PROLONGED FIELD CARE / ROLE I-3 - CARE / COLD ZONE

Patient management during this phase should address both contamination and exposure. Patients with internal contamination require specific countermeasures based on the relevant radionuclide as discussed below and referenced in Table 10. Patients with exposure require a dose estimate (see Appendix C for details on biodosimetry) to determine appropriate level of monitoring and treatment. Developing dose estimates or using qualitative factors to categorize patients according to risk is a necessary secondary triage to appropriately determine disposition and allocate resources.

Clinical impacts are divided into deterministic and stochastic effects. Deterministic effects are dose dependent and consist of the ARS sub-syndromes and CRS. ARS and CRS are discussed below. Stochastic effects are probability driven and are most focused on long-term cancer risk.