scholarly journals 438: Becoming a Primary Site for the Radiation Injury Treatment Network (RITN): Are you Prepared?

2008 ◽  
Vol 14 (2) ◽  
pp. 156
Author(s):  
L.M. Laub
2011 ◽  
Vol 87 (8) ◽  
pp. 748-753 ◽  
Author(s):  
Joel R. Ross ◽  
Cullen Case ◽  
Dennis Confer ◽  
Daniel J. Weisdorf ◽  
David Weinstock ◽  
...  

2017 ◽  
Vol 110 (8) ◽  
pp. 497-501 ◽  
Author(s):  
Elizabeth Davlantes ◽  
Samuel Shartar ◽  
Jennifer Venero ◽  
Alaina Steck ◽  
Amelia Langston ◽  
...  

Author(s):  
Tener Goodwin Veenema ◽  
Timothy P. Moran ◽  
Ziad Kazzi ◽  
Sarah Schneider-Firestone ◽  
Cullen Case ◽  
...  

ABSTRACT Objectives: The Radiation Injury Treatment Network (RITN) is prepared to respond to a national disaster resulting in mass casualties with marrow toxic injuries. How effective existing RITN workforce education and training is, or whether health-care providers (HCPs) at these centers possess the knowledge and skills to care for patients following a radiation emergency is unclear. HCP knowledge regarding the medical effects and medical management of radiation-exposed patients, along with clinical competence and willingness to care for patients following a radiation emergency was assessed. Methods: An online survey was conducted to assess level of knowledge regarding the medical effects of radiation, medical/nursing management of patients, self-perception of clinical competence, and willingness to respond to radiation emergencies and nuclear events. Results: Attendance at previous radiation emergency management courses and overall knowledge scores were low for all respondents. The majority indicated they were willing to respond to a radiation event, but few believed they were clinically competent to do so. Conclusions: Despite willingness to respond, HCPs at RITN centers may not possess adequate knowledge of medical management of radiation patients, and appropriate response actions during a radiation emergency. RITN should increase the awareness of the importance of radiation education and training.


2016 ◽  
Vol 111 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Cullen Case

2011 ◽  
Vol 5 (S1) ◽  
pp. S32-S44 ◽  
Author(s):  
Andrea L. DiCarlo ◽  
Carmen Maher ◽  
John L. Hick ◽  
Dan Hanfling ◽  
Nicholas Dainiak ◽  
...  

ABSTRACTA 10-kiloton (kT) nuclear detonation within a US city could expose hundreds of thousands of people to radiation. The Scarce Resources for a Nuclear Detonation Project was undertaken to guide community planning and response in the aftermath of a nuclear detonation, when demand will greatly exceed available resources. This article reviews the pertinent literature on radiation injuries from human exposures and animal models to provide a foundation for the triage and management approaches outlined in this special issue. Whole-body doses >2 Gy can produce clinically significant acute radiation syndrome (ARS), which classically involves the hematologic, gastrointestinal, cutaneous, and cardiovascular/central nervous systems. The severity and presentation of ARS are affected by several factors, including radiation dose and dose rate, interindividual variability in radiation response, type of radiation (eg, gamma alone, gamma plus neutrons), partial-body shielding, and possibly age, sex, and certain preexisting medical conditions. The combination of radiation with trauma, burns, or both (ie, combined injury) confers a worse prognosis than the same dose of radiation alone. Supportive care measures, including fluid support, antibiotics, and possibly myeloid cytokines (eg, granulocyte colony-stimulating factor), can improve the prognosis for some irradiated casualties. Finally, expert guidance and surge capacity for casualties with ARS are available from the Radiation Emergency Medical Management Web site and the Radiation Injury Treatment Network.(Disaster Med Public Health Preparedness. 2011;5:S32-S44)


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