ICU SAQs · Environmental emergencies
Acute radiation syndrome — the assessment
A CICM SAQ on ARS — the dose estimation (the vomiting onset time), the CBC monitoring (the lymphocyte depletion), the cytokines, the supportive.
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Prompt
A worker is exposed to a whole-body radiation dose of unknown magnitude. He vomits 45 minutes after the exposure. Outline the assessment and the management.
Question
A worker is exposed to a whole-body radiation dose of unknown magnitude. He vomits 45 minutes after the exposure. Outline the assessment and the management.
[1]References3ShowHide
- [1]Benderitter M, Arnautou P, Bartels C, et al. European Approach for Acute Radiation Syndrome's Management. Disaster Medicine and Public Health Preparedness, 2025.PMID 41234135
- [2]Dainiak N, Akashi M, Chao N, et al. Cytokine use in the hematopoietic subsyndrome of acute radiation syndrome (H-ARS): implications for the role of cytokines in a mass casualty radiologic/nuclear (R/N) emergency. Journal of Radiological Protection, 2026.PMID 41678840
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.