Радиационная гигиена (Dec 2018)
MODERN STRATEGY OF HEALTH PROTECTION AND MEDICAL MEASURES IN RADIATION ACCIDENTS
Abstract
A review of the complex of health protection and medical measures ensuring the prevention of deterministic and reducing the probability of stochastic effects of irradiation during radiation accidents is presented. It is shown that the most effective methods of ensuring radiation safety at radiation accidents are protection by time, protection by distance and shielding of the irradiated object. Medical means of anti-radiation protection are used in addition to collective and individual technical means when it is impossible to avoid over-standard radiation exposure. Classification of antiradiation medicines, including radioprotectors, means for stimulating the radioresistance of the organism, means for preventing and stopping the primary reaction to irradiation, means for preventing and treating injures from irradiation by incorporated radionuclides, means for treating acute bone marrow syndrome, and means for treating local radiation injures of the skin and mucous are given. The list of medical means of antiradiation protection registered in the Russian Federation is presented. Characteristics of first-aid kits, medical bags, medical equipment kits, medical evacuation devices intended for the first aid and medical assistance in the outbreak of a radiation accident and at the stages of medical evacuation are given. The nomenclature of medicines and volumes of the reserve of the Ministry of Health of the Russian Federation intended for liquidation of consequences of emergency situations of radiation nature are given. It is concluded that the Russian Federation has developed and implemented a modern strategy to protect personnel, rescuers and the population in emergency situations of radiation nature, including organizational, technical, hygienic and medical measures in the outbreak of a radiation accident and at the stages of medical evacuation.
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