- Department of Defense (DOD) Health Affairs (HA) Policy 03-012 —Policy for the Operation Iraqi Freedom Depleted Uranium (DU) Medical Management
- Urine Testing for Depleted Uranium —FAQs re depleted uranium
- Depleted Uranium for Service Members and their Families —from the Deployment Health and Family Readiness Library
- Depleted Uranium Information for Clinicians —from the Deployment Health Clinical Center
- US Army Public Health Command (USAPHC), Just the Facts—Depleted Uranium
- Department of the Army (DA) depleted uranium (DU) Policy Memo 11-047 —Medical management of Army personnel exposed to DU. More info: Deployment Health Clinical Center
- Supplemental Information and Clinical Guidance for DOD Depleted Uranium (DU) Medical Management Program
- DOD Health Affairs (HA) Policy 04-012 —Policy regarding the use of potassium iodide (KI) for the protection of U.S. service personnel and family members
- Frequently Asked Questions on Potassium Iodide (KI)—Questions are answered by the FDA
Prussian blue therapy for radiocesium contamination
- Q&A on Prussian blue —Questions are answered by the FDA
- AFRRI guidelines —Use of Prussian blue (Radiogardase™) for treatment of internal radiocesium contamination, supplements Food and Drug Administration (FDA) guidance
- AFRRI Prussian blue work sheet —Form describing the initial assessment and treatment of casualties from a radiation dispersal device (RDD) event that involves the dispersal of radioactive cesium or thallium
- DoD HA Policy 05-007 —Procedures for using Prussian blue (ferric hexacyanoferrate or Radiogardase™), approved by the FDA for patients with known or suspected internal contamination with radioactive cesium and/or radioactive or nonradioactive thallium
- FDA label for Radiogardase™ —Manufacturer's product information for capsules containing Prussian blue insoluble powder
Medical Management of Radiological Casualties, Fourth Edition
The July 2013 handbook provides concise supplemental reading material for the Medical Effects of Ionizing Radiation (MEIR) Course.
The 3.75- by 5.5-inch, spiral-bound, laminated handbook fits readily in a pocket. It provides tabs to topics that include acute radiation syndrome, biodosimetry, skin injury, internal contamination, psychological support, delayed effects, and decontamination. Charts and photos provide at-a-glance detail.
The information was prepared by Ronald E. Goans, PhD, MD, and edited by the AFRRI Military Medical Operations staff. The handbook is designed to be used by emergency responders and medical professionals who may have minimal knowledge of the effects of ionizing radiation on the human body.
The Fourth Edition also is available free of charge as a PDF (portable document format) file via the View/save link below.
- Downloadable PDF
- DoD personnel may order the spiral-bound paper version via e-mail request or by phone at (301) 295-2950
- Others may order from Quick Series
Planning Guidance for Response to a Nuclear Detonation, Second Edition
The guidance was developed by a Federal interagency committee led by the Executive Office of the President (National Security Staff and Office of Science and Technology Policy) with representatives from the Departments of Defense, Energy, Health and Human Services, Homeland Security (DHS), Labor, Transportation, Veteran’s Affairs, the Environmental Protection Agency, the National Aeronautics and Space Administration, and the Nuclear Regulatory Commission.
From the Second Edition's Foreword: "The First Edition planning guidance summarized recommendations based on what was known about the consequences of a nuclear detonation in an urban environment extrapolating from the experience base of nuclear weapons testing. It provided recommendations based on existing knowledge and existing techniques. The Federal government immediately initiated ongoing studies that have provided more robust and comprehensive recommendations. Some recommendations in this Second Edition planning guidance are updated or expanded to capture recommendations that have been drawn from these studies. Most notably, a chapter has been added to address public preparedness and emergency public communications."
DOD Textbooks of Military Medicine--Medical Consequences of Radiological and Nuclear Weapons
An updated version of the 1989 TMM, this volume addresses nuclear events and their consequences for the medical community. Topics covered include acute radiation syndrome, triage and treatment of radiation and combined-injury mass casualties, treatment of internal radionuclide contamination, behavioral and neurophysiological consequences of radiation exposure, cytogenetic biodosimetry, and more.
Developed by AFRRI in conjunction with the Borden Institute, this version was adapted from its original hardbound version published by the Office of the Surgeon General, Department of the Army, United States of America. Chapters (PDF files):
- Radiological Events and Their Consequences (Woodruff CR, Alt LA, Forcino CD, Walker RI)
- Acute Radiation Syndrome in Humans (Goans RE, Flynn DF)
- Triage and Treatment of Radiation and Combined-Injury Mass Casualties (Flynn DF, Goans RE)
- Treatment of Internal Radionuclide Contamination (Kalinich JF)
- Therapy for Bacterial Infections Following Ionizing Radiation Injury (Elliott TB, Ledney GD)
- Early-Phase Biological Dosimetry (Blakely WF)
- Behavioral and Neurophysiological Consequences of Radiation Exposure (Obenaus A, Mickley GA, Bogo V, West BR, Raber J)
- Psychological Issues in a Radiological or Nuclear Attack (Becker SM)
- Late and Low-Level Effects of Ionizing Radiation (Miller AC, Satyamitra M, Kulkarni S, Walden T)
- Radiological Considerations in Medical Operations (Madrid JP)
- Perspectives in Radiological and Nuclear Countermeasures (Kumar KS, Kiang JG, Whitnall MH, Hauer-Jensen M)
- Cytogenetic Biodosimetry (Prasanna PGS, Coleman CN)
For sale ($54.00) by the Superintendent of Documents, U.S. Government Printing Office. Telephone: (866) 512-1800; DC area: (202) 512-1800. Fax: (202) 512-2104.
TMT Handbook—Triage, Monitoring and Treatment of People Exposed to Ionising Radiation Following a Malevolent Act
The handbook provides practical tools to help emergency responders train, plan, and execute responses to incidents involving the malevolent use of ionizing radiation.
Content includes radiological triage, monitoring, and treatment as well as protection of responding personnel.
This handbook was developed in a European research project (2006–2009) under the FP6 Euratom program. The project includes six European partners plus the World Health Organization (WHO).
The handbook was presented at the Third European IRPA Congress in Helsinki, Finland, June 14–18, 2010.
Quick Reference Information
Recommendations of the National Council on Radiation Protection (NCRP) and Measurements, from its Management of Persons Contaminated with Radionuclides: Handbook, NCRP Report No. 161.