Medical planning guidance for responding to an attack with a "dirty bomb" - also called a radiologic dispersion device or improvised nuclear device - is provided in this updated document from the Department of Homeland Security's Working Group on Radiological Dispersal Device (RDD) Preparedness. It was developed to provide concise guidance to health care workers and first responders on the management of persons exposed to or suffering the effect of ionizing radiation as the result of the accidental or deliberate release of radioactive materials. This product was developed in collaboration with the Department of Veterans Affairs and the Department of Health and Human Services, with the assistance of national experts in the medical management of radiation accidents.

Contents include: Handling Patients, Important Points for the First Responder and Health Care Worker, Dose and Relative Hazard, Radiological Protection for Medical Personnel, Respiratory Protection, Skin Protection, Handling of Bodies, Radiation Dosimetry, Evacuation, Sheltering, and Other Public Health Measures to Reduce/Avert Radiation Dose, Guidance for Occupational Exposure in Emergencies, Recommended Values of Averted Dose for Sheltering, Recommended Activities (Bg/Kg) Regarding Restriction of Foodstuffs, Scope of Population Sheltered/Evacuated, Immediate Medical Management, Dermal Manifestations of Radiation Dose, Acute Radiation Syndrome (Whole-Body or Extensive Partial-Body), Patient Decontamination, Decontamination Techniques, Recommended Cleaning Solutions, Internal Decontamination Treatment, Patient Radiological Assessment, Rapid Dosimetry, Biodosimetry Assessment Tool, Evaluation of Neutron Exposure, Internal Contamination, Guidelines on Dealing With Deceased Persons Following Radiological Terrorism, Psychological and Behavioral Consequence Management After Rdd/Ind Events, Healthcare Providers and Mental Health Care after a Radiation Event, Medical Countermeasures, and more.

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