Table Of ContentSecond Edition
MMeeddiiccaall MMaannaaggeemmeenntt
of Radiation
Accidents
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Second Edition
MMeeddiiccaall MMaannaaggeemmeenntt
of Radiation
Accidents
Edited by
Igor A. Gusev, D. Biol.
Angelina K. Guskova, M.D., PH.D
Fred A. Mettler, Jr., M.D., M.P.H.
CRC Press
Boca Raton London New York Washington, D.C.
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Library of Congress Cataloging-in-Publication Data
Medical management of radiation accidents / edited by Igor A. Gusev, Angelina K. Guskova, Fred A.
Mettler, Jr.—2nd ed.
p. cm.
Includes bibliographical references and index.
ISBN 0-8493-7004-3 (alk. paper)
1. Radiation injuries. 2. Nuclear accidents. I. Guskova, A. K. (Angelina
Konstantinovna) II. Mettler, Fred A. (Fred Albert), 1907-III. Title.
RC93 .G87 2001
617.1'24—dc21 00-052909
CIP
This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with
permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish
reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials
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Visit the CRC Press Web site at www.crcpress.com
© 2001 by CRC Press LLC
No claim to original U.S. Government works
International Standard Book Number 0-8493-7004-3
Library of Congress Card Number 00-052909
Printed in the United States of America 1 2 3 4 5 6 7 8 9 0
Printed on acid-free paper
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Dedication
This book is dedicated to the pioneers in radiation medicine who not only discovered the funda-
mental principles, but also taught us and others so that there would be a better understanding of
the basic mechanisms of radiation medicine, as well as better treatment of radiation accident
patients.
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Preface
This is the second edition of Medical Management of Radiation Accidents. The first edition was
published in 1990 and was predominantly concerned with radiation accident experiences in the
United States. The second edition is substantially different. It represents an international cooperative
effort. The majority of the work is a Russian–American effort; however, there are also authors from
Austria, Brazil, Canada, China, France, Japan, and Peru. The material reflects current international
approaches and experiences related to the medical management of radiation accidents as we begin
a new millennium.
The book is organized into five broad areas. The first area deals with the fundamental aspects
of radiation accidents, their medical characteristics, and their classification. The second area is
concerned with the fundamental aspects of radiation on the entire body and specific tissues. This
will provide a complete reference and, should an accident occur, the reader would not have to refer
to additional texts. The third area includes chapters on the history of accidents in various countries
throughout the world. The fourth area endeavors to give a general overview of a certain type of
accident and to present specific examples, which we feel have major teaching points. Some of the
accident examples are historical and others are very recent. We have not included details of accidents
that did not possess significant medical teaching points (such as the Three Mile Island Accident in
the United States). The fifth area covered in the middle of the book deals with criticality, industrial
irradiators, industrial radiography, local radiation injury, radiation therapy, and internal contamina-
tion accidents and their management. There are many excellent descriptions of individual accidents
in the literature (for example, by the International Atomic Energy Agency) but we hope that, with
this text alone, the reader will be able to find an example of virtually any type of radiation accident
and use the material as a basis to manage accidents in the future.
The final portion of the book includes a section on the follow-up of persons accidentally exposed
to radiation with considerations related to epidemiological studies and a few selected examples.
Finally, there are chapters on radiation protection and dosimetry issues, psychological consider-
ations, and accidental exposure of pregnant women.
There are six appendices that include sample hospital protocols, a list of World Health Orga-
nization radiation accident centers, conversion and absorbed dose tables, specifics of radionuclides,
and a glossary. We hope our readers will find this a useful text.
Igor A. Gusev
Angelina K. Guskova
Fred A. Mettler, Jr.
Editors
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Acknowledgments
We would like to acknowledge the extensive editorial assistance of Charlotte Hendrix and the
photographic artistry of Joseph Tafoya in the preparation of this manuscript. We also recognize the
work of a vast number of our colleagues throughout the world that has resulted in scientific
publications that provide the foundation for this text. Finally, the scientific and editorial comments
of George Voelz were extremely valuable.
