INITIAL MEDICAL CARE

- Standard life saving interventions for combined injuries.
- XABCs (Exsanguination risks, Airway, Breathing, Circulation).
- Assess risks for Acute Radiation Syndrome AFTER lifesaving treatment.
- Vomiting <4 hours → Presume patient WILL be
- Begin serial Complete Blood Counts every 6-8 hours to assess for hematopoietic subsyndrome on all patients at risk.
- Lymphocyte kinetics: 50% drop in lymphocytes at 48 hours correlates with 3-4 GRAY dose.
- Consider advanced biodosimetry techniques like Dicentric Chromosome Assays (DCA).