BIODOSIMETRY: MEDICINE, SCIENCE, AND SYSTEMS TO SUPPORT THE MEDICAL DECISION-MAKER FOLLOWING A LARGE SCALE NUCLEAR OR RADIATION INCIDENT

被引：54

作者：

Coleman, C. Norman ^{[1
,2
]}

Koerner, John F. ^{[1
]}

机构：

[1] Dept Hlth & Human Serv, Chem Biol Radiol Nucl & Explos Branch, Off Emergency Management, Off Assistant Secretary Preparedness & Response, Washington, DC 20201 USA

[2] NCI, Radiat Res Program, Div Canc Treatment & Diag, NIH, Bethesda, MD 20892 USA

来源：

RADIATION PROTECTION DOSIMETRY | 2016年 / 172卷 / 1-3期

基金：

美国国家卫生研究院;

关键词：

SCARCE RESOURCES; MASS-CASUALTY; DETONATION; MANAGEMENT; ALLOCATION; STANDARDS; TRIAGE; TOOLS;

D O I：

10.1093/rpd/ncw155

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

The public health and medical response to a radiological or nuclear incident requires the capability to sort, assess, treat, triage and to ultimately discharge, refer or transport people to their next step in medical care. The size of the incident and scarcity of resources at the location of each medical decision point will determine how patients are triaged and treated. This will be a rapidly evolving situation impacting medical responders at regional, national and international levels. As capabilities, diagnostics and medical countermeasures improve, a dynamic system-based approach is needed to plan for and manage the incident, and to adapt effectively in real time. In that the concepts and terms can be unfamiliar and possibly confusing, resources and a concept of operations must be considered well in advance. An essential underlying tenet is that medical evaluation and care will be managed by healthcare professionals with biodosimetry assays providing critical supporting data.

引用

页码：38 / 46

页数：9

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