A critical assessment of biodosimetry methods for large-scale incidents.

作者: Harold M. Swartz , Ann Barry Flood , Robert M. Gougelet , Michael E. Rea , Roberto J. Nicolalde

DOI: 10.1097/HP.0B013E3181B8CFFD

关键词: Response systemRadiation doseNuclear disasterScale (social sciences)Risk analysis (engineering)ToxicologyCritical assessmentRisk assessmentMedicineIndividual levelBiodosimetry

摘要: Recognition is growing regarding the possibility that terrorism or large-scale accidents could result in potential radiation exposure of hundreds thousands people and present guidelines for evaluation after such an event are seriously deficient. Therefore, there a great urgent need after-the-fact biodosimetric methods to estimate dose. To accomplish this goal, dose estimates must be at individual level, timely, accurate, plausibly obtained disasters. This paper evaluates current biodosimetry methods, focusing on their strengths weaknesses estimating human disasters three stages. First, authors evaluate biodosimetry's ability determine which individuals did not receive significant so they can removed from acute response system. Second, capacity classify those initially assessed as needing further into treatment-level categories assessed. Third, we review guide treatment, both short- long-term, reviewed. The compare based physical vs. biological parameters features dosimeters (capacity, speed ease getting information, accuracy) most useful meeting patients' needs each different Results indicate differ applicability stages, combining techniques may sometimes effective. In conclusion, have properties, knowledge properties stages will effective use nuclear disaster mass-casualty event.

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