Radiation Guidelines

Medical Management of Internally Radiocontaminated Patients

Carol S. Marcus, Ph.D., M.D. and Jeffry A. Siegel, Ph.D. with

Richard B. Sparks, Ph.D., M.B.A., Consultant
June, 2006

New Radiation Guidelines from Carol Marcus & Jeff Siegel

When the Los Angeles County Emergency Medical Services Agency put in its grant proposals for Metropolitan Medical Response System (MMRS) funding for 2005, it included two proposals by Carol S. Marcus, Ph.D., M.D. and Jeffrey A. Siegel, Ph.D. These proposals basically were to write a manual for Emergency Medicine physicians and other physicians caring for internally radio contaminated patients, especially during a mass casualty situation. MMRS is funded by the Department of Homeland Security. This manual, which included research into calculating humanized gamma ray constants, was completed in June of 2006 and published on the internet in August, 2006. It is freely available to anyone. Nuclear medicine physicians may find this information very useful. Download a copy and tuck it away for an emergency!

Dr. Marcus is a radiation biologist and nuclear medicine physician. She serves as the president of ACNP in California. She retired from Harbor-UCLA as Assoc. Chief of Nuclear Medicine in 1999, and began a consulting company dealing with radiation biology and nuclear medicine issues. She is a Professor of Radiation Oncology and of Radiological Sciences at UCLA, where, as Attending Staff, she teaches a comprehensive course in Radiopharmaceutical Therapy. She may be reached at csmarcus@ucla.edu.

Dr. Siegel is a medical physicist who has worked at Temple University and for radiopharmaceutical development companies. He now runs a consulting physics company called Nuclear Physics Enterprises, and he may be reached at nukephysics@comcast.net. A recent past Chairman of the SNM-ACNP Government Relations Committee, he has also written the excellent regulatory guidance document for complying with NRC's regulations called Guide for Diagnostic Nuclear Medicine and Radiopharmaceutical Therapy. NRC accepts this as an alternate to its own guidance document. It is published by SNM.