Medical/Operational Guidance for Managing Radiation Casualties

• 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.

Medical Management of Radiological Casualties, Third Edition

The 3.75- by 5.5-inch, spiral-bound, laminated handbook fits readily in a pocket. It provides tabs to topics that include acute radiation syndrome, biodosimetry, skin injury, internal contamination, psychological support, delayed effects, and decontamination. Charts and photos provide at-a-glance detail.

The information was prepared by Ronald E. Goans, PhD, MD, and edited by the AFRRI Military Medical Operations staff. The handbook is designed to be used by emergency responders and medical professionals who may have minimal knowledge of the effects of ionizing radiation on the human body.

The information also is available free of charge in the AFRRI Online Third Edition of the handbook as a PDF (portable document format) file the View/save link below.

• View/save online version (890-kb PDF)
• DoD personnel may order the paper version by requesting via e-mail to meir_mail-ggg@usuhs.edu or call 301-295-2950
• Others may order from Quick Series

Planning Guidance for Response to a Nuclear Detonation, Second Edition—The guidance was developed by a Federal interagency committee led by the Executive Office of the President (National Security Staff and Office of Science and Technology Policy) with representatives from the Departments of Defense, Energy, Health and Human Services, Homeland Security (DHS), Labor, Transportation, Veteran’s Affairs, the Environmental Protection Agency, the National Aeronautics and Space Administration, and the Nuclear Regulatory Commission.

• View/save First Edition (June 2009; 870-kb PDF)
• View/save Second Edition (June 2010; 1.5-mb PDF)

• View/Save (55-kb PDF)
• Print on 8.5- by 11-inch paper, landscape, two-sided, and fold

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.

• See ReadMe (93-kb PDF).
• Access textbook preliminaries (415-kb PDF).
• Access the table of contents (153-kb PDF) and linked files.
• Order from the Borden Institute at http://www.bordeninstitute.army.mil/

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.

Contains specialized software Biodosimetry Assessment Tool, BAT) for recording relevant data supporting medical management of radiation casualties.

• See also Biodosimetry tools | Product quick list

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.

This handbook was developed in a European research project (2006–2009) under the FP6 Euratom program. The project includes six European partners plus the World Health Organization (WHO).

The handbook was presented at the Third European IRPA Congress in Helsinki, Finland, June 14–18, 2010.

PDF available at http://www.tmthandbook.org/

• View/save (66-kb PDF)
• See more information at NCRP