Effects of High Doses of Radiation Sickness
People who were exposed to very high doses of radiation, 4000 to 5000 Rads, would suffer what is known as the central nervous system syndrome. Their brain tissue, damaged by the radiation, would swell, causing nausea, vomiting, explosive diarrhea, and progressive difficulty walking talking and thinking clearly. They would develop convulsions and pass into a coma and die, usually within the first day or two after the bomb. Once someone had been exposed to doses in this range, there would be no effective treatment.
Effects of Medium Doses of Radiation Sickness
People exposed to lesser doses of radiation, down to about 400 to 600 Rads, would suffer a gastrointestinal form of radiation sickness. They would experience nausea, vomiting and diarrhea soon after exposure which would last for several days and then seem to improve. But, after a few days to a week, the symptoms would return and become worse. The diarrhea and vomit would become bloody as the lining of their stomachs and intestines, damaged by the radiation, began to shed. The majority of these patients would also die, despite the most intensive medical therapy.
Effects of Low Doses of Radiation Sickness
People with even smaller radiation exposure, in the 100 to 300 Rad range, would suffer from the hematologic radiation syndrome. They also would suffer nausea, vomiting and diarrhea for a few days, but these symptoms would resolve. About three weeks after exposure, their bone marrow would stop producing normal numbers of blood cells. As their white blood cell count fell, they would become prey to infection. Sores would form in their mouths. Burns and other wounds suffered in the initial attack would become infected and fail to heal. They would also have a fall in the number of platelets, the cell fragments that help blood to clot. They would hemorrhage into their skin, and new bleeding would begin in the intestines and stomach.
Chances For Survival From Radiation Sickness
Those who had received doses in the lower end of this range would have a very great chance of surviving if they received adequate care. Those at the upper end of the exposure scale would have a much worse prognosis, even if they received intensive therapy. Unfortunately it would be impossible to tell how much radiation a given patient had received. Except at the very highest doses, the initial symptoms would be the same. The already overwhelming problem of caring for the wounded would be complicated by an inability to decide who might benefit from therapy and should receive whatever resources might be available.