Radiation Exposure Case 1

Radiation Exposure Case 1

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Question 1 of 2

1. Question
The HPA contact you to inform you that there has been radiation leakage at the crash site and the likely dose is 6-8 Sv. The lorry driver has stable ABCs and no obvious wounds or fractures.

What baseline investigations will you do to assess his radiation exposure?
- Full blood count (FBC)
- Chest x-ray
- Swabs and cultures
- Arterial blood gas
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Question 2 of 2

2. Question
The passenger seems to have a burn with some metallic fragments embedded in his hand. What is your next management step?
- It is easy to distinguish a radiation burn from a thermal burn so you will be able to identify the cause
- The wound should be rinsed with saline and left open until it is debrided and decontaminated in theatre
- Prophylactic antibiotics are not indicated
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