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Some documents are available as portable document format (PDF) files. To view PDFs, your computer must have PDF-reader software such as Acrobat Reader ( download free). |
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New: TMT Handbook—Triage, Monitoring and Treatment of People Exposed to Ionising Radiation Following a Malevolent Act
The handbook provides practical tools to help emergency responders train, plan, and execute responses to incidents involving the malevolent use of ionizing radiation. Content includes radiological triage, monitoring, and treatment as well as protection of responding personnel. PDF available at http://www.tmthandbook.org/. |
| Policies |
| Depleted uranium: Department of the Army (DA) depleted uranium (DU) Policy Memo 07-022 (193-kb PDF)—Medical management of Army personnel exposed to DU. See more information at Deployment Health Clinical Center. |
| Potassium iodide: Department of Defense (DoD) Health Affairs (HA) Policy 04-012 (106-kb PDF)—Policy regarding the use of potassium iodide (KI) for the protection of U.S. service personnel and family members. |
| Prussian blue therapy for radiocesium contamination |
- AFRRI guidelines (124-kb PDF)—Use of Prussian blue (Radiogardase™) for treatment of internal radiocesium contamination, supplements Food and Drug Administration (FDA) guidance.
- AFRRI Prussian blue work sheet (71-kb PDF)—Form describing the initial assessment and treatment of casualties from a radiation dispersal device (RDD) event that involves the dispersal of radioactive cesium or thallium.
- DoD HA Policy 05-007 (124-kb PDF)—Procedures for using Prussian blue (ferric hexacyanoferrate or Radiogardase™), approved by the FDA for patients with known or suspected internal contamination with radioactive cesium and/or radioactive or nonradioactive thallium.
- FDA label for Radiogardase™ (75-kb PDF)—Manufacturer's product information for capsules containing Prussian blue insoluble powder.
- Q&A on Prussian blue—Questions are answered by the FDA.
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| Publications |
Emergency Radiation Medicine Response—AFRRI Pocket Guide
 The 2008 Pocket Guide can be consulted quickly to assess and control an emergency situation. It defines radiation exposure and describes steps in diagnosis, treatment, decontamination, and reporting.
- View/Save (55-kb PDF)
- Print on 8.5- by 11-inch paper, landscape, two-sided, and fold
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 Medical Management of Radiological Casualties Handbook, Second Edition—The 2003 Handbook provides concise supplemental reading material for the Medical Effects of Ionizing Radiation (MEIR) Course.
- View/save (793-kb PDF)
- View/save HTML for Pocket PC and Palm PDA devices
- Order from National Technical Information Service
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NOTE |
| An updated and streamlined version of the Handbook will be available in early 2010. |
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 DoD Textbook of Military Medicine—Medical Consequences of Nuclear Warfare (1989)—An online version of the Textbook of Military Medicine: Medical Consequences of Nuclear Warfare is now available. Developed by AFRRI in conjunction with the Borden Institute, this version was adapted from its original hardbound version published by the Office of the Surgeon General, Department of the Army, United States of America.
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| Planning Guidance for Response to a Nuclear Detonation—The 2009 publication was developed by the Homeland Security Council Interagency Policy Coordination Subcommittee for Preparedness and Response to Radiological and Nuclear Threats. |
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| Quick Reference Information: Recommendations of the National Council on Radiation Protection and Measurements—Adapted, with permission, from Management of Persons Accidentally Contaminated with Radionuclides, NCRP Report No. 65. |
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| Radiation Training and Assessment Tools, AFRRI CD 07-1, Fourth Edition—The December 2007 shirt pocket-size CD contains tools and information for the medical management of radiation casualties; many of the contents are available individually from this page and others at this Web site. CD distribution is controlled by AFRRI Military Medical Operations. |
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