsG8aVJS4sX3KthcY_PIThHMPwbwyr6e5iquufhkM-lbTe-z_HLxbPiPQ |
CitedBy_id | crossref_primary_10_1016_j_jairtraman_2020_101765 crossref_primary_10_1177_201010581102000301 crossref_primary_10_5812_ircmj_87107 crossref_primary_10_7759_cureus_61627 crossref_primary_10_11622_smedj_2014094 crossref_primary_10_1016_j_net_2022_01_007 crossref_primary_10_1051_radiopro_2021024 |
Cites_doi | 10.1016/j.jemermed.2006.05.034 10.1148/radiol.09090330 10.1097/01.HP.0000264935.29396.6f 10.1097/01.HP.0000172144.94491.84 10.1007/BF02934755 10.1016/S1051-0443(94)71456-1 10.7326/0003-4819-140-12-200406150-00015 10.1016/j.annemergmed.2005.01.020 10.1073/pnas.2235592100 10.1111/j.1553-2712.2006.tb01630.x |
ContentType | Book Review Journal Article |
Copyright | 2011 SAGE Publications, or Singapore Health Services Pte Ltd, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses |
Copyright_xml | – notice: 2011 SAGE Publications, or Singapore Health Services Pte Ltd, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses |
DBID | AFRWT AAYXX CITATION DOA |
DOI | 10.1177/201010581102000309 |
DatabaseName | Sage Journals GOLD Open Access 2024 CrossRef DOAJ Directory of Open Access Journals |
DatabaseTitle | CrossRef |
DatabaseTitleList | CrossRef |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: AFRWT name: SAGE Open Access url: http://journals.sagepub.com/ sourceTypes: Publisher |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 2059-2329 |
EndPage | 207 |
ExternalDocumentID | oai_doaj_org_article_990468f3097e4cbbbd87372d9f99a4df 10_1177_201010581102000309 10.1177_201010581102000309 |
GroupedDBID | 0R~ 54M 5VS 7RV 8C1 8FI 8FJ AAJPV AAJQC AAQQG AATBZ ABAFQ ABAWP ABNCE ABQXT ABUWG ABVFX ABXGC ACARO ACGFS ACGZU ACROE ACSIQ ADBBV ADOGD ADZYD AEFTW AEUHG AEUIJ AEWDL AEWHI AFCOW AFKRA AFKRG AFRWT AJUZI ALIPV ALMA_UNASSIGNED_HOLDINGS AUTPY AYAKG BCNDV BDDNI BENPR BKEYQ BPHCQ BSEHC BVXVI CCPQU DC. DF. DIK DV7 EBS EIHBH EJD FYUFA GROUPED_DOAJ GROUPED_SAGE_PREMIER_JOURNAL_COLLECTION J8X K.F KQ8 NAPCQ O9- OK1 PIMPY PQQKQ ROL SFC UKHRP AASGM AAYXX CITATION H13 |
ID | FETCH-LOGICAL-c353t-3735981984e3520e717469b21de106668a89b4eb8c91e208f3bdbc9b50a883013 |
IEDL.DBID | AFRWT |
ISSN | 2010-1058 |
IngestDate | Tue Oct 22 15:09:35 EDT 2024 Fri Dec 06 07:48:05 EST 2024 Tue Jul 16 20:50:31 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Keywords | hospital emergency preparedness acute radiation syndrome surge response capability dirty bomb |
Language | English |
License | This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(http://www.uk.sagepub.com/aboutus/openaccess.htm). |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c353t-3735981984e3520e717469b21de106668a89b4eb8c91e208f3bdbc9b50a883013 |
OpenAccessLink | https://journals.sagepub.com/doi/full/10.1177/201010581102000309?utm_source=summon&utm_medium=discovery-provider |
PageCount | 11 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_990468f3097e4cbbbd87372d9f99a4df crossref_primary_10_1177_201010581102000309 sage_journals_10_1177_201010581102000309 |
PublicationCentury | 2000 |
PublicationDate | 20110900 2011-09-00 2011-09-01 |
PublicationDateYYYYMMDD | 2011-09-01 |
PublicationDate_xml | – month: 9 year: 2011 text: 20110900 |
PublicationDecade | 2010 |
PublicationPlace | London, England |
PublicationPlace_xml | – name: London, England |
PublicationTitle | Proceedings of Singapore Healthcare |
PublicationYear | 2011 |
Publisher | SAGE Publications SAGE Publishing |
Publisher_xml | – name: SAGE Publications – name: SAGE Publishing |
References | Wagner, Eifel, Geise 1994; 5 Waselenko, MacVittie, Blakely, Pesik, Wiley, Dickerson 2004; 140 Barbisch, Koenig 2006; 13 Bushberg, Kroger, Hartman, Leidholdt, Miller, Derlet 2007; 32 Goans, Waselenko 2005; 89 Koenig, Goans, Hatchett, Mettler, Schumacher, Noji 2005; 45 Yehezkelli, Dushnitsky, Hourvitz 2002; 4 Harper, Musolino, Wente 2007; 93 Brenner, Doll, Goodhead, Hall, Land, Little 2003; 100 Wolbarst, Wiley, Nemhauser, Christensen, Hendee 2010; 254 US Department of Health & Human Services (bibr7-201010581102000309) 2011 bibr1-201010581102000309 bibr15-201010581102000309 Armed Forces Radiobiology Research Institute (AFRRI) (bibr8-201010581102000309) 2010 bibr9-201010581102000309 bibr21-201010581102000309 Yehezkelli Y (bibr2-201010581102000309) 2002; 4 Center for Drug Evaluation and Research (bibr17-201010581102000309) 2001 Hameln Pharmaceuticals (bibr20-201010581102000309) 2011 Radiation Emergency Assistance Center/Training Site (REAC/TS) (bibr11-201010581102000309) 2011 bibr6-201010581102000309 Hameln Pharmaceuticals (bibr19-201010581102000309) 2011 US Department of Health & Human Services (bibr16-201010581102000309) 2011 Oak Ridge Institute for Science and Education (bibr18-201010581102000309) 2011 bibr12-201010581102000309 International Atomic Energy Agency (bibr14-201010581102000309) 2004 bibr5-201010581102000309 bibr10-201010581102000309 bibr3-201010581102000309 bibr13-201010581102000309 bibr4-201010581102000309 |
References_xml | – volume: 100 start-page: 13761 issue: 24 year: 2003 end-page: 6 article-title: Cancer risks attributable to low doses of ionising radiation: Assessing what we really know publication-title: Proc Natl Acad Sci USA contributor: fullname: Little – volume: 254 start-page: 660 issue: 3 year: 2010 end-page: 77 article-title: Medical response to a major radiologic emergency: A primer for medical and public health practitioners publication-title: Radiology contributor: fullname: Hendee – volume: 13 start-page: 1098 issue: 11 year: 2006 end-page: 102 article-title: Understanding surge capacity: Essential elements publication-title: Acad Emerg Med contributor: fullname: Koenig – volume: 4 start-page: 530 issue: 7 year: 2002 end-page: 4 article-title: Radiation terrorism — the medical challenge publication-title: Isr Med Assoc J contributor: fullname: Hourvitz – volume: 32 start-page: 71 issue: 1 year: 2007 end-page: 85 article-title: Nuclear/radiological terrorism: Emergency department management of radiation casualties publication-title: J Emerg Med contributor: fullname: Derlet – volume: 93 start-page: 1 issue: 1 year: 2007 end-page: 16 article-title: Realistic radiological dispersal device hazard boundaries and ramifications for early consequence management decisions publication-title: Health Phys contributor: fullname: Wente – volume: 5 start-page: 71 issue: 1 year: 1994 end-page: 84 article-title: Potential biological effects following high X-ray dose interventional procedures publication-title: J Vasc Interv Radiol contributor: fullname: Geise – volume: 140 start-page: 1037 issue: 12 year: 2004 end-page: 51 article-title: Medical management of the acute radiation syndrome: Recommendations of the Strategic National Stockpile Radiation Working Group publication-title: Ann Intern Med contributor: fullname: Dickerson – volume: 45 start-page: 643 issue: 6 year: 2005 end-page: 52 article-title: Medical treatment of radiological casualties: Current concepts publication-title: Ann Emerg Med contributor: fullname: Noji – volume: 89 start-page: 505 issue: 5 year: 2005 end-page: 12 article-title: Medical management of radiological casualties publication-title: Health Phys contributor: fullname: Waselenko – volume-title: Radiogardase® (Prussian blue insoluable capsules): Package inserts [Internet] year: 2011 ident: bibr18-201010581102000309 contributor: fullname: Oak Ridge Institute for Science and Education – volume-title: Medical management of radiological casualties [Internet] year: 2010 ident: bibr8-201010581102000309 contributor: fullname: Armed Forces Radiobiology Research Institute (AFRRI) – volume-title: Guidance: Potassium iodide as a thyroid blocking agent in radiation emergencies [Internet] year: 2001 ident: bibr17-201010581102000309 contributor: fullname: Center for Drug Evaluation and Research – volume-title: Zn-DTPA (pentetate zinc trisodium injection): Package inserts [Internet] year: 2011 ident: bibr19-201010581102000309 contributor: fullname: Hameln Pharmaceuticals – volume-title: Ca-DTPA (pentetate calcium trisodium injection): Package inserts [Internet] year: 2011 ident: bibr20-201010581102000309 contributor: fullname: Hameln Pharmaceuticals – volume: 4 start-page: 530 issue: 7 year: 2002 ident: bibr2-201010581102000309 publication-title: Isr Med Assoc J contributor: fullname: Yehezkelli Y – ident: bibr3-201010581102000309 doi: 10.1016/j.jemermed.2006.05.034 – volume-title: Radiation emergency medical management (REMM): Guidance on diagnosis and treatment for health care providers — Decontamination procedures [Internet] year: 2011 ident: bibr7-201010581102000309 contributor: fullname: US Department of Health & Human Services – ident: bibr13-201010581102000309 doi: 10.1148/radiol.09090330 – ident: bibr6-201010581102000309 doi: 10.1097/01.HP.0000264935.29396.6f – ident: bibr9-201010581102000309 doi: 10.1097/01.HP.0000172144.94491.84 – ident: bibr15-201010581102000309 doi: 10.1007/BF02934755 – ident: bibr5-201010581102000309 doi: 10.1016/S1051-0443(94)71456-1 – ident: bibr12-201010581102000309 doi: 10.7326/0003-4819-140-12-200406150-00015 – volume-title: Radiation emergency medical management (REMM): Guidance on diagnosis and treatment for health care providers — Internal contamination [Internet] year: 2011 ident: bibr16-201010581102000309 contributor: fullname: US Department of Health & Human Services – ident: bibr10-201010581102000309 doi: 10.1016/j.annemergmed.2005.01.020 – volume-title: Guidance for radiation accident management [Internet] year: 2011 ident: bibr11-201010581102000309 contributor: fullname: Radiation Emergency Assistance Center/Training Site (REAC/TS) – ident: bibr1-201010581102000309 – ident: bibr4-201010581102000309 doi: 10.1073/pnas.2235592100 – ident: bibr21-201010581102000309 doi: 10.1111/j.1553-2712.2006.tb01630.x – volume-title: Practical Radiation Technical Manual: Personal Protective Equipment [Internet] year: 2004 ident: bibr14-201010581102000309 contributor: fullname: International Atomic Energy Agency |
SSID | ssj0001637112 |
Score | 1.8894632 |
Snippet | Radiological accidents and disasters can have a huge and lasting impact on public health. Hospitals should be prepared to respond to potential radiation... |
SourceID | doaj crossref sage |
SourceType | Open Website Aggregation Database Publisher |
StartPage | 197 |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1NS8QwEA2yJy-iqLh-kYMHQco2bZomR5VdVkERcWVvpWkmB8GurOv_dybN6i6CXryG0pQ3zWReMvOGsTNla4WRcp7IJpOJLJVMtPdFAo0uQQnv0C9TtsW9Gk_k7bSYrrT6opywTh64A26A3lIq7fPUlCAba63T1FnFGW9MLZ0P3jfNVshUOF1ReSnCVWe47cUgQi8rZspyQGM0hFtfFkiBWduVgnj_WmZX2GxG22wrRon8svu6HbYB7S5bLHt88Ic5hMRxclMco07-SAoDBDEfxnJKJMC8bh2PFzH8O82Fzzy_i2mEHN0BUmNwK2-4aV8QZ_5MtSKv73tsMho-XY-T2DQhafIiX6DDIE0-YbQEjK1SQLqGDNhmwoEgrqJrbawEqxsjIEsRWetsY2yR1lrjas_3Wa-dtXDAuLdegSu9NdbJ3Gkja1NkuGClFxIK0WcXS9Cqt04boxJRPvwnxH12Rbh-PUm61mEArV1Fa1d_WbvPzskqVVxo77_Md_gf8x2xze4QmZLKjllvMf-AE4xCFvY0_HCfikLTeQ priority: 102 providerName: Directory of Open Access Journals |
Title | Hospital Preparedness for Radiation Emergencies and Medical Management of Multiple Combined Radiation Injury Victims |
URI | https://journals.sagepub.com/doi/full/10.1177/201010581102000309 https://doaj.org/article/990468f3097e4cbbbd87372d9f99a4df |
Volume | 20 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3NS8MwFA86L3pSVJwfIwcPgtQtbZomJ1FxqKCI-LFbaZpEENaNrTv43_telqpDEa8lNOEl7_v33iPkUOhCgKWcRLyMecQzwSPpXBrZUmZWMGdALiPa4k5cPfGbQTpYIuOmFiZQcHqCsCo4kRfWyN0Yje6GJGMXU7hgGEjQXbG36tXprB7m83h3M1YDv2CCejbE3HaJiMj3qKlvWyYrwKsCeGLlrP_w8vgVlxFJxnyS1OeJcZem1ubXjRf0mW_7v4AJ82qqv07WsHSBzuP9G2TJVpukbiaD0PuJ9XBzFG4UbFX6gH0J8GLoZSjCBLeZFpWhIX1Dv8AxdOTobQAfUhAi4FBb8-0P19Ub3A59xgqT4XSLPPUvHy-uojBqISqTNKlBzGAnP6Ykt2CR9Sw4eeA365gZy9DDkYVUmlstS8Vs3JMu0UaXSqe9QkqQEck2aVWjyu4Q6rQT1mROK214YqTihUpjYHPuGLcpa5PjhmD5eN5RI2eh6fhP8rbJOdL0cyV2w_YfRpPXPDBXDhqVCzhTT2WWl1prI3H6jlFOqYIb1yZHeCN587j-2G_3_0v3yOo8wIyAs33SqiczewAWSq074VF1vIf_AcLf3bU |
link.rule.ids | 313,314,780,784,792,864,2102,21966,27853,27922,27924,27925,44945,45333 |
linkProvider | SAGE Publications |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3fS8MwEA5ze1CfFBXnzzz4IEi1adM0wSeVjU23IWPTvZWmSQTBTrb6_3vJWudQxNeSpuGau_su990FoTMmUwZIOfRoFlCPxox63JjI0xmPNSNGgV22bIsB64zp_SSa1NB1VQtTSnB-aWlVsCJnrL-0O46vbPYWMAEHtxU4QC_WUIMCaIFN3rhpD59HyyMWFsbE5Ttdyte-VZXN_DrRimtyHfxX6F3O47S30KatQsCLo_ttVNP5DiqqSz7w40w75ri1UxhgJx7aFgNWxrhV1lNCBIzTXOEyE4OXPBc8Nbhf8ggx2AOIjbX6NkM3fwVB4ydbLPI230Xjdmt01_HKWxO8LIzCAiyGbcpHBKcawJWvIV6DEFgGRGligxWeciGpljwTRAc-N6FUMhMy8lPOQd3DPVTPp7neR9hIw7SKjRRS0VBxQVMRBaCx1BCqI9JEF5XAkvdFc4yElP3Df4q3iW6tTL9G2sbW7sF09pKUepKAc6QM1uSLWNNMSqm4vUhHCSNESpVponP7R5Jqn_zxvYP_Dz1F651Rv5f0uoOHQ7SxODe2PLIjVC9mH_oYgEchT8oN9gnIGcoj |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3dS8MwEA86QfRJUXF-5sEHQapLe22TRz82_Bxj-PVWmiYRBLsx6__vXZc5hyK-ljQN19z37-4YO0h0nqClHAVQhBBAmkAgnYsDW8jUJsIZlMuEtugmlw9w_Rw_-zmnVAvjKfh-TLAqPFEtrIm7h8ad-BzjCWVw0S6QqLrC2qhX82wBQEHcYAunnf7T_TTMkkSpqHOeddqX3pqUzvy60Yx6qrv4z0C8aq3TWWHLVInAx-H7VTZnyzVWTQZ98N7I1uhxklUcTU_epzYDRGfe9jWV6AXzvDTcZ2P4FOvCB47feSwhR5mA_rE133a4Kl-R2PyRCkbe3tfZQ6d9f34Z-MkJQRHFUYVSgxrzCSXBooHVsuizoRusQ2GsIIdF5lJpsFoWStiwJV2kjS6Ujlu5lMjy0QZrlIPSbjLutEusSZ1W2kBkpIJcxSFyLTgBNhZNdjQhWDYcN8jIhO8h_pO8TXZGNP1aSc2t6weD0UvmeSVDBQkJnqmlUguF1tpIGqZjlFMqB-Oa7JD-SDa5K398b-v_S_fZYu-ik91edW-22dI4dExQsh3WqEYfdhdtj0rv-fv1CRRuyzw |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Hospital+Preparedness+for+Radiation+Emergencies+and+Medical+Management+of+Multiple+Combined+Radiation+Injury+Victims&rft.jtitle=Proceedings+of+Singapore+Healthcare&rft.au=Lim%2C+Hoon+Chin+Steven&rft.au=Ng%2C+Keng+Sin&rft.au=Tan%2C+Hock+Heng&rft.au=Leong%2C+Kok+Wah+Gabriel&rft.date=2011-09-01&rft.pub=SAGE+Publications&rft.issn=2010-1058&rft.eissn=2059-2329&rft.volume=20&rft.issue=3&rft.spage=197&rft.epage=207&rft_id=info:doi/10.1177%2F201010581102000309&rft.externalDocID=10.1177_201010581102000309 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2010-1058&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2010-1058&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2010-1058&client=summon |