Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 45 Radioactive material can sometimes enter the body through inhalation, ingestion, or a dermal wound. Deposition of radioactive materials in the body is a time-dependent physiological phenomenon related to both the physical and chemical natures of the contaminant. Internal contamination does not cause early signs or symptoms. While it remains inside the patient internal contamination will continue to irradiate the patient, though probably not harm others. Swabs of the nares should be assessed for radioactivity by the survey team. If internal contamination is suspected, arrange for additional bioassays of the patient. These could include analysis of blood, urine, feces, perspiration, nasal and saliva swabs, sputum, vomitus, and wound secretions, and will vary somewhat based on the particular radioactive isotopes. December 2008 Version 2.0 Page 408
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 46 There are certain specific medical therapies for the treatment of patients with internal contamination with radioisotopes. We will look at a couple of these in more detail. It is important to remember that removal of the element from the body also removes the radiation – and the biologic half-life of many elements is often shorter than the radiologic half-life of their radioactive forms. December 2008 Version 2.0 Page 409
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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