Download e-book for kindle: Toxico-terrorism: Emergency Response and Clinical Approach by Robin McFee, Jerrold Leikin

By Robin McFee, Jerrold Leikin

ISBN-10: 0071471863

ISBN-13: 9780071471862

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 thoughts for the administration of sufferers who've been uncovered to a biologic, chemical, or nuclear agent.


  • A logical, building-block association jam-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 studies severe issues comparable to nursing triage, hospital/facility safety, pharmacy preparedness, and clinic employees issues
  • Up-to-date details on labs, microscopy, and radiology
  • Key diagnostic standards for all agents
  • Thorough insurance of therapy techniques for all brokers mentioned within the book
  • Infection keep watch over modalities
  • Survey of prophylaxis strategies
  • Valuable part on public well-being considerations

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

Sample text

Anthrax—Classic black eschar associated with cutaneous anthrax. Usually accompanied by localized, often severe edema. Taken in context with history and clinical picture suggests diagnosis. Viral hemorrhagic fevers (VHF)—Hemorrhagic/capillary bed involvement suggested by ecchymosis, petechia (sometimes mildly firm to the touch) in skin, conjunctiva/eye lids, and easy bruisability. Rashes may accompany other skin manifestations and may be morbilliform in appearance. Respiratory • • • Anthrax • Inhalation anthrax causes severe pulmonary compromise including shortness of breath.

Nerve agents such as sarin and VX have received considerable attention in the press. Other classes include pulmonary agents, metals, and riot control agents/tear gas. Other Toxidromes Extrapyramidal Agents: Neuroleptics, haloperidol, phenothiazines Signs include choreoathetosis, trismus, opisthotonos, rigidity, tremor, and hyperreflexia Hallucinogenic Agents: Cannabinoids, designer amphetamines, LSD (lysergic acid diethylamide), cocaine, phencyclidine, and indole alkaloids Signs include perceptual distortions, synesthesia, depersonalization, and derealization PHYSICAL EXAMINATION The physical examination should be performed with attention to the vital signs and characteristic physical findings correlative with a specific toxidrome.

5–5 Gastrointestinal (GI) >10 Gy (>1000 rads) (some symptoms may occur as low as 6 Gy or 600 rads) • Stem cells in bone marrow and cells lining GI tract are dying, although patient may appear and feel well. • Stage lasts less than 1 week. Cardiovascular (CV)/Central Nervous System (CNS) >50 Gy (5000 rads) (some symptoms may occur as low as 20 Gy or 2000 rads) • Symptoms are anorexia, severe nausea, vomiting, cramps, and diarrhea. • Onset occurs within a few hours after exposure. • Stage lasts about 2 days.

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Toxico-terrorism: Emergency Response and Clinical Approach to Chemical, Biological, and Radiological Agents by Robin McFee, Jerrold Leikin

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