• Nicholas Dainiak, Domenico Delli Carpini, Michael Bohan, Michael Werdmann, Edward Wilds, Agnus Barlow, Charles Beck, David Cheng, Nancy Daly, Peter Glazer, Peter Mas, Ravinder Nath, Gregory Piontek, Kenneth Price, Joseph Albanese, Kenneth Roberts, Andrew L Salner, and Sara Rockwell.
• Department of Medicine, Bridgeport Hospital, Bridgeport, CT 06610, USA. pndain@bpthosp.org
• Int. J. Radiat. Oncol. Biol. Phys. 2006 May 1; 65 (1): 16-24.

AbstractAlthough general guidelines have been developed for triage of victims in the field and for hospitals to plan for a radiologic event, specific information for clinicians and administrators is not available for guidance in efficient management of radiation victims during their early encounter in the hospital. A consensus document was developed by staff members of four Connecticut hospitals, two institutions of higher learning, and the State of Connecticut Department of Environmental Protection and Office of Emergency Preparedness, with assistance of the American Society for Therapeutic Radiology and Oncology. The objective was to write a practical manual for clinicians (including radiation oncologists, emergency room physicians, and nursing staff), hospital administrators, radiation safety officers, and other individuals knowledgeable in radiation monitoring that would be useful for evaluation and management of radiation injury. The rationale for and process by which the radiation response plan was developed and implemented in the State of Connecticut are reviewed. Hospital admission pathways are described, based on classification of victims as exposed, contaminated, and/or physically injured. This manual will be of value to those involved in planning the health care response to a radiologic event.

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