Toxico-terrorism: Emergency Response and Clinical Approach by Robin McFee, Jerrold Leikin

By Robin McFee, Jerrold Leikin

The emergency drugs services you want to arrange for--and manage--any kind of bioterrorist attack!

Written by way of emergency room physicians for emergency room physicians, Toxico-terrorism covers each crucial point of the emergency scientific reaction to microbial, radiological, and chemical brokers of terrorism. flip to any web page, and you will find lifesaving medical concepts for the administration of sufferers who've been uncovered to a biologic, chemical, or nuclear agent.

Features

  • A logical, building-block association packed with key tables and synoptic boxes
  • Important assurance of pre-hospital and EMS issues
  • Insights into the technique of transmission, the modes of dispersal, and the way secondary an infection and/or illness can occur
  • Overview of bioterror-specific symptoms and symptoms
  • A part on emergency division preparedness that reports severe themes comparable to nursing triage, hospital/facility defense, pharmacy preparedness, and medical institution employees issues
  • Up-to-date details on labs, microscopy, and radiology
  • Key diagnostic standards for all agents
  • Thorough assurance of remedy techniques for all brokers mentioned within the book
  • Infection regulate modalities
  • Survey of prophylaxis strategies
  • Valuable part on public well-being considerations

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

Sample text

Acral cyanosis—blackened, ischemic/necrotic appearance of digits/toes/nose and other areas • Pustular lesion(s)—at or distal to bite site if the result of flea exposure • Smallpox—Rash is the hallmark diagnostic clue. Although there are generally four types of rash, the classic presentation is most common. • Common dermatologic presentation––lesions typically erupt on the face, hands, and feet and then work inward to the truck and appear on a given body region in the same development stage; as they progress, they will appear as pustules.

On the other hand, there has been evidence that combining a cell wall inhibitory agent (penicillin), which depends upon bacterial growth to achieve bactericidal activity, with a reversible protein synthesis inhibitor (tetracycline), which interferes with cell growth, can actually decrease the overall effectiveness of treatment. When treating rapidly progressive illnesses—whether aggressive pathogens or biological agents, selected to be used as terrorist weapons—it is essential for the astute physician to understand the pathogen, its impact on the host, and responses to various antimicrobial agents, including the potential value of antibiotic synergism such as with Bacillus anthracis.

5. The dose must be delivered in a short amount of time (within minutes). The body’s most sensitive cell lines—spermatocytes, lymphohematopoietic elements, and intestinal crypt cells— are the most affected by acute exposure to radiation. A predictable clinical course (Table 1-5) consisting of a prodromal phase (48 hours–6 days after exposure depending on severity), a latent phase (period of transient improvement for several days to a month), and finally the manifest illness phase (period of prolonged symptomatology from intense immunosuppression).

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