Treatment

Casualties from a mass casualty incident who have marrow toxic injuries will require intensive supportive care to recover, the Radiation Injury Treatment Network^SM (RITN^SM) makes available to all medical providers triage and treatment guidelines to help respond to catastrophic disasters.

RITN Acute Radiation Syndrome Treatment Guidelines

A comprehensive guide to principles of acute radiation syndrome management at RITN centers including crisis standards after a nuclear detonation, casualty triage after a nuclear detonation, acute radiation syndrome management, and stem cell support.

RITN ARS Treatment Guidelines (PDF)

Medical Order Sets for Adult and Pediatric Radiation Injury Treatment

A collaboration of REMM and RITN. These orders are also maintained on Department of Health and Human Services-Radiation Emergency Medical Management website.

Adult Medical Orders for Radiation Injury Treatment (PDF)

Pediatric Medical Orders for Radiation Injury Treatment (PDF)

HLA-Typing During a National Emergency

Need guidance for obtaining HLA-typing during a national emergency? Contact the NMDP or the closest RITN center:

National Marrow Donor Program: 1 (800) MARROW 2 or (612) 627-5800
RITN participating hospital locations
RITN participating centers contact directory (PDF)

Aplastic Anemia Protocol

The treatment protocol for patients with severe aplastic anemia is who a acute radiation syndrome patient who needs a marrow transplant should be prepared for transplant. A RITN hospital or bone marrow transplant physician should be consulted prior to any preparation or transplantation.

Aplastic Anemia Protocol (PDF)

IRB Materials

Any casualty treated at a RITN hospital will have data collected for retrospective analysis and research studies. These NMDP created and CIBMTR maintained protocols will allow hospitals to gain approval to seek patient consent to collect data and to collect samples for the NMDP research repository.

Marrow Toxic Injury Data Collection Protocol

The Research Database is to have a comprehensive source of data that can be used to study hematopoietic cell transplantation (HCT). The database includes recipient baseline and outcome data for related and unrelated allogeneic transplants from any cell source, and for autologous transplants. Data are also collected on unrelated donors and their donation experiences.

Research Database Protocol and Consent Forms

Marrow Toxic Injury Subject Research Consents

The Research Sample Repository contains cell and serum samples collected from related and unrelated transplant donors, cord blood units and recipients. The primary objective of the Research Sample Repository is to make these samples available for research studies related to histocompatibility and hematopoietic cell transplantation (HCT).

Research Sample Repository Protocol and Consent Forms