Course Schedule
Technical Cooperation Regional Project
on Medical Education for Nuclear Accident Preparedness
RER/9/049
Course Outline
for
Regional Training Course
“Medical Preparedness and Emergency Medical Assistance for Nuclear and Radiological Accidents”
ÿ
September 27 – October 1, 1999
Organized in Cooperation with
Boston University School of Medicine
Host Institution:
“Frederic Joliot-Curie” National Research
Institute for Radiobiology and Radiohygiene
Anna u. 5
Budapestÿ H-1221
Hungary
“Medical Preparedness and Emergency Medical Assistance
for Nuclear and Radiological Accidents”
Mondayÿÿÿÿÿÿÿÿÿ ÿ 27/09/1999
09:00 ÿÿÿÿÿÿÿÿÿÿÿÿÿ Opening ceremony and introductions
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (Drs. Gy”rgy K”teles, Erwin Hirsch, Robert Ricks, Istv n Turai, Gyozo Horv th)
09:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Radiation accidents: Scope of the problem and statistics (Dr. Robert Ricks)
10:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
10:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Practical radiation physics for emergency personnel and types of exposures
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (Dr. Jure Fettich)
11:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Dose concepts, quantities and units, basic principles and methods of radiation ÿÿ protectionÿ (Dr. Stanko Tezak)
12:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Lunch
13:30ÿ ÿÿÿÿÿÿÿÿÿÿÿÿ Radiation detection, monitoring devices and their uses
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (led by Dr. L szl¢ Ballay with demonstrations in small groups by Drs.ÿÿÿÿÿÿÿÿ Ballay, Raimundas Aleknavicius, Gyozo Horv th, Jure Fettich and Stanko Tezak)
15:00ÿÿ ÿÿÿÿÿÿÿÿÿÿ Coffee breakÿÿ
15:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Videotapes: (comments by Dr. Istv n Turai)ÿÿ
“Radiation: Causes and Effects”
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ “Basic Safety Standards”
16:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Pre-test for the participants
16:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ The “Frederic Joliot-Curie” National Research Institute forÿÿ Radiobiology and Radiohygiene” (Dr. Gy”rgyÿ K”teles, Director)
17:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Instructors’ first-day debriefing session
17:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Get-together garden party at the Host Institute
Tuesday
09:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Biological (molecular and cellular) effects of ionizing radiation
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (Dr. Bengl Gnalp)
10:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
10:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Biological (tissue, organ and systemic) effects of ionizing radiation (Dr. Gnalp)
11:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Deterministic and stochastic effects of exposure to ionizing radiationÿ
ÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿ (Dr. Istv n Turai)
11:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Early and late health consequences of the Chernobyl accident (Dr. Turai)
12:30ÿÿÿÿÿÿÿÿÿÿÿ ÿÿ Lunch
13:30ÿÿÿÿÿÿÿÿÿÿÿ ÿÿ Biological effects of low dosesÿÿ (Dr. Gy”rgyÿ K”teles)
14:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Acute radiation syndrome: symptoms, phases, diagnosis and management
(Dr. Erwin Hirsch)
15:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
15:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Treatment of hematological syndrome: Use of cytokines and PBSCT as new treatment modalities for Acute Radiation Syndrome (Dr. Mikl¢s Kiss)
16:15 ÿÿÿÿÿÿÿÿÿÿÿÿÿ Management of combined radiation injuryÿ (Dr. Hirsch)
17:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Question and answer session
Wednesday
09:00ÿ ÿÿÿÿÿÿÿÿÿÿÿ Practical aspects of biological dosimetryÿ (Dr. Gy”rgy K”teles)
09:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
10:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Assessment and treatment of external and internal contamination
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (Dr. Bengl Gnalp)
11:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Contamination control for ambulance personnel
(Dr. Gyozo Horv th, with demonstration)
11:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Contamination control in the hospital (Dr.ÿ Stanko Tezak, with demonstration)
12:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Lunch
13:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Elements of emergency planning and emergency team organization in the hospital (Dr. Raimundas Aleknavicius )
14:15ÿ ÿÿÿÿÿÿÿÿÿÿÿÿ Adapting medical response in radiological accidentsÿ (Dr. Jure Fettich)
15:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
15:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Local radiation injury, symptoms and consequences depending on dose, diagnosis, and treatmentÿ (Dr. Horv th)
16:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Videotape: (comments by Dr. Robert Ricks )
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ “Hospital Emergency Department Management of Radiation Accidents”ÿÿ
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ
Thursday
09:00ÿ ÿÿÿÿÿÿÿÿÿÿÿÿ Multi-casualty incidents involving radiation: History and implications.
Follow-up and lessons learned from the Goiania accident
(Dr. Robert Ricks)
09:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Medical and biodosimetry aspects of the Estonian accident, 1994
(Dr Istv n Turai)
10:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
10:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Radiological, medical and biodosimetry aspects of the Turkish accident, 1998
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (Dr. Bengl Gnalp)
10:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Medical and biodosimetry aspects of the Iranian accident, 1996 (Dr. Turai)
11:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Medical aspects of the Georgian (Lilo) and Russian (Sarov) accidents, 1997 (Dr. Turai)
11:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Medical aspects of the Peruvian accident, 1999ÿ (Dr. Ricks)
12:15ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Questions and answersÿ (moderated by Dr. Ricks)
12:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Lunch
13:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Psychological aspects of radiation injuryÿ (Dr. Raimundas Aleknavicius)
14:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ International cooperation for medical assistance in radiological emergencies
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ (Dr. Turai)
14:45ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
15:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Practical drill (moderated by Drs. Gyozo Horv th and Miklos Kiss)
16:40ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Post-test for participants
17:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Videotape:
“Treatment of the Georgian Accident Victims”
17:20ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Panel discussion and presentation of certificatesÿ
(Drs. Gy”rgy K”teles, Erwin Hirsch, Robert Ricks, Gyozo Horv th and Istv n Turai)
19:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Dinner (in the Buda hills)
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ
Friday
07:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Travel by bus to the Paks Nuclear Power Plant, Paksÿ (150 km)
09:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Overview of nuclear and radiological emergency response: the on-scene emergency medical response and iodine prophylaxisÿÿÿÿÿÿÿÿÿÿ (Dr. Istv n Turai)
10:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Coffee break
11:00ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Presentations and discussions on the activities of the power plant:
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Personal Dosimetry Service
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Decontamination Facilities
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Medical Service at local and regional levels(Dr. Mikl¢s Otos)ÿ
ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Emergency Response Center (Dr. J¢zsef R¢naky)
13:30ÿÿÿÿÿÿÿÿÿÿÿÿÿÿ Lunch and return to Budapest by bus
