Management of irradiated and contaminated casualty victims

This article attempts to put into perspective the serious concerns regarding a radiation accident and to provide guidelines for the management of casualties arising from a radiation accident. It is intended primarily for the medical facility that does not have a specific requirement for a radiation accident treatment capability but wishes to be prepared should it be called upon to respond. A review of radiation effects is provided as well as guidelines for the management of irradiated or contaminated casualties. Psychological, public relations, and training concerns are also addressed.