DISASTER MEDICINE No. 1 •2025

https://doi.org/10.33266/2070-1004-2025-1

Original article 

Preliminary Doses Assessment to Victims Due to a Radiation Accident in the Scope of the Activities of a Specialized Radiological Team

Grachev M.I., Salenko Yu.A., Galstyan I.A., Frolov G.P., Tsovyanov A.G., Yatsenko V.N., Barchukov V.V., Koktev A.V.

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1 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

UDC 614.876

Pp. 12-18

 

Summary. The aim of the study is to substantiate the procedure for conducting a preliminary (operational) assessment of emergency doses of radiation exposure to those affected by a radiation accident (EA) to address the priority tasks facing the specialized radiological team (SRT) of the Federal State Budgetary Institution “SRC – Federal Medical Biophysical Center named after A.I. Burnazyan” of the Federal Medical and Biological Agency of Russia (FSBI SRC FMBC named after A.I. Burnazyan FMBA of Russia).

Materials and methods of the study. The study materials are the experience of the specialized radiological team in the preliminary assessment of emergency doses of radiation exposure to those affected by EA. The research methods are a modern methodology of instrumental, calculation and clinical-laboratory methods for assessing external and internal radiation doses of those affected.

Research results and their analysis. A two-level assessment of dose values is presented – action levels (UD-1 and UD-2) for carrying out medical evacuation measures. It is noted that in some situations associated with high levels of uncontrolled uniform irradiation of personnel, clinical manifestations and hematological parameters allow confidently assessing the dose for the subsequent treatment strategy. Based on the experience of treating patients in the clinic of the Federal State Budgetary Institution of the Russian Federation, the manifestations of the primary reaction and the dynamics of hematological parameters during the first week after irradiation are systematized. Dosimetric measurements and laboratory studies are grouped by the order and timing of their implementation. It is concluded that the results of assessing radiation doses in the volume of activities carried out by the SRB are preliminary and should be used mainly to make decisions on the urgency (order) of sending the affected to a specialized hospital for further examination and treatment.

Keywords: affected, medical care, Federal State Budgetary Institution of the Russian Federation of FMBA of Russia, irradiation, preliminary dose assessment, radiation accidents, specialized radiological team

For citation: Grachev M.I., Salenko Yu.A., Galstyan I.A., Frolov G.P., Tsovyanov A.G., Yatsenko V.N., Barchukov V.V., Koktev A.V. Preliminary Doses Assessment to Victims Due to a Radiation Accident in the Scope of the Activities of a Specialized Radiological Team. Meditsina Katastrof = Disaster Medicine. 2025;1:12-18_ (In Russ.). https://doi.org/10.33266/2070-1004-2025-1-12-18

 

REFERENCES

  1. Recommendation of the International Commission on Radiological Protection. ICRP Publication 103. 2007;37;2-4:339.
  2. Opredeleniye Dozy Nezaplanirovannogo ili Avariynogo Oblucheniya Personala Predpriyatiy Goskorporatsii «Rosatom» = Determination of the Dose of Unplanned or Emergency Irradiation of Personnel of Enterprises of the State Corporation Rosatom. Methodological Guidelines. MU 2.6.5.040-2016. Moscow, Federal’noye Mediko-Biologicheskoye Agentstvo Rossii Publ., 2016. 34 p. (In Russ.).
  3. Preparedness and Response for a Nuclear or Radiological Emergency. General Safety Requirements No. GSR Part 7. Vienna: IAEA, 2015. 102 p.
  4. Grachev M.I., Salenko Yu.A., Abramov Yu.V., Frolov G.P., Klochkov V.N., Kukhta B.A. Operational Values of Radioactive Skin Contamination in the Case of Radiological Accident. Meditsinskaya Radiologiya i Radiatsionnaya Bezopasnost = Medical Radiology and Radiation Safety. 2020;65;3:20–26. doi:10.12737/1024-6177-2020-65-3-20-26 (In Russ.).
  5. Frolov G.P., Salenko Yu.A., Grachev M.I., Galstyan I.A., Klochkov V.N. Decontamination of Victims in the Event of a Radiation Accident at the Stages of Provision Medical Care. Meditsinskaya Radiologiya i Radiatsionnaya Bezopasnost = Medical Radiology and Radiation Safety. 2021;66;3:19–28. doi:10.12737/1024-6177-2021-66-3-19-28 (In Russ.).
  6. Organizatsiya Avariynogo Radiatsionnogo Kontrolya Vneshnego Oblucheniya Personala pri Provedenii Rabot na Yaderno-Opasnykh Uchastkakh Predpriyatiy Goskorporatsii «Rosatom». Obshchiye Trebovaniya = Organization of Emergency Radiation Monitoring of External Irradiation of Personnel during Work at Nuclear-Hazardous Sites of Enterprises of the State Corporation Rosatom. General Requirements. Methodological Guidelines. MU 2.6.5.053-2017. Moscow, Federal’noye Mediko-Biologicheskoye Agentstvo Rossii Publ., 2017. 54 p. (In Russ.).
  7. Operativnaya Otsenka Dozy Neytronnogo Izlucheniya pri Vozniknovenii Samoproizvol’noy Tsepnoy Reaktsii na Yaderno-Opasnykh Uchastkakh Predpriyatiy Yaderno-Oruzheynogo Kompleksa = Operational Assessment of the Neutron Radiation Dose in the Event of a Spontaneous Chain Reaction at Nuclear-Hazardous Sites of Nuclear Weapons Complex Enterprises. Methodological Guidelines. MU 2.6.5.036-2013. Moscow, Federal’noye Mediko-Biologicheskoye Agentstvo Rossii Publ., 2013 (In Russ.).
  8. Radiatsionnaya Meditsina = Radiation Medicine. A Guide for Medical Researchers, Healthcare Organizers, and Radiation Safety Specialists. Vol.2. Ed. L.A.Il’in. Moscow, IzdAT Publ., 2001, V.2. 432 p. (In Russ.).

 

The material was received 20.11.24; the article after peer review procedure 10.01.25; the Editorial Board accepted the article for publication 13.03.25