The Case Files

    January 2020 in “ Emergency Medicine News
    Tyler Ericson, Tim Montrief, Jennifer S. Jackson
    TLDR Early diagnosis, decontamination, and supportive care are crucial for managing acute radiation syndrome.
    The document described a case of an 11-year-old boy who presented with symptoms consistent with acute radiation syndrome (ARS) after exposure to radioactive material in the desert. ARS is characterized by a sequence of phases, starting with prodromal symptoms like nausea and vomiting, followed by latent and manifestation phases, which can lead to severe complications depending on the radiation dose. The boy was estimated to have been exposed to approximately 2 Gy of radiation. He underwent decontamination and received treatments including ondansetron and granulocyte-colony stimulating factor (G-CSF) due to his age. He was admitted to the intensive care unit and discharged two weeks later. The document emphasized the importance of early diagnosis, decontamination, and supportive care in managing ARS.
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