Management of radiation exposure in children following a nuclear disaster
- Joseph Y Allen, MD
Joseph Y Allen, MD
- Associate Professor of Pediatrics
- Baylor College of Medicine
- Medical Director of the Texas Children's Hospital the Woodlands Emergency Center
- Erin E Endom, MD
Erin E Endom, MD
- Assistant Professor of Pediatrics
- Baylor College of Medicine
- Section Editor
- Daniel F Danzl, MD
Daniel F Danzl, MD
- Section Editor — Environmental Emergencies
- Professor of Emergency Medicine
- University of Louisville School of Medicine
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — UpToDate
- Deputy Editor — Adult and Pediatric Emergency Medicine
- Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
Radiation exposure in children is a rare occurrence. However, the potential for radiation exposure is significant.
Physicians who treat patients who are exposed to radiation must understand the biologic effects of the various types of radiation in order to determine which patients are at risk for radiation injury, to manage patients with radiation exposure, and to minimize the risk of contamination of hospital equipment and personnel.
The management of the various types of radiation injury in children will be reviewed here. Clinical features of radiation injury in children and adults, treatment of radiation injury in adults, and the emergency care of thermal burns in children and adults are discussed separately:
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- TREATMENT PLANNING
- Radiation safety
- Healthcare facilities
- - Treatment area
- GENERAL PRINCIPLES
- Laboratory evaluation
- - Radiation survey
- - Decontamination
- - Radiation survey
- - Management
- Partial-body exposure
- Acute radiation syndrome
- - Hematopoietic syndrome
- - GI syndrome
- - CNS syndrome
- ADDITIONAL RESOURCES
- SUMMARY AND RECOMMENDATIONS
- Radiation safety
- Management: Irradiation with contamination
- Management: Irradiation without contamination