RONALD E. GOANS, PhD, MD, MPH
Dr. Ron Goans has his MD degree from the George Washington University School of Medicine, his PhD in Physics from the University of Tennessee and his MPH in Occupational Health & Safety Management from the Tulane University School of Public Health & Tropical Medicine. He has been a National Institutes of Health (NIH) fellow and is currently on faculty as Associate Professor; Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University. He has been a consultant to REAC/TS, the Nuclear Regulatory Commission (NRC), the U.S. Department of Energy (DOE), National Institutes for Occupational Safety & Health (NIOSH), among others. He currently resides in Clinton Tennessee USA.
MD George Washington University School of Medicine, 1983.
PhD University of Tennessee Department of Physics, 1974.
MPH Occupational Health and Safety Management, Tulane University School of Public Health and Tropical Medicine, 2000.
MS University of Tennessee Department of Physics, 1969.
BS University of Tennessee, Engineering Physics, 1968 (with high honors).
Senior Staff Fellow, NICHD, NIH 1992-1994 (Lab of Theoretical and Physical Biology)
National Research Service A ward Fellow 1987-1989 (Lab of Theoretical and Physical Biology)
Tennessee 1983 MDOOOOO 15063 Expires 8/31/2010
Maryland 1985 D0031714 Expires 9/30/2010
Virginia 1988 0101041582 Expires 8/31/2010
MEDICAL REVIEW OFFICER
MROCC Certificate # 0908184 (expires 2/2/2015)
Diplomate, American Board ofPreventive Medicine Specialty: Occupational Medicine (#024955)
2003 -Present Senior Medical Consultant, MJW Corporation.
Senior medical advisor/scientist -REACITS; radiation medicine consultation to DOEINIOSH Dose Reconstruction Project. Emergency preparedness response (private sector, Dartmouth College, NRC, NIH, IAEA and international clients).
Medical consequence analysis and emergency preparedness planning for nuclearibiological/chemical terrorism issues. General occupational and environmental medicine practice. Lecture on radiation accidents and treatment of internal contamination to various client groups.
2002 -Present Clinical Associate Professor; Department of Environmental Health Sciences, School of Public Health and Tropical Medicine (SPHTM), Tulane University.
Consultant, Nuclear Regulatory Commission; Oak Ridge Associated Universities.
Teach graduate courses in public health, pathophysiology, and radiation protection for Tulane University. Current research involves rapid triage techniques for mass casualty radiation-related terrorist incidents and mathematical analysis of influenza time series.
1994 -2002 Section Leader, Medical Services, Radiation Emergency Assistance Center and Training Site (REACITS), Oak Ridge Associated Universities, Oak Ridge, TN.
General occupational and environmental medicine. Interacted with USG national laboratory occupational medical directors on problem medical cases. Provided medical consultation on diagnosis and treatment of actual and suspected radiation exposures. Performed long-term medical follow-up for selected radiation exposure victims.
Served as Registrar, U.S. Radiation Accident Registry and DTPA Registry. Lectured on medical effects of radiation exposure to health physicists, emergency planners, and health care professionals. Provided technical support in field of radiation medicine to Department of Energy, Nuclear Regulatory Commission, and other Federal and state agencies.
Team physician, Project Sapphire (retrieval of highly-enriched uranium from Kazakhstan); technical advisor and DOE consultant with Uruguay on Nuclear Non-Proliferation Treaty. Principal US coinvestigator for DTPA (chelating agent for actinide elements) and Prussian Blue (ion-exchange resin for radiocesium). Chair, ORAU CME committee (1994-2002).
Development of methods for early estimation of radiation dose. The most recent research describes mathematical modeling of lymphocyte kinetics for early dose assessment after a nuclear weapons event. These modeling results have been incorporated by our military (Armed Forces Radiobiology Research Institute; AFRRI) in a new field-oriented CD on biodosimetry techniques.
1996 -1998 Visiting Associate Professor, Department of Nuclear Engineering, Texas A&M University.
1992 -1994 Senior Staff Fellow, Laboratory of Theoretical and Physical Biology, National Institute for Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Conducted research in the dynamics of calcium metabolism, control systems analysis of calcium dynamics, and ultrasonic image analysis of bone. Developed three-hour clinical test to measure calcium metabolism and to identify states of pathological calcium metabolism.
1993-1994 Attending Physician (part-time), Planned Parenthood of Metropolitan Washington and of Virginia.
Practiced office gynecology and performed minor surgical procedures.
1989-1992 Physician, private practice, Ronald E. Goans, M.D., Obstetrics and Gynecology, Oneida and Knoxville, TN.
Private practice of obstetrics and gynecology. Managed five-person staff. As only Ob/Gyn in a fivecounty area, spearheaded the reintroduction of obstetrical services in a rural hospital.
1987-1989 National Research Service Award Fellow, Laboratory of Theoretical and Physical Biology, NIH.
Conducted research in the dynamics and modeling of calcium metabolism in various disease states.
1987-1989 Attending Physician (part-time), Kaiser Permanente, Washington, D.C.
Practiced office gynecology, gynecological surgery, and obstetrics.
1987-1988 Attending Physician (part-time), Department of Obstetrics and Gynecology, Prince George's General Hospital, Cheverly, MD.
Supervised University of Maryland ob/gyn residents. Performed gynecological surgery and practiced obstetrics.
1983-1987 Resident, Obstetrics and Gynecology, Providence Hospital, Washington, D.C.
1974-1979 Research Associate, Health Physics Division, Oak Ridge National Laboratory.
Conducted whole-body counting of laboratory personnel. Upgraded whole-body counting facility. Developed statistical techniques that substantially improved counting sensitivity for internally-deposited plutonium and other actinides. Conducted research on ultrasonic measurement of bum thickness and developed non-invasive method for rapidly distinguishing between full-and partial-thickness bums. Served on DOE inspection team for radiological cleanup of Enewetak Atoll.
1969-1974 Instructor, University ofTennessee Department of Physics.
Taught intermediate level electronics course for physics majors.
PROFESSIONAL ACTIVITIES AND AWARDS
Associate Editor, Health Physics (1995-present).
White House Working Group on Medical Countermeasures for Radiological and Nuclear Threats.
RDD Medical Preparedness and Response Subgroup, US Office of Homeland Security.
Industrial Research/Development Magazine IR-I00 Award, 1978.
Sigma Xi Scientific Research Society; Tau Beta Pi Engineering Honor Fraternity; Sigma Pi Sigma Physics Honor Society.
1. NCRP Committee SC 4-1 Management of Persons Contaminated with Radionuclides (update of NCRP 65).
2. NCRP Committee 57-17; Radionuclide Dosimetry Model for Wounds.
3. NCRP Committee SC 2-1: NCRP Commentary No. 19: Key Elements of Preparing Emergency Responders for Nuclear and Radiological Terrorism
4. NCRP Committee SC 4-1 Revision of NCRP 65 -Management of Persons Contaminated with Radionuclides.
5. Presentation at 2004 NCRP Annual Meeting: Medical Management of Radiological Casualties; Goans, RE and Waselenko, JK.
6. Goans, RE and Waselenko, JK. Medical Management of Radiological Casualties. Proceedings ofthe NCRP 2004. Health Physics, 89(5): 505-12,2005.
7. Member, NCRP PAC-4 Committee -Radiation Protection in Medicine.
American College of Occupational and Environmental Medicine (ACOEM)
American College of Preventive Medicine
American Medical Association
Health Physics Society
American Nuclear Society
American Physical Society
Fish, BR, Boyett, RH, Clark, TG, Royster, GW, Karioris, FG, Thompson, JL, Walker, RL, Wilkie, WH, Smith, BM, Goans, RE. Aerosol Physics. ORNL-4168. Oak Ridge National Laboratory. July 3 I: 291-304, 1967.
R.E. Goans and c.R. Bingham, "Experimental Study of the Structure of9Oy with 8'Y(d,p) at 33.3 MeV and 8'Y(n, 3He) at 65.7 MeV," Phys. Rev. C5, 914 (1972).
R.E. Goans and L.G. Christophorou, "Attachment of Slow « 1 eV) Electrons to O2 in Very High Pressures of Nitrogen, Ethylene, and Ethane," J. Chem. PhYSics. 60, 1036 (1974).
L.G. Christophorou and R.E. Goans, "Low-Energy « 3 eV) Electron Attachment to Molecules in Very High Pressure Gases: C6 H6." J.Chem. Physics. 60,4244 (1974).
R.E. Goans and L.G. Christophorou, "Low Energy « 3eV) Electron Attachment to Molecules in Very High Pressure Gases: C2H5 Br," J. Chem. Phys. 63,2821 (1975).
R.E. Goans, "Two Approaches to Determining 239pU and WArn levels in Phoswich Spectra," Health Physics 29,421 (1975).
W.M. Good and R.E. Goans, "Detection of Internally Deposited Actinides, Part I: Studies on the ORNL Phoswich System," Proceedings of the Ninth Mid-year Topical Symposium of the Health PhysiCS Society, 1976.
R.E. Goans, "Detection of InternalJy Deposited Actinides, Part H: Statistical Techniques and Risk Analysis," Proceedings ofthe Ninth Mid-year Topical Symposium ofthe Health PhysiCS Society, 1976.
W.M. Good, C.E. Bemis, Jr., and R.E. Goans, "Detection of Internally Deposited Actinides, Part III: Recent Background Studies at ORNL," Proceedings ofthe Ninth Mid-year Topical Symposium ofthe Health Physics Society, 1976.
C.E. Bemis, Jr., R.E. Goans, W.M. Good and G.G. Warner, "Detection of Internally Deposited Actinides, Part IV: Preliminary Considerations on the Use of Intrinsic Ge Detectors," Proceedings of the Ninth Mid-year Topical Symposium afthe Health PhYSics Society. 1976.
W.W. Parkinson, L.C. Henley, R.E. Goans, and W.M. Good, "Evaluation of Two Cases oe44Cm Inhalation," Proceedings ofthe NirithMid-year Topical Symposium ofthe Health Physics Society, i976.
R.E. Goans and W.M. Good, "Calibration Techniques and Error Analysis for Actinide Nuclides at Oak Ridge National Laboratory," Proceedings of the Workshop on Measurements of Heavy Elements In Vivo, BNWL-2008, June, 1976.
W.W. Parkinson, Jr., R.E. Goans and W.M. Good, "Realistic Calibration of Whole Body Counters for Measuring Plutonium," /AEA International Symposium on National and international Standardization in Radiation Dosimetry, December, 1977.
R.L. Roswell, R.E. Goans, and J.H. Cantrell, Jr., "High Resolution Ultrasonic Scanning of Animal and Human Tissue in vivo, 1/ ORNLrrM-5934, 1977.
RE. Goans, John H. Cantrell, Jr., and F. Bradford Meyers, "Ultrasonic Pulse Echo Determination of Thermal Injury in Deep Dermal Bums," Medical Physics 4, 259 (1977).
John H. Cantrell, Jr., Ronald E. Goans, and Roberta L. Roswell, "Acoustic Impedance Variations at Bum-Nonbum Interfaces in Porcine Skin," J. Acoust. Soc. Am. 64, 731 (1978).
R.E. Goans and J.H. Cantrell, Jr., "Ultrasonic Characterization of Thermal Injury in Deep Bums," Proceedings of the Third International Symposium on Ultrasonic Imaging and Tissue Characterization, National Bureau of Standards, 1978.
Goans et al., Ultrasonic Technique for Characterizing Skin Bums, U.S. Patent 4,080,960 (May 28, 1978).
C.D. Berger and R.E. Goans, "A Rapid Method of 131, Detection in Milk," Health Physics, 37,783 (1979).
C.D. Berger, RE. Goans, and R.T. Greene, "The Whole Body Counting Facility at Oak Ridge National Laboratory -Systems and Procedure Review," ORNLIM-7477, 1979.
R.E. Goans and G.G. Warner, "Monte Carlo Simulation of Photon Transport in a Heterogeneous Phantom I," Health Physics 37, 533 (1979).
W.L. Beck, Jr., C.D. Berger, J.D. Berger and R.E. Goans. Instrumentation for Detection and Measurement of Ionizing Radiation, in Analytical Measurements and Instrumentation for Process and Pollution Control. Eds. P.N. Cheremisinoffand H.J. Perlis. Ann Arbor Science, Ann Arbor, MI, 1981.
C.D. Berger and R.E. Goans, "A Comparison of the Nal-CsI Phoswich and a Hyperpure Germanium Array for in vivo Detection ofthe Actinides," Health Physics 40, 535 (1981).
Marc Hertzman, M.D. and Ronald Goans, M.D., "Amoxapine and Heart Disease," J. Clin. Psychopharmacol. 4,59 (1984).
Ronald E. Goans, M.D., "Quantitative Assessment of Bum Wound Progress," Maryland Medical Journal 34, 576 (1985).
RE. Goans, S.A. Abrams, N.E. Vieira, and A.L. Yergey, "Frequency Response of the Calcium Control System," in Kinetic Models ofTrace Element and Mineral Metabolism during Development, ed. By K.N. Siva Subramanian and M.E. Wastney, CRC Press, 1995.
G.H. Weiss, RE. Goans, M. Gitterman, S.A. Abrams, N.E. Vieira, and A.L. Yergey. "A Non-Markovian Model for Calcium Kinetics in the Body." J. Pharm and Biopharm 22: no. 5, 367-379, 1994.
RE. Goans, S.A. Abrams, N.E. Vieira, lC. Marini, and A.L. Yergey. "A Three-Hour Measurement to Evaluate Bone Calcium Turnover." Bone 16: 33-38,1995.
R.E. Goans, G.H. Weiss, S.A. Abrams, M.D. Perez, and A.L. Yergey. "Calcium Tracer Kinetics Show Decreased Irreversible Flow to Bone in Glucocorticoid Treated Patients." Calcif Tissue Int 56: 533-535, 1995.
R.E. Goans. "Project Sapphire," Health Physics 68: 296-298, 1995.
RE. Goans. "Update on Current Medical Therapy for Acute Whole-Body Irradiation," Fifth Topical Meeting on Emergency Preparedness and Response. American Nuclear Society. April 18-21, 1995.
R.E. Goans, G.H. Weiss, N.E. Vieira, J.B. Sidbury, S.A. Abrams, and A.L. Yergey. "Calcium Kinetics in Glycogen Storage Disease type 1 a." CalcifTiss Int. 59: 449-453, 1996.
RE. Goans, E.C. Holloway, M.E. Berger, and RC. Ricks. "Early Dose Assessment Following Severe Radiation Accidents." Health Physics. 72 (4): 513-518, 1996.
R.E. Goans, E.C. Holloway, M.E. Berger, and RC. Ricks. "Dose Estimation Using Lymphocyte Depletion Kinetics. In Proceedings of the Workshop on Triage of Irradiated Personnel. An Armed Forces Radiobiology Research Institute Workshop. 25-27 September, 1996.
Ricks, R.C., Holloway, E.C., Goans, R.E., and Fry, S.A. The REAC/TS Radiation Accident Registry: A Basis for Medical Follow-up and Training. Proceedings of an International Conference on Diagnosis and Treatment of Radiation injury. Rotterdam, August 30, 1998-September 3, 1998.
Goans, R.E., Holloway, E.C., Berger, M.E., and Ricks, R.C. Dose Estimation using Lymphocyte Depletion Kinetics. Proceedings of a Workshop on Triage of Irradiated Personnel. An Armed Forces Radiobiology Research Institute Workshop. Eds. GJ. Reeves, D.G. Jarrett, T.M. Seed, G.L. King, andW.F. Blakely. March, 1998.
Goans, R.E., Toohey, R.E., Fry, S.A., and Ricks, R.C. Medical considerations for Post-Emergency Response of Radiation Accidents. Proceedings of the EPA International Radiological Post-Emergency Response Issues Conference. September 9-11, 1998. Washington, D.C. pp 243-248.
Vieira, N.E., Goans, RE., Weiss, G.H., Hopkins, E., Marini, lC., and Yergey, A.L. Calcium Kinetics in Children with Osteogenesis Imperfecta Type III and IV: Pre-and Post-Growth Hormone Therapy. Calcif Tissue Int. 67: 97-100, 2000.
Goans, R.E., Holloway, E.C., Berger, M.E., and Ricks, R.C. Update on Medical Aspects of the Y-12 Accident. DOE Criticality Heritage Video 2000 Symposium. Los Alamos National Laboratory, September 18-20, 2000.
Ricks, R.C., Berger, M.E., Holloway, E.C., and Goans, RE. Radiation Accidents in the United States. Chapter 10. in Medical Management of Radiation Accidents. Second Edition, Eds, LA. Gusev, A.K, Guskova, and F.A. Mettler. CRC Press. Boca Raton, Florida, 2001.
Goans, R.E., Holloway, E.C., Berger, M.E., and Ricks, RC. Early Dose Assessment in Criticality Accidents. Health Phys. 81(4): 446-449,200 I.
Ricks, RC, Goans, RE, and Holloway, EC. History of Radiation Accidents. In The Criticality Accident in Tokaimura: Medical Aspects ofRadiation Emergency. Proceedings of an International Symposium, Chiba, Japan, National Institute of Radiological Sciences, NIRS-M-146, 2001.
Sine, RC, Levine, IH, Jackson, WE, Hawley, AL, Prasanna, PG, Grace, MB, Goans, RE, Greenhill, RG, and Blakely, WF. Biodosimetry Assessment Tool: a post-exposure software application for management of radiation accidents. Mil Med Dec: 166(12 supp), 8S-87, 2001.
Goans, RE. Clinical Care of the Radiation Accident Patient: Patient Presentation, Assessment, and Initial Diagnosis. In The Medical Basis for Radiation-Accident Preparedness. The Clinical Care ofVictims. Eds. Robert C. Ricks, Mary ElIen Berger, and Frederick M. O'Hara, Jr. Proceedings of the Fourth International REACITS Conference on the Medical Basis for Radiation-Accident Preparedness, March 200 I, Orlando, FL. The Parthenon Publishing Group, 2002.
Goans, RE. Update on the Treatment of Internal Contamination. In The Medical Basis for RadiationAccident Preparedness. The Clinical Care of Victims. Eds. Robert C. Ricks, Mary Ellen Berger, and Frederick M. O'Hara, Jr. Proceedings of the Fourth International REACITS Conference on the Medical Basis for Radiation-Accident Preparedness, March 200 I, Orlando, FL. The Parthenon Publishing Group, 2002.
Goans, RE, White, LE, and Allen, SA. Distance Education as a Tool to Train Medical Providers to Respond to a Nuclear Terrorism Event. Proceedings ofthe Health Physics Society Midyear Symposium on Homeland Security, 2003.
Goans, RE. Medical Lessons from US and International Radiation Accidents. Chapter 21. Proceedings of the 2004 Health Physics Society Summer School. Medical Physics Publishing, 2004.
Brodsky, A. Johnson, RH, and Goans, RE., Eds. Public Protection from Nuclear, Chemical, and Biological Terrorism. Health Physics Society 2004 Summer School. Medical Physics Publishing, 2004.
Koenig, K., Goans, RE, Hatchett, RJ, Mettler, FA, Jr., Schumacher, TA, Noji, EK, Jarrett, DG. Medical Treatment of Radiological Casualties: Current Concepts. Ann Emerg Med, June, 200S Jun;4S(6):643-S2.
Goans, RE and Waselenko, JK. Medical Management of Radiological Casualties. Proceedings of the NCRP 2004. Health Physics, 89(5): SOS-12, 200S.
Goans, RE, and Wald, N. Radiation Accidents with Multiple Organ Failure in the United States. Proceedings of the Advanced Workshop on Multi-Organ Failure in Radiation Accidents. The University of Ulm, Ulm, Germany. November, 2003. BJR Suppl27: 41-6, 200S.
Koenig, K., Hatchett, RJ, Mettler, FA, Jr, Goans, RE,., Schumacher, T A, Noji, EK, Jarrett, DG. Use High Awareness and Judgment to Screen Emergency Department Patients for Radiation Exposure. Ann Emerg Med, Jan. 2006 47(1):120-121.
Flynn, DE, and Goans, RE. Nuclear Terrorism: Triage and Medical Management of Radiation and Combined-Injury Casualties. Surg Clin North Am. 86(3): 601-636,2006.
Goans, RE, Goans, RH, Goans, RE, Jr. Christensen, DR Ultrasonic Analysis of Acute Thermal and Radiation Injury -A Pilot Study. Armed Forces Radiobiology Research Institute (AFRRI) EPR-BioDos Conference Proceedings. Radiation Measurements, 42: (6-7), July-August 2007, pp 1261-1264.
Goans, RE. A Note on the Number of Survey Stations Required in a Mass Casualty Radiation Event. Health Phys. 93(6): 705-6, 2007.
Jefferson, RD, Goans, RE, Blaine, PG, and Thomas, SR Diagnosis and Treatment of Polonium Poisoning. Clin Toxicol (Phila) May; 47(5):379-92,2009.
Selected Recent Oral Presentations
2005 HPS Midyear Symposium: Medical Aspects ofthe Homeland Security Response. 2/13/2005.
2005 American Physical Society (APS). Medical Treatment of Radiation Casualties -Views from a Physician and a Physicist. Miami, 4/25/2005.
2005 NYU Medical School Symposium: Medical Treatment of Radiation Casualties; 5/4/2005.
2005 Beth Israel Hospital Ground Rounds (Harvard): Medical Management of Radiation Casualties. 5/14/2005.
2006 University of Miami Medical School/American Cancer Society: Acute Radiation Injury. 2/16/2006.
2006 Sloan-Kettering: Acute Radiation Syndrome: Triage and Radiation Accident Preparation; 4/28/2006.
2006 Health Physics Society Operations Research as a Health Physics Tool in Emergency Response CEL Medical Management of Radiation Casualties -1 h
2006 AFRRI BiodosEPR Conference, Bethesda, MD; 7/10/2006.Ultrasonic Analysis of Acute Thermal and Radiation Injury -A Pilot Study Medical Treatment for Radiation Casualties -Multi-parameter Triage for an IND 2006 MJW Corporation: Course in Internal Dosimetry. 11/17/2006. Medical Management of Internal Contamination.
2007 Acute Radiation Syndrome. REAC/TS Advanced Radiation Medicine course. March 13,2007.
2007 Delayed Radiation Effects. REACITS Advanced Radiation Medicine course. March 16,2007.
2007 Acute Radiation Syndrome. REACITS advanced course for the CDC. June 26, 2007.
2007 MJW Internal Dosimetry Course. Medical Management of Internal Contamination, October 12, 2007.
2007 North American Congress ofClinical Toxicology, October 22, 2007. Medical and Biokinetic Aspects of Po-210 Ingestion.
2007 Accident Response Working Group (ARWG) Technical Collaboration. The Medical Response to Weapons Accidents. The US Experience. October 31, 2007. Radiation Emergency Assistance CenterlTraining Site (REAC/TS). Oak Ridge Institute for Science & Education (ORIS E). Oak Ridge Tennessee USA
2007-2009 Multiple lectures in REAC/TS Radiation Emergency Medicine course (REM) and REAC/TS Advanced Radiation Medicine course (ARM), Topics include acute radiation syndrome (ARS), local radiation injury, internal contamination, Project Sapphire, and delayed radiation effects.
2/2009 Midyear Symposium of the Health Physics Society, San Antonio, TX. The Absolute Lymphocyte Test as a Triage Instrument. And use of Receiver Operating Curves (ROC)