The Radiation Injury Severity Classification system: an early injury assessment tool for the frontline health-care provider

The British Journal of Radiology
M KuniakD M Slaughter

Abstract

Our goal was to adapt current diagnostic methods for radiation overexposure patients into a practical system that can be implemented rapidly and reliably by responders unfamiliar with the effects of radiation. Our Radiation Injury Severity Classification (RISC) system uses clinical and haematological parameters from the prodromal phase of the acute radiation syndrome (ARS) to classify acute radiation injury for purposes of managing treatment disposition. Data from well-documented ARS cases were used to test the RISC system. Three-day summaries were generated for each case. These were individually reviewed by the three physicians most involved with the development of the system to establish both a consensus case score (CCS) and disposition category ranges. 30 volunteer raters from varying health disciplines using the RISC system then each independently rated a random selection of 12 cases for injury severity in a self-trained field-simulation exercise. The CCS identified discrete cut-off ranges for the three disposition categories in both manageable and mass casualty events. The group of raters, after a modest period of self-training, achieved overall levels of pairwise agreement with the CCS category of 0.944 for manageable eve...Continue Reading

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Citations

Aug 29, 2014·Computational and Mathematical Methods in Medicine·David L BolducRolf Bünger
Mar 13, 2012·International Journal of Environmental Research and Public Health·Ann Göransson NybergÅke Sellström
Jan 15, 2010·International Journal of Radiation Biology·Petra WillemsAnne Vral
Mar 26, 2013·Annals of Emergency Medicine·Justin W TimbieArthur L Kellermann
Oct 27, 2009·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Marcia Bixby
Mar 15, 2011·Health Physics·Sergey V OsovetsMaria B Druzhinina

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