scholarly journals Simulation Study on Radiation Exposure of Emergency Medical Responders From Radioactively Contaminated Patients

Author(s):  
Takakiyo Tsujiguchi ◽  
Yoko Suzuki ◽  
Mizuki Sakamoto ◽  
Kazuki Narumi ◽  
Katsuhiro Ito ◽  
...  

Abstract Emergency medical responders (EMRs), who save victims in a radiation emergency, are at risk of radiation exposure. In this study, the exposure dose to EMRs assisting contaminated patients was estimated using a Monte Carlo simulation, and will produce data that contributes to EMR education and anxiety reduction. Using the Monte Carlo simulation, we estimated radiation doses for adult computational phantoms with radioactive contamination conditions radiation dosages were based on findings from previous studies. At the contamination condition corresponding to the typical upper limit of general GM survey meters, the radiation doses of EMRs were estimated to be less than μSv per hour. In case of a heavier contamination due to mishandling of an intense radioactive source with hundreds of GBq or more, their radiation doses would be close to 100 mSv per hour. The results have implied that the radiological accident with a highly radioactive source would expose EMR to the risk of significant radiation exposure exceeding the dose limit. It is thus crucial that the authority or other party who are responsible for the health of EMRs ensures that they shall have necessary education and training on the effective measures for protecting themselves from the possible, excessive radiation exposure.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takakiyo Tsujiguchi ◽  
Yoko Suzuki ◽  
Mizuki Sakamoto ◽  
Kazuki Narumi ◽  
Katsuhiro Ito ◽  
...  

AbstractEmergency medical responders (EMRs) who treat victims during a radiation emergency are at risk of radiation exposure. In this study, the exposure dose to EMRs treating hypothetically contaminated patients was estimated using a Monte Carlo simulation, and the findings may be useful for educating EMRs and reducing their anxiety. The Monte Carlo simulation estimated radiation doses for adult computational phantoms based on radioactive contamination conditions and radiation dosages from previous studies. At contamination conditions below the typical upper limit of general Geiger–Müller survey meters, the radiation doses to EMRs were estimated to be less than 1 μSv per hour. In cases with greater contamination due to mishandling of an intense radioactive source (hundreds of GBq), the radiation doses to EMRs could reach approximately 100 mSv per hour. These results imply that a radiological accident with a highly radioactive source could expose EMR to significant radiation that exceeds their dose limit. Thus, authorities and other parties should ensure that EMRs receive appropriate education and training regarding measures that can be taken to protect themselves from the possibility of excessive radiation exposure. The results of this study may provide EMRs with information to take appropriate protective measures, although it is also important that they not hesitate to perform lifesaving measures because of concerns regarding radiation.


2012 ◽  
Vol 11 (7) ◽  
pp. 1355-1360
Author(s):  
Clement Ionescu ◽  
Liana Simona Sbirna ◽  
Monica Daniela Mateescu ◽  
Clementina Sabina Moldovan ◽  
Sebastian Sbirna

2021 ◽  
pp. 105566562110017
Author(s):  
Yoshikazu Kobayashi ◽  
Masanao Kobayashi ◽  
Daisuke Kanamori ◽  
Naoko Fujii ◽  
Yumi Kataoka ◽  
...  

Objective: Some patients with cleft palate (CP) need secondary surgery to improve functionality. Although 4-dimensional assessment of velopharyngeal closure function (VPF) in patients with CP using computed tomography (CT) has been existed, the knowledge about quantitative evaluation and radiation exposure dose is limited. We performed a qualitative and quantitative assessment of VPF using CT and estimated the exposure doses. Design: Cross-sectional. Setting: Computed tomography images from 5 preoperative patients with submucous CP (SMCP) and 10 postoperative patients with a history of CP (8 boys and 7 girls, aged 4-7 years) were evaluated. Patients: Five patients had undergone primary surgery for SMCP; 10 received secondary surgery for hypernasality. Main Outcome Measures: The presence of velopharyngeal insufficiency (VPI), patterns of velopharyngeal closure (VPC), and cross-sectional area (CSA) of VPI was evaluated via CT findings. Organ-absorbed radiation doses were estimated in 5 of 15 patients. The differences between cleft type and VPI, VPC patterns, and CSA of VPI were evaluated. Results: All patients had VPI. The VPC patterns (SMCP/CP) were evaluated as coronal (1/4), sagittal (0/1), circular (1/2), and circular with Passavant’s ridge (2/2); 2 patients (1/1) were unevaluable because of poor VPF. The CSA of VPI was statistically larger in the SMCP group ( P = .0027). The organ-absorbed radiation doses were relatively lower than those previously reported. Conclusions: Four-dimensional CT can provide the detailed findings of VPF that are not possible with conventional CT, and the exposure dose was considered medically acceptable.


2011 ◽  
Vol 38 (2) ◽  
pp. 589-597 ◽  
Author(s):  
Ying Yi ◽  
Chao-Jen Lai ◽  
Tao Han ◽  
Yuncheng Zhong ◽  
Youtao Shen ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document