Acute Radiation Syndrome

Table 8 – Acute Radiation Syndrome
Subclinical Range 0 – 100 rads		Therapeutic Range 100 – 500 rads			Lethal Range 500+ rads
		100 – 200	200 – 300	300 – 500	500 – 2000	2000+
Appropriate Action	None	Clinical surveillance	Therapy effective	Therapy promising	Therapy palliative (comfort patient only)
Incidence of Vomiting	None	100 rads: 5% 200 rads: 50%	75%	75%	100%	100%
Delay Time	n/a	3 hours	2 hours	1 hour	3 min.	3 min.
Main Organs Affected	None	Blood Forming Tissue			Gastro-intestinal Tract	Central Nervous System
Characteristic Signs	None	White Blood Cell Decrease	Fatigue, infection, erythema, sterilization, loss of hair above 300 rads, hemorrhage		Diarrhea, fever, electrolyte imbalance, bleeding	Convulsion, coma, loss of muscle control, lethargy, tremors
Critical Period	n/a	n/a	4 – 6 weeks		5 – 14 days	1 – 48 hours
Post-exposure Therapy	Assure of Safety	Blood analysis; assure of safety	Blood transfusion; anti-biotics	Possible bone marrow transplant	Maintain electrolyte balance	Sedatives
Outlook	Excellent	Excellent	Good	Guarded	Hopeless	Hopeless
Convalescent Period	None	Several weeks	1 – 2 months	Long	n/a	n/a
Death Rate	None	None	0% - 40%	40% - 100%	90% - 100%	100%
Death Within	n/a	n/a	2 – 4 weeks		2 weeks	2 days
Cause of Death	n/a	n/a	Hemorrhage, infection		Dehydration	Respiratory failure; heart attack

Table 8 Source: "Terrorism With Ionizing Radiation General Guidance: Pocket Guide," produced by the Employee Education System for the Office of Public Health and Environmental Hazards, Department of Veterans Affairs.

Some may think that certain data are emphasized in this and other chapters in an attempt to minimize the dangers of exposure to radiation. This is not at all true. I am trying to put the dangers in perspective and eliminate the Pavlovian negative response to even the very mention of the subject. Table 8 shows the accepted syndrome from short-term exposures. Please note that this table is in rems (not millirems) and can be mentally converted to centisieverts (cSvs) of the same numerical value. Radiation can obviously be very dangerous. But so can an unreasonable fear of radiation.