Dirty bomb: Difference between revisions

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==Diagnosis==
==Diagnosis==
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==Work-Up==
==Work-Up==
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==DDx==
==DDx==
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==Treatment==
==Treatment==
Treatment with stable iodine when the committed dose equivalent to the adult thyroid is expected to exceed 250 milliSieverts (mSv), the equivalent of 25 rem (FDA 2001).


#Under 40 years old
##potassium iodide (KI)
##immediate and Qday x 7-14 days
#Over 40 years old
##no KI treatment


*contraindication = iodine allergy
==Disposition==
*potassium iodate (KIO3) can also be used (more GI irritation)


==Disposition==
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==See Also==
==See Also==
*[[Disaster medicine]]
*[[Radiation exposure (disaster)]]
*[[Radiation exposure (disaster)]]



Revision as of 10:22, 11 July 2015

Background

  • Also known as "Radiological Dispersal Device"[1]
  • Consists of radioactive material packaged into non-nuclear (conventional) bomb[1]
    • No nuclear fusion/fission occurs
    • Detonation causes injuries from conventional explosion and also spreads radioactive material, causing radiation injuries and cancer
    • Radioactive material spread locally via blast, and carried more distantly via aerosolized or particulate "plumes"
    • Multiple radioisotopes from various sources (e.g. nuclear fuel waste, medical radiography, etc) could be employed

Diagnosis

Work-Up

DDx

Treatment

Disposition

See Also

References

  1. 1.0 1.1 Rosoff H, von Winterfeldt D. A risk and economic analysis of dirty bomb attacks on the ports of Los Angeles and Long Beach. Risk Anal. 2007 Jun;27(3):533-46.