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'''For the WikiDoc page for this topic, click [[Radiation Injury|here]]'''
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{{Radiation injury (patient information)}}
'''For the WikiDoc page for this topic, click [[Radiation injury|here]]'''


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==Overview==
Radiation injury is illness and symptoms resulting from excessive exposure to [[ionizing]] radiation.


'''Associate Editor-in-Chief:''' [[Lakshmi Gopalakrishnan]], M.B.B.S.; [[Varun Kumar]], M.B.B.S.
There are two basic types of radiation: ionizing and nonionizing.
* Nonionizing radiation comes in the form of light, radio waves, microwaves and radar. This kind of radiation usually does not cause [[tissue]] damage.
* Ionizing radiation is radiation that produces immediate chemical effects on human tissue . [[X-ray]]s, [[gamma ray]]s, and particle bombardment (neutron beam, electron beam, protons, mesons, and others) give off ionizing radiation. This type of radiation can be used for medical testing and treatment, industrial and manufacturing purposes, weapons and weapons development, and more.


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==Considerations==
Radiation injury results when humans (or other animals) are exposed to very large doses of ionizing radiation.


'''What is radiation?'''
Radiation exposure can occur as a single large exposure (acute), or a series of small exposures spread over time (chronic). Exposure may be accidental or intentional (as in [[radiation therapy]]).


Radiation is a form of energy.
Radiation injury is generally associated with acute exposure and has a characteristic set of symptoms that appear in an orderly fashion. Chronic exposure is usually associated with delayed medical problems such as [[cancer]] and premature aging, which may happen over a long period of time.
The unit for measurement of radiation released into the environment is "curies", while the amount of radiation a person receives is measured as "rem".


'''What are the causes for radiation exposure?'''
The risk of cancer depends on the dose and begins to build up even with very low doses. There is no "minimum threshold."
*People are constantly exposed to radiation both from natural sources (cosmic rays from the sun) and man-made sources including electronic equipment (microwave & television), medical sources (X-rays) and from nuclear weapon testing. However, the amount of radiation from the natural or man-made sources is usually small while a radiation emergency (such as nuclear power plant accident or a terrorist event), depending on the situation could expose people to small or large doses of radiation.


*Scientists estimate that the average person in the United States receives a dose of about one-third of a rem per year. About 80% of human exposure comes from natural sources and the remaining 20% comes from man-made radiation sources – mainly medical x-rays.
Exposure from x-rays or gamma rays is measured in units of roentgens. For example:


*Exposure levels in rem Dose:
Total body exposure of 100 roentgens/rad (or 1 Gy) causes Radiation injury.
**One dental x-ray 4 = 15 mrem exposure
**One chest x-ray = 10 mrem exposure
**One mammogram = 70 mrem exposure
**One year of exposure to natural radiation (from soil, cosmic rays, etc.) = 300 mrem exposure


*'''Contamination''' refers to radioactive particles getting deposited anywhere that they are not supposed to be (as on an object or on a person’s skin).
Total body exposure of 400 roentgens/rad (or 4 Gy) causes Radiation injury and death in half the individuals. Without medical treatment, nearly everyone who receives more than this amount of radiation will die within 30 days.
This contamination could be internal (taken into the body through breathing, eating, or drinking) or external (such as radiation energy penetrating the body).


'''What are the effects of radiation?'''
100,000 roentgens/rad (1000 Gy) causes almost immediate unconsciousness and death within an hour
*The adverse health effects of radiation depends on the dose of radiation exposed.
*[[Radiation sickness]] is acute exposure with a dose greater than 75 rads of penetrating radiation to the body in a short time (usually minutes). A characteristic set of symptoms occur in an orderly manner depending on the type,route and amount of radiation absorbed by the body. The earliest symptoms are nausea, fatigue, vomiting, and diarrhea. Hair loss, bleeding, swelling of the mouth and throat, and general loss of energy may follow. If the exposure has been approximately 1,000 rads or more, death may occur within 2 – 4 weeks.
*Longer term exposure to radiation at low doses, produce serious radiation sickness by inducing cancer as the cell-cycle genes are mutated.


'''How can I be prepared for radiation emergency?'''
The severity of symptoms and illness (acute Radiation injury) depends on the type and amount of radiation, how long you were exposed, and which part of the body was exposed. Symptoms of Radiation injury may occur immediately after exposure, or over the next few days, weeks, or months. The bone marrow and gastrointestinal tract are especially sensitive to radiation injury. Children and babies still in the womb are more likely to be severely injured by radiation.
* Contact your community leaders and employers to learn about the the plan and possible evacuation routes during radiation emergencies.
 
* Develop your own emergency plan for your family.
Because it is difficult to determine the amount of [[radiation]] exposure from nuclear accidents, the best signs of the severity of the exposure are: the length of time between the exposure and the onset of symptoms, the severity of symptoms, and severity of changes in white blood cells. If a person vomits less than an hour after being exposed, that usually means the radiation dose received is very high and death may be expected.
* Prepare a family emergency kit which should include:
 
** Canned and packed food
Children who receive radiation treatments or who are accidentally exposed to radiation will be treated based on their symptoms and their blood cell counts. Frequent blood studies are necessary and require a small puncture through the [[skin]] into a [[vein]] to obtain [[blood]] samples
** Bottled water
 
** Manual can opener
==What are the symptoms of Radiation injury?==
** A flashlight with extra batteries
* [[Bleeding]] from the [[epistaxis|nose]], mouth, gums, and rectum
** A portable radio with extra batteries
* [[Bloody stool]]
** A first-aid kit with essential prescription medications
* [[Bruising]]
** Paper towels, garbage bags, toilet paper and other personal items.
* [[Confusion]]
* [[Dehydration]]
* [[Diarrhea]]
* [[Fainting]]
* [[Fatigue]]
* [[Fever]]
* Hair loss
* [[Inflammation]] of exposed areas (redness, tenderness, swelling, bleeding)
* Mouth [[ulcer]]s
* [[Nausea]] and [[vomiting]]
* Open sores on the [[skin]]
* Skin burns (redness, blistering)
* Sloughing of skin
* [[Ulcer]]s in the esophagus, stomach or intestines
* [[hemetemesis|Vomiting blood]]
* [[Weakness]]
* Your doctor will advise you how best to treat these symptoms. Medications may be prescribed to help reduce nausea, vomiting, and pain. Blood transfusions may be given for anemia. Antibiotics are used to prevent or fight infections.
==What causes Radiation injury?==
The causes include:
 
* Accidental exposure to high doses of [[radiation]] such as a nuclear power plant accidents
* Exposure to excessive radiation for medical treatments
==Treatment options==
'''First Aid'''
* Check the person's [[breathing]] and [[pulse]].
* Start CPR, if necessary.
* Remove the person's clothing and place the items in a sealed container. This stops ongoing contamination.
*Vigorously wash body with soap and water.
* Dry the body and wrap with soft, clean blanket.
* Call for emergency medical help or take the person to nearest emergency medical facility if you can do so safely
 
REPORT EXPOSURE TO EMERGENCY OFFICIALS.
 
* If symptoms occur during or after medical radiation treatments:
** Tell the health care provider or seek medical treatment.
* Handle affected areas gently.
* Treat symptoms or illnesses as recommended by the doctor.
DO NOT
* DO NOT remain in area where exposure occurred.
* DO NOT apply [[ointment]]s to burned areas.
* DO NOT remain in contaminated clothing.
==Where to find medical care for Radiation injury?==
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Condition}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wlDirections to Hospitals Treating Radiation injury ]
 
==Prevention==
* Avoid unnecessary exposure to [[radiation]].
* Persons working in radiation hazard areas should wear badges to measure their exposure levels.
* Protective shields should always be placed over the parts of the body not being treated or studied during x-ray imaging tests or [[radiation therapy]].
==Sources==
http://www.nlm.nih.gov/medlineplus/ency/article/000026.htm
 
[[Category:Patient information]]
[[Category:Emergency medicine]]
[[Category:Dermatology]]
[[Category:Cardiology]]
[[Category:Radiology]]


'''How can I protect myself in the event of radiation emergency?'''
* Tune to the local news station for information and instructions during any emergency.
* If there is release of large amount of radioactive particles into the environment as in nuclear explosion or a nuclear reactor accidents, you many be advised to evacuate or to stay indoors.
* If you are advised to stay indoors, you should do the following:
** All the doors and windows should be locked.
** Air conditioners, fans and heating units that bring in air from outside should be turned off.
** Fireplace dampers should be closed.
** Should be tuned to local news station or emergency response network further instructions.
* If you are advised to evacuate, follow the instructions provided by local officials and leave the area as quickly and orderly as possible and carry the emergency kit mentioned above.


'''Should I take potassium Iodide During a radiation emergency?'''
* Potassium Iodide should be taken in radiation emergency due to nuclear power plant accident or nuclear explosion.
* People those who are internally exposed to radiation containing radioactive iodine may develop thyroid diseases later in life such as cancers. Using potassium iodide in such events will decrease the risk of thyroid diseases.
* Some people may be allergic to potassium iodide and should consult a doctor for further guidance.
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[[Category:Patient Information]]

Latest revision as of 18:25, 22 April 2013

Radiation injury

Overview

Considerations

What are the symptoms?

What are the causes?

Treatment options

Where to find medical care for Radiation injury?

Prevention

Radiation injury On the Web

Trials at Clinical Trials.gov

Images of Radiation injury

Videos on Radiation injury

on Radiation injury

CDC on Radiation injury

Radiation injury in the news

Blogs on Radiation injury

to Hospitals Treating Radiation injury

Risk calculators and risk factors for Radiation injury

For the WikiDoc page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]

Overview

Radiation injury is illness and symptoms resulting from excessive exposure to ionizing radiation.

There are two basic types of radiation: ionizing and nonionizing.

  • Nonionizing radiation comes in the form of light, radio waves, microwaves and radar. This kind of radiation usually does not cause tissue damage.
  • Ionizing radiation is radiation that produces immediate chemical effects on human tissue . X-rays, gamma rays, and particle bombardment (neutron beam, electron beam, protons, mesons, and others) give off ionizing radiation. This type of radiation can be used for medical testing and treatment, industrial and manufacturing purposes, weapons and weapons development, and more.

Considerations

Radiation injury results when humans (or other animals) are exposed to very large doses of ionizing radiation.

Radiation exposure can occur as a single large exposure (acute), or a series of small exposures spread over time (chronic). Exposure may be accidental or intentional (as in radiation therapy).

Radiation injury is generally associated with acute exposure and has a characteristic set of symptoms that appear in an orderly fashion. Chronic exposure is usually associated with delayed medical problems such as cancer and premature aging, which may happen over a long period of time.

The risk of cancer depends on the dose and begins to build up even with very low doses. There is no "minimum threshold."

Exposure from x-rays or gamma rays is measured in units of roentgens. For example:

Total body exposure of 100 roentgens/rad (or 1 Gy) causes Radiation injury.

Total body exposure of 400 roentgens/rad (or 4 Gy) causes Radiation injury and death in half the individuals. Without medical treatment, nearly everyone who receives more than this amount of radiation will die within 30 days.

100,000 roentgens/rad (1000 Gy) causes almost immediate unconsciousness and death within an hour

The severity of symptoms and illness (acute Radiation injury) depends on the type and amount of radiation, how long you were exposed, and which part of the body was exposed. Symptoms of Radiation injury may occur immediately after exposure, or over the next few days, weeks, or months. The bone marrow and gastrointestinal tract are especially sensitive to radiation injury. Children and babies still in the womb are more likely to be severely injured by radiation.

Because it is difficult to determine the amount of radiation exposure from nuclear accidents, the best signs of the severity of the exposure are: the length of time between the exposure and the onset of symptoms, the severity of symptoms, and severity of changes in white blood cells. If a person vomits less than an hour after being exposed, that usually means the radiation dose received is very high and death may be expected.

Children who receive radiation treatments or who are accidentally exposed to radiation will be treated based on their symptoms and their blood cell counts. Frequent blood studies are necessary and require a small puncture through the skin into a vein to obtain blood samples

What are the symptoms of Radiation injury?

What causes Radiation injury?

The causes include:

  • Accidental exposure to high doses of radiation such as a nuclear power plant accidents
  • Exposure to excessive radiation for medical treatments

Treatment options

First Aid

  • Check the person's breathing and pulse.
  • Start CPR, if necessary.
  • Remove the person's clothing and place the items in a sealed container. This stops ongoing contamination.
  • Vigorously wash body with soap and water.
  • Dry the body and wrap with soft, clean blanket.
  • Call for emergency medical help or take the person to nearest emergency medical facility if you can do so safely

REPORT EXPOSURE TO EMERGENCY OFFICIALS.

  • If symptoms occur during or after medical radiation treatments:
    • Tell the health care provider or seek medical treatment.
  • Handle affected areas gently.
  • Treat symptoms or illnesses as recommended by the doctor.

DO NOT

  • DO NOT remain in area where exposure occurred.
  • DO NOT apply ointments to burned areas.
  • DO NOT remain in contaminated clothing.

Where to find medical care for Radiation injury?

to Hospitals Treating Radiation injury

Prevention

  • Avoid unnecessary exposure to radiation.
  • Persons working in radiation hazard areas should wear badges to measure their exposure levels.
  • Protective shields should always be placed over the parts of the body not being treated or studied during x-ray imaging tests or radiation therapy.

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/000026.htm


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