Radiation Incident Response

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Radiological

Emergencies

John C. White, CNMT RSO

The University of Texas Southwestern Medical Center at Dallas

Course Instructor

John C. White, CNMT, RSO

-Certified Nuclear Medicine Technologist

-Radiation Safety Officer

-President, Health Physics Society North and South Texas

-30 years experience with radioactives and radiation

-A/TC WMD Working Group

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Introduction

This lesson will discuss:

 Basic Radiation Principles

 Perspectives on Risk

 Radiological Incident Sources

 Radiological Incident Response

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Main Objectives:

 To gain a better understanding about radiation and radioactivity

 To provide an understanding of the harmful effects of radiation on the human body

 How to safely respond to an emergency involving radioactive materials

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Radiation and Risks

 Radiation exposure

Radiation is everywhere and can be found in many forms

Some are very harmful to the human body

– Radiation injuries can take a long time to present. But when they do, it is usually in the form of cancer or birth defects

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What Is Radiation ?

Energy

In the form of: Waves

Particles

Non-ionizing

Ionizing

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Non-ionizing Radiation

Does Not Have Enough Energy to Remove

Electrons From Surrounding Atoms

Types of Radiation

 Non-ionizing radiation

Waves of energy. Large wavelength

– Low frequency

Non-ionizing radiation comes from ultraviolet and infrared energy waves

 *Note*:

– This type of radiation causes “sunburn” and is not a major concern for the hazmat responder

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Energy Spectrum

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Types of Radiation

 Ionizing radiation

– Energy emitted in the form of electromagnetic waves or particles from the nucleus or electron cloud of an atom

Energy produced:

– Alpha particles

Beta particles

– Gamma or X rays

Neutrons

All of these sources may cause damage at the cellular level

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Ionizing Radiation

Energy Can Be Deposited in Neighboring Atoms

Resulting in the Removal of Electrons.

alpha x-ray

 High

Frequency

 Small

Wavelength gamma ray neutron

 beta

Alpha Radiation

 Alpha radiation

– Alpha particles will travel 3 - 4 inches in air and cannot penetrate the outer layer of skin

Alpha particles can invade the body by other means, such as:

 Injection

 Inhalation

 Ingestion

 Absorption

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Alpha Radiation

 Not an external risk

 Densely ionizing (internal exposure)

 Easily shielded by skin, clothing, etc.

 Internal risk

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Beta Radiation

 Beta radiation

Beta particles can travel 3 to 100 feet and may penetrate the skin.

* A firefighters gear can deflect beta particles

Personnel can be exposed through:

 Inhalation

 Ingestion

 Injection

 Absorption

 Penetration

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Beta Radiation

Can penetrate thin sheets of aluminum and skin

External skin hazard

Internal hazard, like alpha, through ingestion, inhalation or injection

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Gamma Radiation

 Gamma radiation.

– Gamma radiation is a naturally occurring or man-made high energy electromagnetic wave.

– It has a high penetrating power and can travel at the speed of light.

– Gamma rays will penetrate the skin and can cause injury to internal organs.

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Gamma Radiation

 Gamma Radiation Effects

Routes of entry into the body

 Ingestion

 Inhalation

 Injection

 Absorption

 Penetration

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Gamma Radiation

 External and internal hazard

 Best shielded with dense materials (e.g., lead or concrete)

 Will easily penetrate Level A PPE

 Easily detected

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Neutron Radiation

High Speed Particle –

– No electrical charge

– Can travel hundreds of feet in air

– Can easily penetrate Level A PPE

– External hazard

– Best shielded w/materials that are hydrogen rich (elastic collisions)

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RADIOLOGICAL HAZARD

ALPHA PARTICLE

Penetration capability of types of radiation

BETA PARTICLE

GAMMA RAYS

Neutron

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Common Sources of Radiation

Radon - 55%

Other < 1%

Consumer Products - 3%

Nuclear Medicine - 4%

Rocks, Soil - 8%

Cosmic Rays - 8% X-rays - 11%

Water, Food - 11%

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Definitions: (For Purposes of

Emergencies, R=RAD=REM)

 Roentgen (R) (C/Kg)

A unit of exposure: the amount of ionizing radiation

(energy) produced in a specific volume of air

 Radiation absorbed dose (RAD) (Gy)

A unit of absorbed dose: the amount of energy absorbed in a given volume of material.

 Radiation equivalent in man (REM) (Sv)

– A unit of dose equivalent: the amount of radiation that has been absorbed times a quality factor

(biological effects)

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Units of Measurement

2.58 x 10 -4 C /kg -1 = 1 R

1 R = 0.97 Rad (tissue)

0.97 Rad x 1 = 0.97 Rem

Therefore: 1R ~ 1 Rad ~ 1 Rem

1 R = 1000 mR (milliRem)

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Definitions:

Activity

- the rate at which radioactive materials emit radiation

 The number of nuclear disintegrations occurring in a given quantity of material per unit of time – usually referred to as dps or cpm

 A curie (Ci) is the number of radioactive atoms that will decay and emit radiation in one second, not a function of weight of volume

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International Units

-A Curie (Ci) is 37 billion disintegrations per second

3.7 x 10 10 dps = 1 curie (Ci) or 1000 millicuries

-A Becquerel (Bq) is 1 dps

1 Bq = 27 pCi = 0.000027

Ci

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Definitions

 Radioactivity

– Ionizing energy spontaneously emitted by a material or combination of materials.

 Radioactive material

– One that spontaneously emits ionizing radiation

 Radioactive contamination

Radioactive material in an unwanted place

– Internal / external

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Units of Measurement

 Curie

A unit of activity:

 Milli-curie

One-thousandth of a curie

 Micro-curie

One-millionth of a curie

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Definitions:

Half-life

- The amount of time a radioactive material takes to decay to 1/2 of its original activity

 Each radioactive material (Isotope = Source) has a unique half-life

– Sodium 25

Iodine 131

– Cobalt 60

Plutonium 239

60 seconds

8.04 days

5.27 years

24,139 years

 After 7 half lives < 1% remains

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Field Instrumentation

 Identify hazards

 Types of radiation

 External

 Magnitude

 Identify affected media

 Identify nuclide(s)

 Offsite analysis (of media samples)

 Field spectroscopy

May read in mR/hr or microrem/hr – know your meter!

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Field Instrumentation

 Alpha Detectors

– Alpha scintillators (zinc sulfide, ZnS)

– Air proportional detector

– Pancake G-M (Geiger Mueller)

 Beta Detectors

– Pancake G-M

– Thin Wall G-M

 Gamma Detectors

– Sodium Iodide (NaI)

– Geiger Mueller Tube,

Pancake G-M, Thin Wall G-M

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Radiation Effects

 Acute Exposure - Local or Total Body

Exposure occurs in hours or minutes

Repairable damage to cells

– Irrepairable damage to cells, but not causing death

Irrepairable damage resulting in death

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Radiation Effects

 Chronic Exposure

Small amounts of exposure over a long period of time

Birth defects of a Teratogenic or Mutagenic nature

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Risk Perspective mrem/y

Avg. Background 360

Avg. Radiation Worker 400

Regulatory Limit

(Radiation Workers)

5,000

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Health Risks

 Radiation Risks

(bomb survivors)

Risk of developing a fatal cancer, non-fatal cancer, genetic effects, and length of life lost

0.0725 %/rem or 0.0000725 %/mrem

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EPA Emergency Dose Limit

Guidelines

Dose Limit

(whole body)

5 rem

10 rem

25 rem

>25 rem

Emergency Action Dose Guidelines

Activity Performed

All activities

Protecting major property

Lifesaving or protection of large populations

Lifesaving or protection of large populations, only by volunteers who understand the risks.

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Dose Limit Guidelines

 The Maximum Lifetime exposure from a single incident is:

 25 Rem

NCRP Report No. 138

 50 Rem Whole Body , 500 Rem Skin

 Justification, understanding risks

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Types of Incidents

Los Alamos Wildfires Lost Sources

Three Mile

Island

Space Launches

Nuclear facility accidents

Nuclear weapon and device accidents

Nuclear terrorism

Satellite re-entry

Contaminated imports

Transportation accidents

Sabotage

Orphan sources*

Foreign incidents*

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Potential Terrorist Incidents

Involving Radiation

 The nature of these attacks (i.e., materials used, facilities involved, method of contamination, destructive intent) can vary greatly

– Assault or attack on power plants/nuclear facilities

– Improvised Nuclear Weapon/lost or stolen weapon

– Radiation Dispersal Device with or without explosives

– Radiation Exposure Device

– Water system contamination

– Purposely contaminated consumer products

– Orphan and lost sources

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Obtainable Radiological Materials

Element

Cesium–137

Cobalt–60

Strontium-90

Iridium–192

Half Life

30 years

5.3 years

29.1 years

74 days

Type of Radiation

Beta, gamma

Beta, gamma

Beta, Bremsstrahlung (quantity)

Beta, gamma

Hydrogen-3

Plutonium-238

Plutonium-239

Americium – 241

Uranium-235, 238, DU

12.3 year

86 years

24,400 years

430 years

Beta (low energy)

Alpha (gamma contaminant)

Alpha, beta, gamma

Alpha, gamma

710M – 4.5B yrs.

Alpha, gamma (beta from daughters)

Medical and research isotopes:

Technetium-99m

Iodine – 131

Phosphorus-32

Gallium-67

Carbon-14

6 hours

8 days

14 days

78 hours

5730 years

Beta

Beta, gamma

Beta

Gamma

Beta 39

Radiation Dispersal

Device (RDD)

Terrorists pack a conventional explosive around radioactive material

– In the U.S., the sources would likely be radiography-type

(cesium, cobalt, iridium), which are fairly easy to detect if intelligence gives a general location

Terrorists purposely contaminate an area with radioactive materials through some aerosol spraying method

– Lethality is low

– Panic is high

Event is intended to panic the public and severely tax the resources of Federal and state government

– Many follow-up measurements would have to be made to assess the total contamination picture

– Even a small event may take years of study to understand

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Source: Knight-Ridder Tribune

Characteristics of

Radiation Burn

 Thermal Burn as Opposed to Radiation

Burn

- No sensation or recollection of immediate pain

 Delayed Response

 RDD as opposed to Atomic Blast

- Difference in Debris Field

- Flash

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Radiation Exposure Device (RED)

 Radioactive material that is intended to expose people in the vicinity of the device to emitted radiation

– RED could be a sealed source or a material within some type of container (e.g., a shoebox)

– The radioactive material could be in the form of a contained powder, a contained liquid, or a solid object

 Example: if the radioactive material in an industrial radiography device is left without shielding, a person standing one meter from the source would have to stand at that location for about 5 hours to get a dose that would probably prove lethal (death within 2 months…)

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Transportation

Accidents

 WIPP transports

 Industrial Radiography

 Passenger / Air Cargo Flights

 Rail Transport

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Regulatory Agencies

 The Department of transportation (DOT) serves as the regulatory agency involving radioactive materials if:

– A radioactive material having a specific activity of 70 Bq per gram (0.002 micro-curies per gram) of material

 The DOT determines what type of packaging the material shall be encased and shipped in

 ICAO/IATA determines types of packages acceptable on passenger/cargo aircraft

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Emergency Response

Transportation Incidents

Radiation presents minimal risk

• Undamaged packages are safe. Contents of damaged packages may cause increased exposure or possible internal/external contamination

• Type A packages contain non-life endangering amounts

• Type B packages, and the rarely occurring Type C packages including [B(U)F, B(M)F, CF] contain the most

(potentially) hazardous amounts of material. Life threatening conditions may exist only if contents are released or package shielding fails or in utmost severity.

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Emergency Response

Transportation Incidents

FIRE OR EXPLOSION involving Radioactive Material

• Some of these materials may burn, but most do not ignite readily.

• Radioactivity does not change flammability or other properties of materials.

• Type B packages (AF, IF, B(U)F, B(M)F and CF) are designed and evaluated to withstand total engulfment in flames at temperatures of 800°C (1475°F) for a period of 30 minutes.

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Trigger Points

* Initial Alarm Level – 10 mR/h

* Turn Around – 10, 000 mR/h (10 R/h)

* Rule of Thumb

3000 - 4000 cpm = 1 mR/h

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Radiation ‘Experts’

 Radiation Safety Officer

 USNRC

 State – TxDSHS

 Nuclear Medicine Professionals

 FEMA

 EPA

 USDOE

 Several Other Federal Agencies

 Health Physics Society

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What to Look for in an

‘Expert’

 Familiar with Instruments

 Practical Advice

 Ability to Calculate

 Credential

 Familiarity with Contamination

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Emergency Response

Transportation Incidents

Stay upwind.

• CALL Emergency Response Telephone Number on Shipping

Paper first.

• Priorities for rescue, life-saving, first aid, and control of fire and other hazards are first.

• Keep unauthorized personnel away.

• Detain or isolate uninjured persons or equipment suspected to be contaminated; delay decontamination and cleanup until instructions are received from Radiation Authority.

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Emergency Response

Transportation Incidents

• Radiation Authority must be notified of accident conditions.

Radiation Authority is usually responsible for decisions about radiological consequences and closure of emergencies.

• Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions.

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Emergency Response

Transportation Incidents

 Shipping papers and labels indicate the level of

“ activity ”

 The type of transportation container (A, B or C) is determined by the Ci content and level of exposure

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Example

 Radioactive Material

Shall be packaged, at a minimum, in a

Cardboard Box. This is called “Type A

package”.

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Radiation Labels

HAZARD

CATEGORY

CONTENTS

ACTIVITY

Contents Cs-137

Activity 37 GBq (1.0 Ci)

2.0

TRANSPORT INDEX

TRANSPORT

INDEX

HAZARD CLASS

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Radioactive Labels

 Radioactive White - I

One vertical red stripe

– Low level hazard (activity)

Surface radiation level,maximum of 0.5 mR/hr

 Radioactive Yellow - II

– Two vertical red stripes

Moderate hazard (activity)

– Surface radiation level, maximum of 50 mR/hr

1 mR/hr maximum at one meter from package

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Radioactive Labels

 Radioactive Yellow III

– Three vertical red stripes

Highest level hazard (activity)

Surface radiation level – maximum of 200 mR/hr

10 mR/hr maximum at one meter from the package

EXCLUSIVE USE

– 1000 mR/h on package surface,

200 mR/h outer surface vehicle, 10 mR/h at 2 meters

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Transport Index

 A number placed on the label to designate the degree of control to be exercised during transport

 TI is the maximum radiation level in mR/hr per hour) at 1 meter from package

 If TI is 2, the maximum radiation level at 1 meter would be 2 mR/hr

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NFPA Objective 4-2.1.4

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Placards

 Placards are only required to be displayed on vehicles for

Type III shipments

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Radioactive Container

Shapes

 Protective overpacks

Cylindrical configuration

Boxlike configuration

 Casks

Rigid metal packaging

Reinforcing rings and cooling fins

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Radioactive Container Shapes

Type A

Fiberboard

Wooden

Boxes

Steel Drums

Type B Package

 Designed to meet standards for performance under hypothetical accident conditions

 Tests Conducted

– Dropped from a height of 30 feet

Dropped on a steel spike from 40 inches

– Exposed to fire at 1,475 0 F for 30 minutes

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Radioactive Cask

Type B

Type B Package

 TRUPACT I and II

 Certified by NRC

 Meets USDOT safety requirements

 TRUPACT I will hold 7 - 55 gallon drums

 TRUPACT II will hold 14 - 55 gallon drums

 Weight

– 12,700 lbs

19,250 lbs

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Trupact I

Trupact II

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Emergency Response

 When responding to a radiological emergency, personnel MUST remember three (3) important characteristics:

 We Cannot Smell it

 We Cannot Taste it

 We Cannot See It

 Rushing in to a radiological emergency spells trouble!!

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Emergency Response

 Personnel Safety

Responders shall ensure the safety of themselves and co-workers, prior to performing rescues or evacuations of victims or potential victims.

 This can be done by performing a proper

size up of the scene prior to commitment of personnel.

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Emergency Response

 Identifying Material

– Labels

Placards

– Bill of Lading

– Shipper’s Declaration

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Documents

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Emergency Response

 Other information may come from:

An operator of a transport vehicle

User

Manufacturer

Shipper

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Emergency Response

 Monitoring

Monitoring should begin prior to arriving at the scene.

 Radioactivity can be monitored by:

 CD V-700

 CD V-715

The CD V-700 survey meter has a range of 0 to 50 mR/Hour.

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Performing a Rescue

 In situations involving rescue, certain safety requirements must be considered and include:

 Knowing the characteristics of radiation

 Ensuring personnel safety

 Who should perform rescue

 Who should perform evacuation

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Emergency Response

 Protection

– Protection can be achieved by:

 Time

 Distance

 Shielding

All of these should be in-place when working a Radiological Emergency

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Fire, Spill or Leak

-See ERG

Small Fires

Dry chemical, CO 2, water spray or regular foam.

 Large Fires

Water spray, fog (flooding amounts).

 SPILL OR LEAK

 Do not touch damaged packages or spilled material.

Damp surfaces on undamaged or slightly damaged packages are seldom an indication of packaging failure. Most packaging for liquid content have inner containers and/or inner absorbent materials. If any radioactive contamination resulting from a liquid release is present, it probably will be low-level.

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Protection Factors

Time

– the shorter the exposure time, the less the exposure

– Radiation exposures are additive in their effects upon the or any other subject

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PROTECTION FACTORS

Distance

– the closer you are, the greater the exposure

– the energy emitted from a radioactive source declines as you move away from the source

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EXERCISE

1. There is a wreck on I-20, on approach you recognize it as semi transporting a type B cask. The cask as it appears, has not cracked open. You determine that the TI is 10.

If you stand at 3 ft away from the cask for one hour, what is your exposure?

2. On further examination it appears the cask has been cracked, someone standing next to you measures 0.5 R/hr and you have been there for 30 minutes. What dose did you receive?

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Inverse Square Law

If you double the distance from the source, the intensity is lowered by one fourth

 Inverse Square Law - The intensity of ionizing radiation declines with the square of the distance

 Protection Factor Formula = Distance 2

Quantity

Distance 2

= Amount of Radiation Received

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 Protection Factor

5 ft.

10 ft.

20 ft.

30 ft.

1000 mR/hr 40 mR/hr 10 mR/hr 2.5 m/hr 1.1 mR/hr

5 X 5 = 25

1000

= 40 mR/hr

25

10 mR/hr

4.4 mR/hr

30 X 30 = 900

1000

= 1.1 mR/hr

900

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EXERCISE

You are at the scene of transport accident and find that on measurement you are standing in a 500 mR/h field which is one meter (3 ft) away from the source of radiation.

How far would you have to move away from the source to be less than an initial alert level of 10 mR/h?

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PROTECTION FACTORS

Shielding

Personnel protective equipment can offer protection against alpha particles

– PPE will offer limited protection against beta particles

PPE offers NO protection against gamma radiation

Positive pressure self-contained breathing apparatus (SCBA) and structural firefighters’ protective clothing will provide adequate protection against internal radiation exposure, but not all external radiation exposures.

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Emergency Care

• Medical problems take priority over radiological concerns.

• Use first aid treatment according to the nature of the injury

• Do not delay care and transport of a seriously injured person.

• Apply artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult.

• In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes.

• Injured persons contaminated by contact with released material are not a serious hazard to health care personnel, equipment or facilities.

• Ensure that medical personnel are aware of the material(s) involved, take precautions to protect themselves and prevent spread of contamination

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This Presentation

Was Developed by the

North Texas Chapter

Health Physics Society

-The Radiation Safety Professionals

-In Conjunction with

The University of Texas Southwestern

Medical Center at Dallas

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