TABLE 5.

Diagnostic Measures to Consider in Victims of Radiation Exposure

TestTiming
Nasal swab to identify inhalation*Immediately
Skin swabs to identify external contamination*Immediately and at frequent intervals
Urine and stool analysis to identify internal contamination*Immediately and at 24 h
Complete blood cell and platelet countsDaily for 1 wk
Absolute lymphocyte countEvery 12 h for 3 d
HLA antigen subtypingBefore lymphocyte count decreases
Lymphocyte cytogeneticsBefore lymphocyte count decreases
  • * A radiation safety officer or other authority should be consulted in all aspects of management.

    Adapted from Jarrett DG. Medical Management of Radiological Casualties. Bethesda, MD: Armed Forces Radiobiology Research Institute; 1999