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Radiation sickness

Contents of this page:

Illustrations

Radiation therapy
Radiation therapy

Alternative Names    Return to top

Radiation poisoning

Definition    Return to top

Radiation sickness is illness and symptoms resulting from excessive exposure to radiation. Exposure may be accidental or intentional (as in radiation therapy).

Considerations    Return to top

There are two basic types of radiation: ionizing and nonionizing.

Nonionizing radiation comes in the form of light, radio waves, microwaves and radar. This kind of radiation usually does not cause tissue damage.

Ionizing radiation is radiation that produces immediate chemical effects on human tissue . X-rays, gamma rays, and particle bombardment (neutron beam, electron beam, protons, mesons, and others) give off ionizing radiation. This type of radiation can be used for medical testing and treatment, industrial and manufacturing purposes, weapons and weapons development, and more.

Radiation sickness results when humans (or other animals) are exposed to very large doses of ionizing radiation. Radiation exposure can occur as a single large exposure (acute), or a series of small exposures spread over time (chronic).

Radiation sickness is generally associated with acute exposure and has a characteristic set of symptoms that appear in an orderly fashion. Chronic exposure is usually associated with delayed medical problems such as cancer and premature aging, which may happen over a long period of time.

The risk of cancer depends on the dose and begins to build up even with very low doses. There is no "minimum threshhold."

Exposure from x-rays or gamma rays is measured in units of roentgens. For example:

The severity of symptoms and illness (acute radiation sickness) depends on the type and amount of radiation, how long you were exposed, and which part of the body was exposed. Symptoms of radiation sickness may occur immediately after exposure, or over the next few days, weeks, or months.

Because it is difficult to determine the amount of radiation exposure from nuclear accidents, the best signs of the severity of the exposure are: the length of time between the exposure and the onset of symptoms, the severity of symptoms, and severity of changes in white blood cells. If a person vomits less than an hour after being exposed, that usually means the radiation dose received is very high and death may be expected.

Children who receive radiation treatments or who are accidentally exposed to radiation will be treated based on their symptoms and their blood cell counts. Frequent blood studies are necessary and require a small puncture through the skin into a vein to obtain blood samples.

Causes    Return to top

The causes include:

Symptoms    Return to top

Your doctor will advise you how best to treat these symptoms. Medications may be prescribed to help reduce nausea, vomiting, and pain. Blood transfusions may be given for anemia . Antibiotics are used to prevent or fight infections.

First Aid    Return to top

Only provide medical care if you have the appropriate protective gear to prevent contaminating yourself:

  1. Check the person's breathing and pulse.
  2. Start CPR, if necessary.
  3. Have the person's remove their clothing and place the items in a sealed container. This stops ongoing contamination.
  4. Vigorously wash body with soap and water.
  5. Dry the body and wrap with soft, clean blanket.
  6. Call for emergency medical help and take the person to nearest emergency medical facility.
  7. REPORT EXPOSURE TO EMERGENCY OFFICIALS.

If symptoms occur during or after medical radiation treatments:

  1. Tell the health care provider or seek medical treatment.
  2. Handle affected areas gently.
  3. Treat symptoms or illnesses as recommended by the doctor.

DO NOT    Return to top

Prevention    Return to top

Update Date: 1/8/2009

Updated by: Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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