In 201
4
, the U
.
S
.
Army Office of the Surgeon General (OTSG) asked the Institute for
Defense Analyses (IDA) to “
r
eview current
DOD
policies and doctrine on the medical
management of radiological or nuclear casualtie
s and operational exposure to ionizing
radiation
.”
1
This document includes a review of policy at the Department of Defense,
Chairman of the Joint Chiefs of Staff, and Service levels
,
as well as doctrine
at the Joint
Staff and Service levels. Policy support
ing the management of operational exposures to
ionizing radiation is somewhat fragmented, with the exception of the U.S. Air Force
,
which
combines all policy related to ionizing radiation, regardless of location, into a single policy
document. Doctrine for
managing operational exposures to ionizing radiation is well
established in Joint Publication 3
-
11. Doctrine for the management of radiation and nuclear
casualties is contained in
Army Techniques Publication (ATP)
4
-
02.83
,
Multiservice
Tactics,
Techniques, and Procedures for Treatment of Nuclear and Radiological
Casualties
;
however
,
the academic nature of this document limits its applicability to the
management of the individual patient.