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Additional info for Radiological factors affecting decision-making in a nuclear attack: Recommendations of the National Council on Radiation Protection and Measurements
4), it is advisable in the period of intense emergency to make no distinction between the injuries due to irradiation and those due to other causes. At any time when a decision is required regarding additional exposure to radiation (usually to only a small fraction of the total population being considered)-four questions must be answered before a proper determination can be made: (1) How large is the accumulated exposure up to that time, and over what period(s) of time was it received? (2) Is the physical condition of the individual(s) consistent with the predicted effect of such an exposure received in that period of time?
2) is comprehensive and consists of most of the clinical entities that have been studied in man. The classification scheme, summarized in Table 3, can be used for two purposes: A. To Estimate the Radiation Dose From Biological Eflec2s. , acute radiation illness, Level 11), then an estimate of the range and kind of radiation exposures can be made. While the wide variation in human responses makes the range in the exposure estimate large, the group as a whole is expected to react as if all members received the same dose.
Rge-as in the case of an attack with nuclear weapons-it may be difficult to make special provisions for the more vulnerable individuals, however desirable such a policy may be. Furthermore, i t is advisable during the period of intense emergency to make no administrative distinctions between injury due to radiation and that due to other causes. 5 The Probable Outcome The term "clinical radiation injury" is comprised of at least five graded categories of sickness due to exposure of the whole body (or most of it) to external or internal gamma radiation; a t least four graded categories of skin damage due to beta radiation; and several different types of internal injury due to selective (local) deposition of radioisotopes.