TRIAGE AND EMERGENCY MEDICAL MANAGEMENT OF THE ACUTE RADIATION SYNDROME

Author:

Trzos Arkadiusz1,Kudła Wiktoria2,Łyziński Karol3

Affiliation:

1. DEPARTMENT OF DISASTER MEDICINE AND EMERGENCY, CARE CHAIR OF ANAESTHESIOLOGY AND INTENSIVE CARE, FACULTY OF MEDICINE JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND; ATMED MEDICINE AND EDUCATION, CRACOW, POLAND

2. ACADEMIC CIRCLE OF EXTREME MEDICINE AND DISASTER MEDICINE AT THE DEPARTMENT OF DISASTER MEDICINE AND EMERGENCY CARE, CHAIR OF ANAESTHESIOLOGY AND INTENSIVE THERAPY, FACULTY OF MEDICINE, JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND

3. DEPARTMENT OF DISASTER MEDICINE AND EMERGENCY, CARE CHAIR OF ANAESTHESIOLOGY AND INTENSIVE CARE, FACULTY OF MEDICINE JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE, CRACOW, POLAND; EMERGENCY MEDICAL SERVICES IN CRACOW, CRACOW, POLAND

Abstract

Introduction: Medical personnel of the state Emergency Medical Services (EMS) will be the first element involved in providing assistance to victims of radiation incidents. Triage, initial diagnosis and further patient medical management will depend on their actions. In many radiation incidents, initial radiation triage and early diagnostics will be carried out in the emergency department (ED) or trauma center (TC). Extended triage, diagnosis of ARS and proper treatment will be continued in specialist centers. The aim: To present a model of patient medical management including initial triage and early diagnosis of ARS that can be carried out at the ED and TC. Material and methods: The initial medical procedures prepared by expert groups were presented. The choice of procedures was made in terms of the possibility of their application by the EMS teams in Poland. Particular attention was paid to the method of initial triage, based on the clinical condition and laboratory diagnostics. Results: Based on the material collected, the path of the initial medical procedure was presented. Variants of the radiation triage, interpretation of clinical parameters and results of laboratory tests are presented. The methods of initial treatment and the method of qualification for specialist treatment, and new methods of treating patients were also described. Conclusions: An adequate evaluation of radiation incidents, determining the absorbed dose of ionising radiation and ARS, as well as initial triage seem to be crucial skills of the EMS workers.

Publisher

ALUNA

Reference41 articles.

1. 1. Polska Agencja Atomistyki. Zdarzenie radiacyjne. http://www.paa.gov.pl/strona-135-zdarzenia_radia¬cyjne.html [accessed: 23.01.2020]

2. 2. Rozporządzenie Rady Ministrów z dnia 18 stycznia 2005 r. w sprawie planów postępowania awaryjnego w przypadku zdarzeń radiacyjnych. Dz.U. 2005 nr 20 poz. 169.

3. 3. U.S. Department of Health and Human Services. REMM Radiation Emergency Medical Management: Procedures for Radiation Decontamination: https://www.remm.nlm.gov/ext_contamination.html [ac¬cessed: 20.01.2020]

4. 4. López M, Martín M. Medical Management of the Acute Radiation Syndrome, Rep Pract Oncol Radiother 2011;16 (4):138–46.

5. 5. Fijuth J. Radiobiologia. In: Pruszyński B, Cieszanowski A (eds) Radiologia - diagnostyka obrazowa RTG, TK, USG i MR. Wyd. PZWL, Warszawa 2016, pp. 76-77.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3