Triage for radiation injury

This flow chart details the triage and therapy for persons exposed to radiation in a scenario in which there are a limited number of casualties. The degree of toxicity to the variously defined organ systems (ie, cutaneous, gastrointestinal cerebrovascular, and hematologic, see separate figures) determines whether the patient is admitted to the hospital or monitored in an ambulatory setting. Patients with hematologic toxicity of grades 2 to 4 may be treated with transfusion of blood components, those with grades 3 to 4 may receive colony-stimulating factors, and those with grade 4 hematologic toxicity are potential candidates for hematopoietic cell transplantation.