The deterministic (acute tissue damage) effects that can lead to acute radiation syndrome only occur in the case of acute high doses (≳ 0.1 Gy) and high dose rates (≳ 0.1 Gy/h) and are conventionally not measured using the unit sievert, but use the unit gray (Gy).
A model of deterministic risk would require different weighting factors (not yet established) than are used in the calculation of equivalent and effective dose.