Dirty bomb: Difference between revisions

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==Background==
==Background==
*Non-nuclear (conventional) bomb cased in radioactive material
*Also known as "Radiological Dispersal Device"<ref name="Rosoff">Rosoff H, von Winterfeldt D. A risk and economic analysis of dirty bomb attacks on the ports of Los Angeles and Long Beach. Risk Anal. 2007 Jun;27(3):533-46.</ref>
*can cause exposure to I-131
*Consists of radioactive material packaged into non-nuclear (conventional) bomb<ref name="Rosoff" />
*administration of potassium iodide (KI) can significantly reduce thyroid I-131 uptake, which can later causes thyroid cancer
**No nuclear fusion/fission occurs
*for persons older than 40 years of age, the risk for radiation-induced thyroid cancer is extremely low, while the potential side effects of prophylaxis due to preexisting thyroid disease tend to increase
**Detonation causes injuries from conventional explosion and also spreads radioactive material, causing radiation injuries and cancer
 
**Radioactive material spread locally via blast, and carried more distantly via aerosolized or particulate "plumes"
{| width="339" border="1"
**Multiple radioisotopes from various sources (e.g. nuclear fuel waste, medical radiography, etc) could be employed
| '''Time to KI Dose'''<br />
| '''Reduction in Radioactive Uptake'''<br />
|-
| <2hrs<br />
| 90%<br />
|-
| 3hrs<br />
| 50%<br />
|-
| 4hrs<br />
| 10%<br />
|-
| >4hrs<br />
| little protection*<br />
|}
 
<nowiki>*unless the exposure to I-131 continues</nowiki>


==Diagnosis==
==Diagnosis==

Revision as of 10:14, 11 July 2015

Background

  • Also known as "Radiological Dispersal Device"[1]
  • Consists of radioactive material packaged into non-nuclear (conventional) bomb[1]
    • No nuclear fusion/fission occurs
    • Detonation causes injuries from conventional explosion and also spreads radioactive material, causing radiation injuries and cancer
    • Radioactive material spread locally via blast, and carried more distantly via aerosolized or particulate "plumes"
    • Multiple radioisotopes from various sources (e.g. nuclear fuel waste, medical radiography, etc) could be employed

Diagnosis

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Work-Up

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DDx

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Treatment

Treatment with stable iodine when the committed dose equivalent to the adult thyroid is expected to exceed 250 milliSieverts (mSv), the equivalent of 25 rem (FDA 2001).

  1. Under 40 years old
    1. potassium iodide (KI)
    2. immediate and Qday x 7-14 days
  2. Over 40 years old
    1. no KI treatment
  • contraindication = iodine allergy
  • potassium iodate (KIO3) can also be used (more GI irritation)

Disposition

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See Also

References

  1. 1.0 1.1 Rosoff H, von Winterfeldt D. A risk and economic analysis of dirty bomb attacks on the ports of Los Angeles and Long Beach. Risk Anal. 2007 Jun;27(3):533-46.