Abstract ---Radiology
incident has been a great threat to Taiwan. Any leakage of radiation
can lead to major casualties. We wonder whether emergency department
been well prepared if this situation occurred here. Because radiation
is not physically detectable, it’s difficult for a primary physician
to determine the severity of the victim. Numbers showed on the survey
meters may not be compatible with the dosage the patient has exposed.
Three ways of radiation-induced injury may occur: external irradiation,
contamination with radioactive materials, and incorporation of radioactive
material into tissues, cells, or organs. The different causes for
radiation-induced injury may result in different modes of emergent
management. The standard emergency protocols of advanced cardiac
life support (ACLS), advanced pediatric life support (APLS), and
advanced trauma life support (ATLS) should always take care first
over treating the effects of radiation because of concomitant clinical
conditions. The medical stability of the patient should be ensured
before concentrating on the radiation-related clinical issues. Lymphocyte
count in 48 hour is very important predictor of prognosis. We can
minimize radiation exposure through decrease the amount of time
the victims spend near the source of radiation. It is also essential
to increase distance and shielding between radioactive sources.
Four levels of response to radiation event in Taiwan. Depending
how serious the radiation has been leaked, the impact on society
greatly differs. |