This guide outlines practical steps for managing injuries in a radioactive environment. Key protocols include:

  1. Decontamination Procedures:
  2. Establish a Cold Zone (minimum 5 meters from casualties) with protective barriers.
  3. Use double gloves, plastic suits, and N95 masks. Avoid reusing contaminated gear.
  4. Wash casualties with water, directing runoff away from the Cold Zone. Consider wet wipes if water is scarce.

  5. Remove contaminated clothing by cutting to prevent airborne particles.

  6. Radiation Protection:

  7. Administer potassium iodide (KI) to block thyroid absorption of radioactive iodine. Dosing varies by age (130mg for adults, 65mg for children 3-18, etc.).
  8. Use Barium Sulfate (300mg oral dose) to bind strontium and excrete it via bowel.
  9. Use Prussian Blue (3g/day for 30 days) to bind cesium/thallium and excrete via stool.

  10. Metamucil (high-fiber) to promote bowel clearance of ingested radioactive materials.

  11. Symptom Management:

  12. Treat nausea with antiemetics (e.g., Gravol). Use Tylenol for fever (avoid aspirin due to bleeding risk).
  13. Administer antibiotics (ciprofloxacin, cephalosporin) and antifungals (Amphotericin B) under medical guidance.

  14. For cutaneous syndrome (radiation burns), remove dead tissue, use steroids, and consider early amputation if necessary.

  15. Hydration & Waste Management:

  16. Consume 3-4 liters of fresh water daily to flush radioactive elements. Urinate outside shelters.

  17. Use portable toilets inside shelters, emptied weekly. Avoid consuming non-shelter food/water to prevent recontamination.

  18. Monitoring & Isolation:

  19. Keep casualties isolated until Geiger counter readings confirm safety or 24-72 hours pass without symptoms.
  20. Monitor for signs of radiation sickness (nausea, diarrhea, fatigue) and pneumonia/fibrosis risks 50+ days post-exposure.
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