Missouri Department of Health & Senior Services Clinical and Public Health Guidance
Radiation Emergency Medical Management: REMM (HHS)
Comprehensive information on the medical response to a radiation emergency. Contents can be downloaded to your computer's hard drive, or to a CD or flash drive.
Summary Guidance
- AFRRI Pocket Guide: Emergency Radiation Medicine Response (AFRRI)
- Radiological Terrorism: Emergency Management Pocket Guide for Clinicians (CDC)
- Pocket Guide: Terrorism with Ionizing Radiation General Guidance (VA/DoD)
Radiation Detection Devices
- Radiation Detection Devices (HHS)
- Detection of Radiation (REAC/TS)
- Geiger Mueller Detector Job Aid for Radiation Screening (CDC)
Personal Protective Equipment and Decontamination
- Personal Protective Equipment (PPE) Guidance (HHS)
- Respirators and Other Personal Protective Equipment (NIOSH)
Comprehensive Medical Guidance
- Radiation Emergency Medical Management: REMM (HHS)
- The Medical Aspects of Radiation Incidents (REAC/TS)
- Medical Response to a Major Radiologic Emergency: A Primer for Medical and Public Health Practitioners (Radiology)
- Medical Management of Radiological Casualties Handbook, 3rd Ed. (AFRRI)
- Radiation Emergencies: Information for Clinicians and Hospitals (CDC)
- Radiation Emergency Information for Emergency Responders (CDC)
- Textbook of Military Medicine: Medical Consequences of Radiological and Nuclear Warfare (Office of the Surgeon General, Dept of the Army)
Acute Radiation Syndrome (ARS)
- Acute Radiation Syndrome: Fact Sheet for Physicians (CDC)
- Diagnose/Manage Acute Radiation Syndrome (HHS)
- Time/Dose Effects in Acute Radiation Syndrome (HHS)
- Time Phases of Acute Radiation Syndrome (HHS)
- Manage Subsyndromes of Acute Radiation Syndrome (HHS)
- Hematopoietic Subsyndrome Treatment (HHS)
- Medical Management of the Acute Radiation Syndrome (Ann Intern Med)
- Cytogenetic Biodosimetry Laboratory Brochure (REAC/TS)
- Cytogenetic Biodosimetry Laboratory Video (REAC/TS)
Internal Contamination
- Diagnose/Manage Exposure and Contamination (HHS)
- Managing Internal Contamination (HHS)
- Radiation Emergencies: Drug Information (FDA)
-
Pediatric Counter-Terrorism Measures (FDA)
See the Radiation Emergencies section.
Cutaneous Radiation Exposure
Radiation Exposure in Pregnant Women and Children
- Radiation and Pregnancy: A Fact Sheet for the Public (CDC)
- Radiation and Pregnancy: A Fact Sheet for Clinicians (CDC)
- Pregnant Women and Fetus with Radiation Exposure or Contamination (DHS)
- Infants and Young Children with Radiation Exposure or Contamination (DHS)
Laboratory Testing Information
Special Issues Following a Nuclear Detonation
- Scarce Resources for Nuclear Detonation: Project Overview and Challenges (DMPHP)
- Allocation of Scarce Resources After a Nuclear Detonation: Setting the Context (DMPHP)
- Radiation Injury After a Nuclear Detonation: Medical Consequences and the Need for Scarce Resources Allocation (DMPHP)
- Health Care System Planning for and Response to a Nuclear Detonation (DMPHP)
- Triage and Treatment Tools for Use in a Scarce Resources-Crisis Standards of Care Setting After a Nuclear Detonation (DMPHP)
- Social, Psychological, and Behavioral Responses to a Nuclear Detonation in a US City: Implications for Health Care Planning and Delivery (DMPHP)
- Planning Guidance for Response to a Nuclear Detonation
Additional Guidance for Prehospital Settings/First Responders
- Radiation Emergency Information for Emergency Responders (CDC)
- Managing Radiation Emergencies - Guidance for Prehospital Emergency Services (REAC/TS)
- Handbook for Responding to a Radiological Dispersal Device: First Responder's
Guide - The First 12 Hours (CRCPD) - The “RTR” Medical Response System for Nuclear and Radiological Mass-Casualty Incidents (Prehospital and Disaster Medicine)
Additional Guidance for Hospital Settings
- Radiation Emergencies: Information for Clinicians and Hospitals (CDC)
- Health Guidance - Initial Management in a Hospital Setting of Persons Contaminated
With Radioactive Materials and Exposed to Radiation Following the Explosion of a
Dirty Bomb (DHSS) - Managing Radiation Emergencies - Guidance for Hospital Medical Management (REAC/TS)
- Hospital Triage in the First 24 Hours after a Nuclear or Radiological Disaster (REAC/TS)
- Interim Guidelines for Hospital Response to Mass Casualties from a Radiological
Incident (CDC) - Emergency Department Management of Radiation Casualties (HPS)
- Hospital Activities (HHS)
- Hospitals (HHS)
Public Health Response
- Sheltering in Place During a Radiation Emergency (CDC)
- Evacuation in a Radiation Emergency (CDC)
- The “RTR” Medical Response System for Nuclear and Radiological Mass-Casualty Incidents (Prehospital and Disaster Medicine)
- Community Reception Centers - CRCs (CDC)
- Population Monitoring After a Release of Radioactive Material (CDC)
- Population Monitoring in Radiation Emergencies: A Guide for State and Local Public
Health Planners (CDC) - Radiation Protective Action Guides (PAGs) (EPA)
- Radiation Emergency Information for the Public Health Community (CDC)
Communications Guidance
- Communicating in the First Hours: Radiation Emergencies (CDC)
- Information for Media and Communication Professionals (CDC)
Other Guidance
- Guidelines for Handling Decedents Contaminated with Radioactive Materials (CDC)
- Information for Medical Examiners, Coroners, and Funeral Home Personnel (CDC)