Differences between Contamination and/or Exposure - Radiation Emergency Medical Management

Contamination:
Contamination - Full Body

Replay animation

Contamination results when a radioisotope (as gas, liquid, or solid) is released into the environment and then ingested, inhaled, or deposited on the body surface.
How to diagnose:
- External contamination
  - Scan with appropriate radiation survey meter
- Internal contamination
  - Swab each nostril separately to help estimate level of internal (lung) contamination
  - If after external decontamination, an appropriate radiation survey meter continues to identify significant residual radioactivity, suspect internal contamination.
  - Collect ≥70 mL spot urine sample for isotope measurement
    - Instructions for sample collection, labeling, packaging and shipping (HHS/CDC)
  - Consider total body radiation survey with modified hospital nuclear medicine equipment

Exposure:
Exposure - Whole Body

Replay animation

Radiation exposure occurs when all or part of the body absorbs penetrating ionizing radiation from an external radiation source, as shown in the illustration above.

Exposure from an external source stops when a person leaves the area of the source, the source is shielded completely, or the process causing exposure ceases.

Radiation exposure also occurs after internal contamination, i.e., when a radionuclide is ingested, inhaled or absorbed into the blood stream.

This kind of exposure stops only if the radionuclide is totally eliminated from the body, with or without treatment.

An individual exposed only to an external source of radiation, as shown above, is NOT radioactive or contaminated and may be approached without risk, just like after a chest x-ray or CT scan.
Radiation from external exposure alone is either absorbed without the body becoming radioactive, or it can pass through the body completely.

Therefore, if a person is scanned with a radiation survey monitor after external exposure alone, the device will not register radiation above the background level.

Acute Radiation Syndrome (ARS) may result if the dose from whole or partial body exposure is high enough.
How to diagnose ARS: estimate whole body dose and clinical severity by using

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	Differences Between Contamination and Exposure Contamination: Replay animation Contamination results when a radioisotope (as gas, liquid, or solid) is released into the environment and then ingested, inhaled, or deposited on the body surface. How to diagnose: External contamination Scan with appropriate radiation survey meter Internal contamination Swab each nostril separately to help estimate level of internal (lung) contamination If after external decontamination, an appropriate radiation survey meter continues to identify significant residual radioactivity, suspect internal contamination. Collect ≥70 mL spot urine sample for isotope measurement Instructions for sample collection, labeling, packaging and shipping (HHS/CDC) Consider total body radiation survey with modified hospital nuclear medicine equipment Exposure: Replay animation Radiation exposure occurs when all or part of the body absorbs penetrating ionizing radiation from an external radiation source, as shown in the illustration above. Exposure from an external source stops when a person leaves the area of the source, the source is shielded completely, or the process causing exposure ceases. Radiation exposure also occurs after internal contamination, i.e., when a radionuclide is ingested, inhaled or absorbed into the blood stream. This kind of exposure stops only if the radionuclide is totally eliminated from the body, with or without treatment. An individual exposed only to an external source of radiation, as shown above, is NOT radioactive or contaminated and may be approached without risk, just like after a chest x-ray or CT scan. Radiation from external exposure alone is either absorbed without the body becoming radioactive, or it can pass through the body completely. Therefore, if a person is scanned with a radiation survey monitor after external exposure alone, the device will not register radiation above the background level. Acute Radiation Syndrome (ARS) may result if the dose from whole or partial body exposure is high enough. How to diagnose ARS: estimate whole body dose and clinical severity by using Time to onset of vomiting Lymphocyte depletion kinetics Physical exam Clinical signs and symptoms associated with ARS and its subsyndromes

Differences Between Contamination and Exposure