Chemical Agents of Opportunity for Terrorism: TICs & TIMs

Chemical Agents of Opportunity for Terrorism
Training Support Package
Participant Guide
Slide 31
There are several algorithms that can be used to guide management and treatment
decisions based on likely radiation dose received. One example is shown here where
time to onset of vomiting is correlated with radiation dose. However, note that not all
people will vomit, particularly at lower doses. In these situations it is helpful to have
additional measurements, such as the lymphocyte depletion rate shown on the next
slide.
The need for early specialized care is to optimize chances for survival, which will entail
strict attention to fluid and electrolyte balance, early operative care if indicated,
preparation for neutropenia and use of reverse isolation procedures and specialized
medications to increase bone marrow response (cytokines). The National Library of
Medicine site has an interactive algorithm that is very useful.
December 2008 Version 2.0 Page 394