title: Emergency department radiation accident protocol.
abstract: Every emergency department faces the potential problem of handling one or more victims of a radiation accident. While emergency departments near nuclear power plants or isotope production laboratories probably have a detailed protocol for such emergencies, a similar protocol is needed for the emergency department that may have to handle an isolated event, such as a vehicular accident that spills radioactive material and contaminates passengers or bystanders. This communication attempts to answer that need, presenting a step-by-step protocol for decontamination of a radiation victim, the rationale on which each step is based, a list of needed supplies, and a short summary of decorporation procedures that should be started in the emergency department.
mesh_terms: D000062:Accidents, Occupational; D003666:Decontamination / Q000379:methods*; D004435:Eating; D004636:Emergency Service, Hospital; D006801:Humans; D009688:Nuclear Reactors; D011832:Radiation Injuries / Q000628:therapy*; D011834:Radiation Monitoring / Q000379:methods*; D011868:Radioisotopes; D012119:Respiration
chemical_list: D011868:Radioisotopes