1. Additional Resources For Hospital Response and Patient Management after a Radiological Incident

2. Resources Agencies that are available 24/7 to assist with medical management:  Radiation Emergency Assistance Center/Training Site (REAC/TS), 865-576- 1005, www.orise.orau.gov/reacts/www.orise.orau.gov/reacts/  Medical Radiobiology Advisory Team (MRAT) Armed Forces Radiobiology Research Institute (AFRRI), 301-295-0530, www.afrri.usuhs.mil  Medical Management of Radiological Casualties Handbook, 2003; and Terrorism with Ionizing Radiation Pocket Guide

3. Resources Web sites:  www.bt.cdc.gov/radiation/ - Response to Radiation Emergencies by the Centers for Disease Control and Prevention www.bt.cdc.gov/radiation/  www.acr.org - “Disaster Preparedness for Radiology Professionals” by the American College of Radiology www.acr.org  www.va.gov/emshg - Medical Treatment of Radiological Casualties www.va.gov/emshg  http://hps.org/hsc/responsemed.html/ - Medical response information from the Health Physics Society http://hps.org/hsc/responsemed.html/

4. Resources Books:  Gusev I, Guskova A, Mettler F, eds. Medical management of radiation accidents, 2 nd ed. Boca Raton, FL: CRC Press; 2001.  Mettler F, Upton A. Medical effects of ionizing radiation, 2 nd ed. Philadelphia: Saunders; 1995.  The Medical Basis for Radiation-Accident Preparedness; REAC/TS Conference, 2002.

5. Resources Books:  National Council on Radiation Protection and Measurements. Management of persons accidentally contaminated with radionuclides. Bethesda, MD: NCRP; NCRP Report No. 65.  National Council on Radiation Protection and Measurements. Management of terrorist events involving radioactive material. Bethesda, MD: NCRP; NCRP Report No. 138.  National Council on Radiation Protection and Measurements. Developing Radiation Emergency Plans for Academic, Medical or Industrial Facilities. Bethesda, MD: NCRP; NCRP Report No. 111.

6. Resources Articles:  Mettler F, Voelz G. Major radiation exposure - What to expect and how to respond. New England Journal of Medicine 346:1554-1561; 2002.  Waselenko J, et.al. Medical management of the acute radiation syndrome: Recommendations of the strategic national stockpile radiation working group. Annals of Internal Medicine 140:1037-1051; 2004.  Gerber GB, Thomas RG, eds. Guidebook for the treatment of accidental internal radionuclide contamination of workers. Radiation Protection Dosimetry. 41:1; 1992.

7. 7 Radiological Medical Emergency Response Plan Required by Joint Commission on Hospital Accreditation  EC.1.4 Emergency Management Plan-facilities for rad/bio/chem

8. Visit http://www.bt.cdc.gov/radiation/ http://www.bt.cdc.gov/radiation/

9. Visit http://hps.org/hsc/responsemed.html

10. Triage Site Information photo credits: CDC

11. 11  Health Physics Society Disclaimer: The information contained herein was current as of 18 Aug 2008 and is intended for educational purposes only. The authors and the Health Physics Society (HPS) do not assume any responsibility for the accuracy of the information presented herein. The authors and the HPS are not liable for any legal claims or damages that arise from acts or omissions that occur based on its use. *The Health Physics Society is a nonprofit scientific professional organization whose mission is to promote the practice of radiation safety. Since its formation in 1956, the Society has grown to approximately 6,000 scientists, physicians, engineers, lawyers, and other professionals representing academia, industry, government, national laboratories, the Department of Defense, and other organizations. Society activities include encouraging research in radiation science, developing standards, and disseminating radiation safety information. Society members are involved in understanding, evaluating, and controlling the potential risks from radiation relative to the benefits. Official position statements are prepared and adopted in accordance with standard policies and procedures of the Society. The Society may be contacted at 1313 Dolley Madison Blvd., Suite 402, McLean, VA 22101; phone: 703-790-1745; fax: 703-790-2672; email: HPS@BurkInc.com.