Toxico-terrorism: Emergency Response and Clinical Approach to Chemical, Biological, and Radiological Agents

by McFee, Robin; Leikin, Jerrold

• ISBN13: 9780071471862
• ISBN10: 0071471863
• Edition: 1st
• Format: Paperback
• Copyright: 2007-09-03
• Publisher: McGraw-Hill Education / Medical

Summary

Written by emergency room physicians for emergency room physicians, this is an authoritative clinical reference on bioterrorism and disaster preparedness. The authors focus on specific ER strategies for preparing for a potential disaster as well as familiarizing from a practical and clinical standpoint the manifestations of large spectrum of biologic and radiologic agents.

Author Biography

Jerry Leikin, MD, Professor of Medicine and Toxicology, Rush Medical College.

Robin McFee, DO, MPH, Department of Preventative Medicine, The School of Medicine, State University of New York, Stony Brook, NY.

Table of Contents

General Patient Principles

Hospital/Pre-hospital Decontamination

Toxidrome Recognition

Biodrome Recognition

Antidote Management

Antimicrobials

Supportive Care

In-hospital Triage

Dermal Issue

Neurologic Issues

Cardiac Issues

Orthopaedic Issues

Ophthalmologic Issues

Respiratory/Critical Care Unit Issues

Gastro-Intestinal/Hepatic Issues

Acute Psychiatric Issues

Palliative and Expectant (black Tag) Care

Special Populations a. Pediatrics b. Geriatrics c. Women who are pregnant d. Women Reproductive Issues (not pregnant) e. Service animals (Veterinarians on site)

Hospital Laboratory Issues

Forensics for ED/EMS

EMS Issue

Preparing First Responder Communities

Mobile emergency Response Teams

Chem. Packs

Mass Casualties

Hazardous Materials

Emergency Department Preparedness

Antidote Management and SNS

H.E.I.C.S

EMS Protocols

Personal Protective Equipment

Community Vulnerabilities

Community Preparedness

Behavioral Health Infrastructure

Infield Laboratory Analysis

Emergency Department Preparedness

Nursing Triage

Hospital/Facility Security

Pharmacy Preparedness

ED Decontam / Equipment

Bio-simulations

Special Facility Preparedness

Hospital Staff Issues

Dealing with Death

Emergency Department Communications

Specific Chemical Agent: Toxins / Toxicants

Nerve Agents

Blister Agents (Lewisite, Mustard, Phosgene Oxime)

Chemical Asphyxiants (Hydrogen Cyanide, Cyanogen Chloride)

Flammable Industrial Gases/Liquids (Gasoline, Propane)/Volatiles (Berzone, Chloroform, Trihalomethanes)

Corrosive Industrial Agent (Nitric Acid, Sulfuric Acid)

Heavy Metals (Arsenic, Lead, Mercury)

Pulmonary Agents (Phosgene, Chlorine, Vinyl Chloride)

Pesticides

Riot Control Agents

Non-Lethal Weapons or Incapacitating Agents

Other Agents

Biologicals

CDC Category A Agents

Anthrax

Plague

Botulism

Variola (Small Pox, Poxviruses)

Tularemia

Hemorrhagic Fever (Arena Viruses, Filo Viruses)

CDC Category B Agents

CDC Category B Agents (Food/Water Bourne Agents)

CDC Category C Agents

Emerging infectious Diseases

Common Presentation of Illness not Common in the USA

Agroterroism

Radiation

Radiation Principles

Radiation Terrorism

Chernobyl Experience

Explosives/Incendiaries

Explosive Issues (Include Ammonia Nitrate combined with fuel oil)

Bombings (General Principles of Management)

Law Enforcement / Military Issue

Scene Security Issues

Law Enforcement

Civilian Role of the Military

Public Health Considerations

Role of the Poison Center

Public Health Infrastructure

Public Health Emergency Response

Federal Response to Hazardous Chemical Releases

E.D Toxicosurvelliance

Vaccines

Interfacing with other Agencies

Risk Communications

Table of Contents provided by Publisher. All Rights Reserved.