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Antibiotic stewardship refers to coordinated efforts and activities that seek to measure and improve use of antibiotics. Implementation of ASPs has demonstrated positive public health and clinical impacts including reducing costs, lengths of hospital stays, and the burden of antibiotic resistance wh...ile maintaining or improving patient outcomes. The U.S. Centers for Disease Control and Prevention (CDC) released the Core Elements of Hospital Antibiotic Stewardship Programs in 2014, which outlines essential components for ASPs in hospitals and provides practical guidance for implementing a robust ASPin an acute care facility. Variations to the Core Elements have been developed to deal with the particular challenges in small, rural or critical access hospitals in the United States and in outpatient facilities and nursing homes.
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Injury to the skin and underlying tissues from acute exposure to
a large external dose of radiation is referred to as cutaneous
radiation injury (CRI). Acute radiation syndrome (ARS) 1 will
usually be accompanied by some skin damage; however, CRI
can ...occur without symptoms of ARS. This is especially true with
acute exposures to beta radiation or low-energy x-rays, because
beta radiation and low-energy x-rays are less penetrating and less
likely to damage internal organs than gamma radiation is. CRI can
occur with radiation doses as low as 2 Gray (Gy) or 200 rads 2 and
the severity of CRI symptoms will increase with increasing doses.
Most cases of CRI have occurred when people inadvertently came
in contact with unsecured radiation sources from food irradiators,
radiotherapy equipment, or well depth gauges. In addition, cases of
CRI have occurred in people who were overexposed to x-radiation
from fluoroscopy units.
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Acute Radiation Syndrome (ARS) (sometimes known as radiation
toxicity or radiation sickness) is an acute illness caused by
irradiation of the entire body (or most of the body) by a high dose
of penetrating radiation in a very short period of time (usually ... a
matter of minutes). The major cause of this syndrome is depletion
of immature parenchymal stem cells in specific tissues. Examples of
people who suffered from ARS are the survivors of the Hiroshima
and Nagasaki atomic bombs, the firefighters that first responded
after the Chernobyl Nuclear Power Plant event in 1986, and some
unintentional exposures to sterilization irradiators.
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A brief, 17-minute video covering key radiation principles and radiological procedures. Includes demonstrations on application of these principles and procedures in several patient care scenarios in an emergency services setting.
This pocket guide is designed for clinicians, including physicians, nurses, and other health care professionals, who will provide emergency care following a radiological event. It should be used as a supplement to training and practice drills. (Prints on 8½" x 14" paper)
After a radiation emergency, pregnant women should follow instructions from emergency officials and seek medical attention as soon as emergency officials say it is safe to do so.
This infographic contains information about external contamination, internal contamination and radiation exposure.
Radiation emergencies may be intentional (e.g., caused by terrorists) or unintentional. CDC provides some examples of different types of radiation emergencies and information what to do if a radiation emergency happens in your area.
If a radiation emergency happens in your area, you should get inside immediately.
No matter where you are, the safest action to take is to: GET INSIDE. STAY INSIDE. STAY TUNED.
The Centers for Disease Control and Prevention (CDC) provide information about radiation emergencies for the public and professionals.
Are you prepared? If a disaster strikes in your community, you might not have access to food, water, or electricity for several days. Preparing an emergency kit for your family is an important step in keeping them safe and healthy during an emergency.
TB and HIV/AIDS
Accessed November 2017
This is a basic form for reporting individual cases of plague. It asks for information regarding patient history and the course of the illness. In addition, it offers space for laboratory results, the case status, and epidemiological information.
This technical package represents a select group of strategies based on the best available evidence to help communities and states sharpen their focus on prevention activities with the greatest potential to prevent suicide
Information on Plague for healthcare professionals and Travellers