REMM Bibliography - Professional Societies with Radiation Information for Healthcare Providers

• National Academy of Medicine (formerly Institute of Medicine)
• National Council on Radiation Protection and Measurements (NCRP) reports
• Health Physics Society (HPS) resources
• Radiation Injury Treatment Network (RITN) resources
• Conference of Radiation Control Program Directors (CRCPD) resources
• National Alliance for Radiation Readiness (NARR) resources
• Other professional society publications/web sites about radiation medical response

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National Academy of Medicine (formerly Institute of Medicine): selected references for REMM

• Scientific Aspects of Violent Extremism, Terrorism, and Radiological Security, Proceedings of a Workshop–in Brief (National Academies of Sciences Engineering and Medicine, 2020)
• Evidence-Based Practice for Public Health Emergency Preparedness and Response, Consensus Study Report (National Academies of Sciences Engineering and Medicine, 2020)
• The Future of Low Dose Radiation Research in the United States: Proceedings of a Symposium (2019)
  • Summarizes a 2-day symposium on the need for a long-term strategy to guide a low dose radiation research program in the United States.
  • Conference definition: "Low dose radiation exposures, generally taken to mean a dose less than 100 millisieverts (mSv), arise from natural background and a number of man-made circumstances including routine operations of nuclear energy production, nuclear waste management, research activities, accidents, and medical diagnostic procedures."
• Long-Term Health Monitoring of Populations Following a Nuclear or Radiological Incident in the United States, Proceedings of a Workshop (2019)
• Exploring Medical and Public Health Preparedness for a Nuclear Incident: Proceedings of a Workshop (March, 2019)
• Forum on Medical and Public Health Preparedness for Disasters and Emergencies (NAS). Many key activities and reports from past NAS forums on this topic are available.
• Preparedness, Response, and Recovery Considerations for Children and Families - Workshop Summary (December 17, 2013)
• Engaging the Public in Critical Disaster Planning and Decision Making. (August 23, 2013)
• Nationwide Response Issues After an Improvised Nuclear Device Attack: Medical and Public Health considerations for Neighboring Jurisdictions: Workshop Summary (2014)
  • In the right navigation panel of the web page, see
    • Agenda
    • Presentations
    • Attachments: white papers on key policies
    • Audio
  • Workshop Summary, July 9, 2013
• Crisis Standards of Care: A Toolkit of Indicators and Triggers (Institute of Medicine, July 31, 2013)
• Crisis Standards of Care (CSC): A Systems Framework for Catastrophic Disaster Response (Institute of Medicine, March 21, 2012)
• Assessing Medical Preparedness to Respond to a Terrorist Nuclear Event: Workshop Report (Institute of Medicine of the National Academies, 2009).
• Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations, a Letter Report (Institute of Medicine of the National Academies, 2009).
  • Allocation of Scarce Resources During Mass Casualty Events (HHS/AHRQ, June 2012) (This report represents follow-up after the 2009 IOM report.)
• Medical Surge Capacity, Workshop Summary, Forum on Medical and Public Health Preparedness for Catastrophic Events (Institute of Medicine of the National Academies, 2010).

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National Council on Radiation Protection and Measurements (NCRP) reports: selected references for REMM

• Radiation Protection Guidance for the United States (NCRP Report No. 180), Bethesda, MD, 2018.
  • A comprehensive update on this topic that includes many issues relevant for radiation mass casualty incidents
  • Explicitly defines emergency workers as a new category for exposure
  • Recommends that emergency workers be handled separately from occupational exposure or public protection
  • 3 Radiation Protection Principles
    • Justification
    • Optimization (ALARA)
    • Numeric protection criteria for management of dose to an individual
• Implications of Recent Epidemiologic Studies for the Linear-Nonthreshold Model and Radiation Protection (NCRP Commentary No. 27), Bethesda, MD, 2018.
• Guidance for Emergency Response Dosimetry, (NCRP Report 179), Bethesda, MD, 2017.
  • Implementation Guidance for Emergency Response Dosimetry, (NCRP Commentary No. 28), Bethesda, MD, 2019.
    • Includes the following dosimetry operational guidance and tools
      • Establishing radiation control zones
      • Choosing the correct dosimeter
      • Defining the minimal and ideal information needs for dose reconstruction
      • Integrating dose tracking into the Incident Command System (ICS), including example ICS forms
      • Answering responder questions, including pre-scripted messages
      • Protecting urban search and rescue service dogs
• Decision Making for Late-Phase Recovery from Major Nuclear or Radiological Incidents, (NCRP Report No. 175), Bethesda, MD, 2014.
• Preconception and Prenatal Radiation Exposure: Health Effects and Protective Guidance, (NCRP Report No. 174), Bethesda, MD, 2013.
• Investigating Radiological Incidents, (NCRP Report No. 173), Bethesda, MD, 2012.
• Uncertainties in the Estimation of Radiation Risks and Probability of Disease Causation, (NCRP Report No. 171), Bethesda, MD, 2012.
• Population Monitoring and Radionuclide Decorporation Following a Radiological or Nuclear Incident, (NCRP Report No. 166), Bethesda, MD, 2011.
• Responding to a Radiological or Nuclear Terrorism Incident: A Guide for Decision Makers (PDF - 1.61 MB) (NCRP Report No. 165), Bethesda, MD, 2010.
• Uncertainties in Internal Radiation Dose Assessment (NCRP Report No. 164), Bethesda, MD, 2009.
• Radiation Dose Reconstruction: Principles and Practices (NCRP Report No. 163), Bethesda, MD, 2009.
• Management of Persons Contaminated with Radionuclides: Scientific and Technical Bases (NCRP Report No. 161, Vol. II), Bethesda, MD, 2010.
• Management of Persons Contaminated with Radionuclides: Handbook (NCRP Report No. 161, Vol. I), Bethesda, MD, 2008.
• Risk to the Thyroid from Ionizing Radiation (NCRP Report No. 159), Bethesda, MD, 2008.
• Cesium-137 in the Environment: Radioecology and Approaches to Assessment and Management (NCRP Report No. 154), Bethesda, MD, 2006.
• Key elements of preparing emergency responders for nuclear and radiological terrorism (NCRP Commentary No. 19), Bethesda, MD, December 2005. Purchase required.
• Approaches to risk management in remediation of radioactively contaminated sites (NCRP Report No. 146), Bethesda, MD, 2004.
• Management of terrorist events involving radioactive material (NCRP Report No. 138), Bethesda, MD, 2001.
• Radionuclide exposure of the embryo/fetus (NCRP Report No. 128), Bethesda, MD, 1998.
• Deposition, retention and dosimetry of inhaled radioactive substances (NCRP Report No. 125), Bethesda, MD, 1997.
• Advising the public about radiation emergencies (NCRP Commentary No. 10), National Council on Radiation Protection and Measurements, Bethesda, MD, 1994.
• Developing Radiation Emergency Plans for Academic, Medical or Industrial Facilities (NCRP Report No. 111), National Council on Radiation Protection and Measurements, Bethesda, MD, 1991.
• Genetic effects from internally deposited radionuclides (NCRP Report No. 89), Bethesda, MD, 1987.
• Management of persons accidentally contaminated with radionuclides (NCRP Report No. 65), Bethesda, MD, 1980.

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Health Physics Society (HPS) resources: selected references for REMM

• Radiation Basics (Health Physics Society)
• Radiation Terms and Definitions (Health Physics Society)
• Bibliography of Health Physics Society Documents (Health Physics Society)
• How can you detect radiation? (Health Physics Society)
• Hospital Response Following a Terrorist Event with Radioactive Material (PowerPoint® - 5.92 MB) (Health Physics Society, January 6, 2009)
• Polonium-210 Information Sheet (PDF - 79 KB) (Health Physics Society)
• Is potassium iodide a magic bullet for radiation exposure? (PDF - 89 KB) (Health Physics Society)
• Pregnancy and Radiation Exposure (PDF - 222 KB) (Health Physics Society)
• Pregnancy and Radiation Exposure (Health Physics Society)
• Radiation Exposure and Pregnancy - Fact Sheet for Patients (PDF - 480 KB) (Health Physics Society)

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Radiation Injury Treatment Network (RITN) resources: selected references for REMM

• Radiation Injury Treatment Network (RITN)
  • RITN Treatment Guidance
    • RITN Acute Radiation Syndrome Treatment Guidelines (PDF - 2.53 MB) (RITN, October 2020)
    • Cytokine Administration Triage Guidelines for Acute Radiation Syndrome (Adult and Pediatric)
      • The purpose of these guidelines are to give physicians, advanced practitioners and nurses (medical providers) simple myeloid cytokine triage guidelines to assist with the administration of these pharmaceuticals to adult and pediatric casualties in the immediate aftermath of a radiological disaster.
      • Formats available
        • 4x6 card (PDF - 635 KB)
        • 8.5x11 size (PDF - 678 KB)
        • 24x36 poster size (PDF - 129 KB)
  • RITN Training Materials
  • RITN Exercises
  • RITN YouTube Channel
• Just-in-time Training for Healthcare Providers after the Detonation of an IND (RITN) (YouTube - 16:10 min)
• Davlantes E, Shartar S, Venero J, Steck A, Langston A, Kazzi ZN. Opportunity for Collaboration Between Radiation Injury Treatment Network Centers and Medical Toxicology Specialists. South Med J. 2017 Aug;110(8):497-501. [PubMed Citation]
• Case C Jr. 10 Years of Preparedness by the Radiation Injury Treatment Network. Curr Hematol Malig Rep. 2017 Feb;12(1):39-43. [PubMed Citation]
• Case C Jr. Radiation Injury Treatment Network®: Preparedness Through a Coalition of Cancer Centers. Health Phys. 2016 Aug;111(2):145-8. [PubMed Citation]
• Confer DL, Weisdorf D, Weinstock D, Case C, Chao N. Radiation disasters: role of the BMT team. Biol Blood Marrow Transplant. 2012 Jan;18(1 Suppl):S189-92. [PubMed Citation]
• Weisdorf D, Weinstock D, Case C, Chao N, Confer DL. Planning and response to radiation exposures. Biol Blood Marrow Transplant. 2011 Aug;17(8):1262-3. [PubMed Citation]
• Ross JR, Case C, Confer D, Weisdorf DJ, Weinstock D, Krawisz R, Chute J, Wilhauk J, Navarro W, Hartzman R, Norman Coleman C, Hatchett R, Chao N. Radiation injury treatment network (RITN): healthcare professionals preparing for a mass casualty radiological or nuclear incident. Int J Radiat Biol. 2011 Aug;87(8):748-53. [PubMed Citation]
• Davids MS, Case C Jr, Hornung R 3rd, Chao NJ, Chute JP, Coleman CN, Weisdorf D, Confer DL, Weinstock DM. Assessing surge capacity for radiation victims with marrow toxicity. Biol Blood Marrow Transplant. 2010 Oct;16(10):1436-41. [PubMed Citation]
• Davids MS, Case C Jr, Confer DL, Weisdorf DJ, Weinstock DM. Medical management of radiation victims in the United States. Health Phys. 2010 Jun;98(6):833-7. [PubMed Citation]
• Case C Jr. Radiation Injury Treatment Network (RITN): Hematology Physicians Preparing for a Mass Casualty Marrow Toxic Incident. Indian Journal of Radiation Research, January - June 2009: Vol 6 (1-2): 18-20
• Fliedner TM, Chao NJ, Bader JL, Boettger A, Case C Jr, Chute J, Confer DL, Ganser A, Gorin NC, Gourmelon P, Graessle DH, Krawisz R, Meineke V, Niederwieser D, Port M, Powles R, Sirohi B, Weinstock DM, Wiley A, Coleman CN. Stem cells, multiorgan failure in radiation emergency medical preparedness: a U.S./European Consultation Workshop. Stem Cells. 2009 May;27(5):1205-11. [PubMed Citation]
• Weinstock DM, Case C Jr, Bader JL, Chao NJ, Coleman CN, Hatchett RJ, Weisdorf DJ, Confer DL. Radiologic and nuclear events: contingency planning for hematologists/oncologists. Blood. 2008 Jun 15;111(12):5440-5. [PubMed Citation]
• Weinstock DM, Case C Jr, Confer DL. Response: Radiologic and nuclear events. Blood. 2008 Jun 15;111(12):5758-9.

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Conference of Radiation Control Program Directors (CRCPD) resources

• Conference of Radiation Control Program Directors (CRCPD)
  • Radiological/Nuclear Toolbox includes
    • Immediate Radiological/Nuclear Technical Assistance
    • Radiation Injury or Medical Concerns
    • Radiological Laboratory Services
    • Software for plume modeling, dose assessment, contamination deposition and assessment
    • Planning and Preparedness Contacts
    • Written guidance
    • Training Resources

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National Alliance for Radiation Readiness (NARR) resources

• National Alliance for Radiation Readiness (NARR)
  • About NARR
  • 4 video set for public health workers about planning for and responding to radiation incidents
    • Video 1: Phase 0 of the response - Introduction and pre-incident planning (Youtube - 18:21)
    • Video 2: Phase 1 of the response – activities at 0-24 hours of the response (Youtube - 18:21)
    • Video 3: Phase 2 of the response – activities at 24-96 hours of the response (Youtube - 20:24)
    • Video 4: Phase 3 of the response – activities at hours 96 and beyond (Youtube - 26:01)

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Other professional society publications and web sites with information about radiation medical response

• Disaster preparedness for radiology professionals: Response to terrorism (PDF - 357 KB), (American College of Radiology, 2005, Government Version 3.0)
• Waeckerle JF, Seamans S, Whiteside M, Pons PT, White S, Burstein JL, Murray R; Task Force of Health Care and Emergency Services Professionals on Preparedness for Nuclear, Biological, and Chemical Incidents. Executive summary: Developing objectives, content, and competencies for the training of emergency medical technicians, emergency physicians, and emergency nurses to care for casualties resulting from nuclear, biological, or chemical (NBC) incidents. Ann Emerg Med. 2001 Jun;37(6):587-601 [PubMed Citation]

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