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	You are here: Home > Exposure: Diagnose/Manage Acute Radiation Syndrome > Acute Radiation Syndrome (ARS)		Help on REMM New Users: Where Do I Start? What's New on REMM? (12/2012) Multimedia Library Tools Download REMM (12/2012) Download Mobile REMM (12/2012) Dictionary Emergency Contacts Dose Estimator for Exposure Scarce Resources Triage Tool Manage ARS Subsyndromes Print Algorithms & Tables Diagnosis & Treatment Patient Management Algorithms Acute Radiation Syndrome (ARS) Hematopoietic Subsyndrome Cutaneous Radiation Syndrome Time/Dose Effects in ARS Time Phases of ARS Isotopes of Interest Countermeasures: Internal Contamination Countermeasures: Exposure Decontamination Procedures Strategic National Stockpile    Population Monitoring and Radionuclide Decorporation Following a Radiological or Nuclear Incident (NCRP Report No. 166, 2011) Nuclear Detonation Scarce Resources Working Group Publications, 3/2011 (HHS/ASPR) Response to a Nuclear Detonation: State and Local Medical Planners Playbook, 3/2011 (HHS/ASPR) Responding to a Radiological or Nuclear Terrorism Incident: A Guide for Decision Makers (NCRP Report No. 165, 2010) Management of Persons Contaminated With Radionuclides: Handbook (NCRP Report No. 161, Vol. I, 2008) Planning Guidance for Response to a Nuclear Detonation, 2nd Ed, 6/2010 (National Security Staff)    AFRRI AHRQ CDC CRCPD DHS DOE EPA FDA HHS HPS IAEA   ICRP NACCHO NARR NCRP NRC OSHA REAC/TS RERF RITN UNSCEAR WHO
	Acute Radiation Syndrome (ARS) What is ARS? What is exposure? Estimate dose from exposure Perform targeted physical exam Consider these tools for clinical diagnosis and treatment Special issues Multimedia resources References What is ARS? Dictionary definition Subsyndromes of ARS: hematologic, gastrointestinal, cutaneous, neurovascular: interactive tool ; video Hematopoietic subsyndrome Cutaneous radiation syndrome top of page What is exposure? Animated illustrations top of page Estimate dose from exposure Dose Estimator (Biodosimetry Tools) — Tools for estimating dose ; video Explaining Biodosimetry - Frequently asked questions Dose Reconstruction - Location, duration, shielding (geographic dosimetry) top of page Perform targeted physical exam Targeted physical exam top of page Consider these tools for clinical diagnosis and treatment REMM clinical algorithm for exposure ; video Other radiation injury management algorithms Tool for managing ARS: interactive tool ; video The hematopoietic subsyndrome of ARS The cutaneous subsyndrome of ARS Template for adult/pediatric orders after a radiation incident Expert consultation from the Radiation Injury Treatment Network (RITN) Manage ARS with scarce resources after and IND detonation; video Multi-organ dysfunction syndrome: a new hypothesis about radiation injury top of page Special issues Use of Blood Products - guidelines and warnings Burns and radiation exposure: combined injury Trauma and radiation exposure: combined injury Timing of surgery Multi-organ dysfunction syndrome Management of febrile neutropenia Hematopoietic stem cell transplant Antiemetics top of page Multimedia resources Time/dose effects in ARS; video Time phases of ARS; video Radiation effects on blood counts Lymphocyte depletion kinetics graph (Andrews) Radiation effects on blood counts (Verobiev) Radiation effects on blood counts (Fliedner) top of page References Dainiak N, Gent RN, et al. Literature Review and Global Consensus on Management of Acute Radiation Syndrome Affecting Nonhematopoietic Organ Systems. Disaster Med Public Health Prep. 2011 Oct;5(3):183-201. [PubMed Citation] Dainiak N, Gent RN, et al. First Global Consensus for Evidence-Based Management of the Hematopoietic Syndrome Resulting From Exposure to Ionizing Radiation. Disaster Med Public Health Prep. 2011 Oct;5(3):202-212. [PubMed Citation] Waselenko JK, MacVittie TJ, Blakely WF, Pesik N, Wiley AL, Dickerson WE, Tsu H, Confer DL, Coleman CN, Seed T, Lowry P, Armitage JO, Dainiak N; Strategic National Stockpile Radiation Working Group. Medical management of the acute radiation syndrome: recommendations of the Strategic National Stockpile Radiation Working Group. Annals of Internal Medicine 2004; Vol. 140:1037-51. [PubMed Citation] Weisdorf D, Chao N, Waselenko JK, Dainiak N, Armitage JO, McNiece I, Confer D. Acute radiation injury: contingency planning for triage, supportive care, and transplantation. Biol Blood Marrow Transplant. 2006 Jun;12(6):672-82. [PubMed Citation] Dainiak N, Waselenko JK, Armitage JO, MacVittie TJ, Farese AM. The hematologist and radiation casualties. Hematology Am Soc Hematol Educ Program. 2003;:473-96. [PubMed Citation] Fliedner TM. Nuclear terrorism: the role of hematology in coping with its health consequences. Curr Opin Hematol. 2006 Nov;13(6):436-44. [PubMed Citation] Radiation Injury Treatment Network Weisdorf D, Apperley J, Courmelon P, Gorin NC, Wingard J, Chao N. Radiation Emergencies: Evaluation, Management, and Transplantation. Biol Blood Marrow Transplant. 2007;13:103-6. (PDF - 82 KB) top of page

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