Medical response in a nuclear or radiological emergency

INTRODUCTION The Radionuclide Handbook contains the recommended emergency treatments of internal contamination according to the radionuclides concerned, with the entries in alphabetical order. In the event of confirmed or suspected internal contamination, the antidotes must be administered as soon as possible. The radionuclide sheets have a QR code which provides a link to a page on the ASN website presenting, for each radionuclide, the dose coefficient references taken from the Order mentioned in Article R. 1333-24 of the Public Health Code. After inhalation, the values indicated correspond to the aerosol form, with an aerodynamic median activity diameter (AMAD) of 1 µm for the public and 5 µm for the workers, and to the type of pulmonary absorption recommended by default in the Order mentioned in Article R. 1333-24 of the Public Health Code. When the Order mentioned in Article R. 1333-24 of the Public Health Code does not recommend a type of absorption by default, the value is given as a dose range. For the public, the values are given for adults, other values (usually higher) being applicable for children. All the dose coefficients figure in the Order mentioned in Article R. 1333-24 of the Public Health Code. WARNING The dosages detailed in these sheets cover the first 24 hours of the recommended initial treatment. The dosage will then be adapted according to the patient and the level of contamination. The precautions for use and adverse reactions are not detailed in this guide; refer to the manufacturer's notice. french-nuclear-safety.fr/dosimetric-references

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