Imagine the unthinkable: a nuclear World War III. Not a distant nightmare, but a real, unfolding catastrophe. Cities vanish in seconds. Infrastructure collapses. The air becomes poison. And for those who survive the initial blast, a slower, invisible killer begins its work—radiation.
If a nuclear event were to strike the United States, the aftermath would be catastrophic. Beyond the immediate destruction, survivors would face a medical crisis unlike anything modern healthcare has ever handled. Radiation sickness, or Acute Radiation Syndrome (ARS), would become the frontline battle.
What Radiation Sickness Looks Like
Radiation sickness doesn’t announce itself with a bang. It creeps in. Within hours to days, symptoms like nausea, vomiting, diarrhea, and fatigue begin. The severity depends on the absorbed dose of radiation—measured in grays (Gy). The higher the dose, the faster and more severe the symptoms.
What Diagnosis Hinges On
Time to vomiting: The shorter the interval post-exposure, the higher the dose.
Blood tests: A drop in white blood cells signals bone marrow damage.
Dosimetry: If available, personal dosimeters or Geiger counters help estimate exposure.
Symptom progression: Neurological symptoms, skin burns, and gastrointestinal distress indicate high-dose exposure.
Determining the Absorbed Dose
To assess the absorbed dose, clinicians rely on:
Exposure history: Proximity to the blast, duration of exposure.
Symptom onset: Especially vomiting and fever.
Lymphocyte depletion kinetics: Serial blood counts over 48–72 hours.
Biodosimetry: Chromosomal analysis (dicentric assay) when available.
Radiation detection tools: Survey meters and dosimeters.
This data guides triage, prognosis, and treatment.
Treatment: Time Is Blood
The goal is clear: stabilize, decontaminate, and treat. Here’s how:
1. Decontamination
Remove clothing: Eliminates up to 90% of external contamination.
Wash thoroughly: Use soap and lukewarm water. Avoid scrubbing damaged skin.
Isolate contaminated individuals: Prevent spread to others and the environment.
2. Bone Marrow Support
Radiation destroys the marrow’s ability to produce blood cells. Without intervention, infection and bleeding become fatal.
Colony-Stimulating Factors (CSFs): Filgrastim (Neupogen), pegfilgrastim (Neulasta), and sargramostim (Leukine) stimulate white cell production.
Transfusions: Red cells and platelets as needed.
Antibiotics and antifungals: Prophylactic or therapeutic use to prevent sepsis.
3. Internal Contamination Treatment
If radioactive particles are inhaled, ingested, or enter wounds, specific agents are used:
Potassium Iodide (KI): Blocks radioactive iodine from being absorbed by the thyroid. Must be taken within hours of exposure.
Prussian Blue: Binds cesium and thallium in the gut, enhancing excretion.
DTPA (Diethylenetriamine pentaacetic acid): Chelates plutonium, americium, and curium, aiding in their removal via urine.
4. Supportive Care
IV fluids: Prevent dehydration and support renal clearance.
Pain management: Especially for burns and GI symptoms.
Nutritional support: High-calorie, high-protein intake to support healing.
Psychological care: Trauma, grief, and anxiety will be rampant.
Preparedness Is the Only Cure
In a nuclear event, chaos will reign. Hospitals will be overwhelmed. Supplies will dwindle. The only way to survive is to prepare now—with knowledge, with stockpiles, and with a plan.
This isn’t fearmongering. It’s reality. And in that reality, the difference between life and death may come down to what you know—and what you have on hand.
Get gear, supplies, and more knowledge at survivalschoolmichigan.com