This report focuses on radiological dispersal device (RDD) Preparedness and medical preparedness response and is a joint effort of the Department of Veterans Affairs, the Department of Health & Human Services, and the Emergency Medical Response groups. It offers medical guidelines and an array of topic areas such radiological protection for first responders and first contact medical personnel; evacuation, sheltering, and other public health measures to reduce/avert radiation dose; guidelines on dealing with deceased persons following radiological terrorism; guidance for managing stress in first responders; evacuation, sheltering, and other public health measures to reduce/avert radiation dose. RDD events are very unlikely to contaminate victims in a way that will be harmful to responders or caregivers. If a victim is acutely injured, responders should attend to those injuries immediately, regardless of the type or degree of personal protective equipment that is available. Normal barrier clothing and masks should be used if available, but care of patients with life-threatening injuries should not be delayed because first responders lack adequate personal protective equipment Contaminated personnel, equipment, and vehicles can be cleaned later, at little risk to human health or the integrity of the equipment.