Exposure and Symptom Triage (EAST) Tool
to Assess Radiation Exposure After a Nuclear Detonation
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Video Teaching Tool:
EAST Tool for Medical Triage after a Nuclear Detonation |
Exposure and Symptom Triage (EAST) Tool to Assess Radiation Exposure After a Nuclear Detonation (Can print normal size or make large poster for wall - 2 pages) (PDF - 365 KB)
Source: Hick JL, Bader JL, Coleman CN, Ansari AJ, Chang A, Salame-Alfie A, Hanfling D, Koerner JF. Proposed "Exposure And Symptom Triage" (EAST) Tool to Assess Radiation Exposure After a Nuclear Detonation. Disaster Med Public Health Prep. 2018 Jun;12(3):386-395. [PubMed Citation]
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Notes about this tool from John Hick, M.D.
- This proposed tool has not been validated in a real-world radiation incident.
- It is not "binary" with respect to triage decision; it is more of a risk matrix than a decision tool.
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It has limited predictive value compared to
serial absolute lymphocyte counts and definitive
biodosimetry tests, but it
- Is better than "ad hoc" decisions
- Provides planning and implementation structure
- Provides a level of fairness and consistency
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New video teaching tool:
EAST Tool for Medical Triage after a Nuclear
Detonation
(YouTube - 27:28 min)
See the time (min:sec) when each topic begins.
- Title: EAST Tool after a Nuclear Detonation 00:00
- About this Video 00:14
- Disclaimer 1 00:53
- Disclaimer 2 01:36
- About Nuclear Detonations 02:36
- Strategies in 1st 96 hours 03:47
- Exposure vs. Contamination 04:42
- Response Strategy & EAST 05:51
- Where to use EAST Tool 06:55
- Physical Damage Zones 07:16
- Damage Zones/Medial Venues 08:40
- Medical Function Zones 11:26
- Summary: Zones & Venues 12:36
- KEY Slide - Triage before EAST 14:32
- KEY Slide - EAST Tool 16:05
- KEY Slide - EAST Example 23:07
- Limitation and Caveats 26:02
- REMM Videos on Triage 26:56
- Final Slide 27:14
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