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Special Considerations
•Patients
who have suffered trauma (from an explosive or burn) combined with an
acute high level exposure to penetrating radiation will have increased
morbidity as compared to patients who have received the same dose of
radiation without trauma.
•If
a patient has received an acute dose greater than 100 rad, efforts must
be made to close wounds, cover burns, reduce fractures, and perform
surgical stabilizing and definitive treatments within the first 48 hours
after injury.
•After
48 hours, surgical interventions should be delayed until hematopoietic
recovery has occurred.
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