Radiation Exposure 

Symptoms

  • Nausea and vomiting
  • Burns
  • Altered mental status (severe exposure)

Clinical Management Options

EMT-B
• Place in position of comfort
• Oxygen target SpO2 92% – 96%  
• Decontamination by HAZMAT Team/Fire Service
Paramedic
• IV / IO access as appropriate for patient condition 
• Consider obtaining EKG
Consult Online Medical Control as Needed

Pearls

  • Identification and treatment of life-threatening injuries and medical problems takes priority over decontamination
  • Don standard PPE capable of preventing skin exposure to liquids and solids (gown and gloves), mucous membrane exposure to liquids and particles (face mask and eye protection), and inhalational exposure to particles (N95 face mask or respirator)
  • Do not eat or drink any food or beverages while caring for patients with radiation injuries until screening completed for contamination and appropriate decontamination if needed
  • Use caution to avoid dispersing contaminated materials
  • Provide appropriate condition-specific care for any immediately life-threatening injuries or medical problems