AMEDP-6 VOL 1 : 2005

TITLE PAGE
NATO LETTER OF PROMULGATION
RECORD OF RESERVATIONS
NATIONAL LETTER OF PROMULGATION
RECORD OF CHANGES
PREFACE
TABLE OF CONTENTS
LIST OF FIGURES
LIST OF TABLES
BIBLIOGRAPHY
GLOSSARY
ABBREVIATIONS
CHAPTER 1 - INTRODUCTION
  1.1 PURPOSE OF AMEDP-6(C), VOLUME I
  1.2 GENERAL ASSUMPTIONS ON THE MEDICAL IMPACT OF THE RADIATION
       ENVIRONMENT
  1.3 RADIATION CONTAMINATION AREAS
  1.4 GENERAL ASPECTS OF NUCLEAR WEAPON RADIATION
  1.5 OTHER MILITARY COMMODITIES
CHAPTER 2 - BIOLOGICAL EFFECTS OF IONIZING RADIATION
  2.1 INTRODUCTION
  2.2 INTERACTIONS OF IONIZING RADIATION WITH LIVING MATTER
  2.3 CELLULAR EFFECTS OF IONIZING RADIATION
  2.4 SYSTEMIC EFFECTS OF WHOLE-BODY IRRADIATION
CHAPTER 3 - ACUTE RADIATION INJURY
  3.1 ACUTE RADIATION SYNDROME
  3.2 ARS COMPONENT SYNDROMES
  3.3 PULMONARY RADIATION SYNDROME
  3.4 ACUTE LOCAL RADIATION INJURY
  3.5 CUTANEOUS RADIATION SYNDROME
CHAPTER 4 - PSYCHOLOGICAL ASPECTS OF RADIATION WEAPONS AND
            ENVIRONMENTS
  4.1 GENERAL
  4.2 RADIATION DISPERSAL DEVICE
  4.3 NUCLEAR DETONATION
  4.4 FALLOUT FIELD
  4.5 PSYCHOSOCIAL SEQUELAE OF RADIATION EXPOSURE
  4.6 TREATMENT
  4.7 PREVENTION AND RISK COMMUNICATION
CHAPTER 5 - BLAST AND THERMAL BIOLOGICAL EFFECTS OF NUCLEAR WEAPONS
  5.1 GENERAL
  5.2 NUCLEAR DETONATION
CHAPTER 6 - TRIAGE
  6.1 GENERAL
  6.2 NO ANTIEMETIC PROPHYLAXIS
  6.3 ANTIEMETIC PROPHYLAXIS
  6.4 COMBINED INJURY TRIAGE
  6.5 SINGLE DETONATION
  6.6 NUCLEAR WAR
  6.7 RADIATION DISPERSAL DEVICE
  6.8 OPERATIONS OTHER THAN WAR
CHAPTER 7 - MANAGEMENT OF THE RADIOLOGICALY INJURED PATIENT
  7.1 MEDICAL MANAGEMENT OF RADIATION INJURIES
  7.2 EMERGENCY CARE
  7.3 DEFINITIVE MANAGEMENT PROTOCOL
  7.4 THERAPEUTIC SUPPORT FOR THE HEMATOPOIETIC SYNDROME PATIENT
  7.5 THERAPEUTIC SUPPORT FOR THE SEVERELY IRRADIATED PATIENT:
       GASTROINTESTINAL SYNDROME
  7.6 SUMMARY OF MEDICAL ASPECTS OF ACUTE RADIATION INJURY
  7.7 COMBINED INJURY-RADIATION, TRAUMA, CHEMICAL, AND BIOLOGICAL
CHAPTER 8 - INTERNAL CONTAMINATION AND IRRADIATION
            WITH RADIO NUCLIDES
  8.1 INTRODUCTION
  8.2 METABOLISM OF RADIOACTIVE MATERIAL
  8.3 MANAGEMENT OF INTERNAL CONTAMINATION
  8.4 OTHER SPECIAL CONTAMINANTS
  8.5 DEPLETED URANIUM TOXICITY
CHAPTER 9 - LATE EFFECTS
  9.1 GENERAL
  9.2 PATHOLOGIES OF CONCERN
  9.3 CARCINOGENESIS
  9.4 CATARACT FORMATION
  9.5 REPRODUCTIVE TISSUE DISTURBANCES
  9.6 CUTANEOUS EFFECTS
  9.7 CHRONIC RADIATION SYNDROME
  9.8 CONCLUSION
CHAPTER 10 - MEDICAL PLANNING AND OPERATIONS IN RADIATION
             ENVIRONMENTS
  10.1 MEDICAL OPERATIONS DURING NUCLEAR WAR
  10.2 MEDICAL SUPPORT DURING NUCLEAR OPERATIONS
  10.3 MEDICAL UNIT PLANNING AND OPERATIONAL ACTIVITIES
  10.4 COMMAND RADIATION GUIDANCE DURING NUCLEAR WAR OPERATIONS
  10.5 MEDICAL ASPECTS OF OPERATIONS OTHER THAN NUCLEAR WAR
  10.6 PUBLIC HEALTH ASPECTS OF RADIATION EXPOSURE
ANNEX A - ENERGY PRODUCTION AND CONVENTIONAL/NUCLEAR WEAPON PHYSICS
  A.1 GENERAL
  A.2 MECHANISMS OF ENERGY PRODUCTION
  A.3 RADIOACTIVITY AND NUCLEAR RADIATION
ANNEX B - BIOLOGICAL AND PHYSICAL DOSIMETRY
  B.1 INTRODUCTION
  B.2 ANALYSIS OF CYTOLOGICAL ASSAYS-CHROMOSOME ABERRATIONS
  B.3 BIOPHYSICAL ASSAYS-ELECTRON-SPIN RESONANCE
  B.4 RADIATION DETECTORS AND THEIR APPLICATIONS
ANNEX C - HAZARDS OF NUCLEAR WEAPONS ACCIDENTS
  C.1 GENERAL
  C.2 GENERAL HAZARDS
  C.3 INTERNAL HAZARDS
ANNEX D - GENERAL GUIDELINES FOR MEDICAL SUPPORT IN NUCLEAR
          ACCIDENTS
  D.1 GENERAL
  D.2 GUIDELINES FOR MEDICAL ADVISORS
  D.3 PERSONNEL PRECAUTIONS
  D.4 GUIDELINES FOR MEDICAL FACILITIES
ANNEX E - PREDICTED CLINICAL PROGRESSION IN ACUTE RADIATION INJURY
  E.1 SYMPTOMS FOR DOSE RANGE 0 TO 0.75 GY FREE IN AIR
  E.2 SYMPTOMS FOR DOSE RANGE 0.75 TO 1.5 GY FREE IN AIR
  E.3 SYMPTOMS FOR DOSE RANGE 1.5 TO 3.0 GY FREE IN AIR
  E.4 SYMPTOMS FOR DOSE RANGE 3.0 TO 5.3 GY FREE IN AIR
  E.5 SYMPTOMS FOR DOSE RANGE 5.3 TO 8.3 GY FREE IN AIR
  E.6 SYMPTOMS FOR DOSE RANGE 8.3 TO 11 GY FREE IN AIR
  E.7 SYMPTOMS FOR DOSE RANGE 11 TO 15 GY FREE IN AIR
  E.8 SYMPTOMS FOR DOSE RANGE 15 TO 30 GY FREE IN AIR
  E.9 SYMPTOMS FOR DOSE RANGE 30 TO 45 GY FREE IN AIR

Purpose of this publication is to implement STANAG 2461. It provides medical personnel with information on the biomedical effects of radiation regardless of source. It includes nuclear and other radiation weapons and the impact of their use on medical field operations.