The JTS CPG for managing radiation exposure in nuclear events outlines the necessary medical supplies and equipment to support patient care effectively.
Personal Protective Equipment (PPE)
- Full-body protective suits with hood and gloves
- Radiation dosimeters (personal and area monitors)
- Respiratory protection (P100 respirators, N95 masks, or PAPRs with HEPA filters)
- Lead aprons for personnel, if required based on exposure risk
- Eye protection (goggles or face shields)
- Disposable boot covers
Decontamination Supplies
- Portable decontamination showers
- Water-resistant mats and containment pools
- Mild soap and detergent solutions for skin decontamination
- Soft brushes and sponges
- Forceps and pickups – Various sizes
- Irrigation solution (normal saline, sterile water)
- Absorbent towels and sheets (disposable)
- Waste disposal bags (hazardous waste-specific bags)
- Radiation-contaminated waste containers
Monitoring and Assessment Tools
- Portable radiation detectors (e.g., Geiger counters, scintillation detectors)
- Contamination monitors (e.g., hand and foot monitors)
- Whole-body counters for radiation exposure assessment
- Portable gamma spectrometers (for isotopic identification)
Medications for Radiation Sickness
- Potassium iodide (KI) tablets (for thyroid protection)
- Prussian blue (for cesium and thallium contamination)
- Calcium or zinc-DTPA (for plutonium, americium, and curium contamination)
- Anti-nausea medications (ondansetron, promethazine)
- Pain management (opioids, NSAIDs)
- Colony-stimulating factors (filgrastim, pegfilgrastim) for bone marrow support
- Antibiotics (broad-spectrum coverage, adjusted for neutropenia)
- Antidiarrheal medications
Supportive Care Supplies
- Intravenous (IV) fluids (normal saline, lactated Ringer’s solution)
- Electrolyte replacement solutions
- Blood products and transfusion supplies (if available)
- Nutritional support (oral rehydration solutions, parenteral nutrition kits)
- Oral rehydration salts (ORS)
Burn and Wound Care Supplies
- Sterile dressings (gauze, non-adherent, hydrocolloid)
- Antimicrobial ointments (silver sulfadiazine, bacitracin)
- Burn care kits
- Sterile irrigation fluids
- Surgical debridement instruments (scalpels, forceps)
- Suturing supplies (sutures, staplers, stapler removers)
Monitoring Equipment for Patient Care
- Blood pressure cuffs (manual and automated)
- Thermometers (digital and infrared)
- Pulse oximeters
- Cardiac monitors (portable EKGs, defibrillators)
- Point of care laboratory testing with ability to do complete blood counts.
Other Essential Supplies
- IV tubing sets and administration kits
- Syringes, needles, and catheters
- Waste disposal systems for contaminated materials
- Stationery for documentation (contamination logbooks, patient assessment forms)
- Communications equipment (for command and control during mass casualty events)
For additional information including National Stock Number (NSN), refer to Logistics Plans & Readiness (sharepoint-mil.us)