Get Biological, Chemical, and Radiological Terrorism: Emergency PDF

By Alan Melnick

ISBN-10: 0387472312

ISBN-13: 9780387472317

ISBN-10: 0387472320

ISBN-13: 9780387472324

This ebook offers sought-after counsel to basic care physicians on getting ready for and responding to terrorist occasions. Chapters provide a primary realizing of the epidemiology and appropriate medical features of illnesses attributable to organic brokers (anthrax, plague, smallpox, botulism, tularemia, and hemorrhagic viruses), chemical brokers (nerve and blister), and radiological brokers. The textual content information tips on how to discover terrorist-caused disorder as early as attainable, how one can supply protective or preventive treatment, and the way to triage and deal with unwell sufferers. Emphasis is put on addressing either the actual and mental influence on sufferers and companies. the writer additionally examines tips to paintings successfully with public future health officers on the neighborhood, country, and nationwide degrees at the supply of preventive and healing measures. Surveillance actions, plans for dealing with mass casualties, and responding to matters approximately threat are mentioned besides. the sensible process is additionally appropriate to unintended and traditional failures. This well timed source is useful for basic care physicians who are looking to higher comprehend their position for sufferers and the general public in emergency preparedness.

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Sample text

Has similarities with other more common bacterial or viral pneumonias. Second, few US physicians have ever seen a case of pneumonic plague (23). The sudden appearance of previously healthy patients with fever, cough, chest pain, and a fulminant course should suggest the possibility of inhalational anthrax or pneumonic plague. Hemoptysis in this setting particularly points to plague (23). Unlike naturally occurring pneumonic plague resulting from hematogenous spread of bubonic or septicemic plague, a terrorist induced primary pneumonic plague outbreak would not be associated with buboes.

The descriptive study following mass anthrax prophylaxis cannot substitute for a randomized clinical trial in assessing the association between a medication and symptoms. Besides study design problems, patients receiving prophylaxis for anthrax may have suffered from greater anxiety than patients receiving antibiotics for other reasons. Fear of anthrax could have caused enhanced symptom awareness in these patients, resulting in more reported symptoms. In addition, the anxiety associated with anthrax exposure itself could have caused some of the reported symptoms (20) attributed to medication side effects.

However, vaccinated individuals who are working with 32 2 Biological Terrorism anthrax in Biosafety Level 3 laboratories under recommended conditions or vaccinated individuals wearing appropriate personal protective equipment (PPE) while working in environments contaminated with anthrax spores do not require postexposure prophylaxis unless their respiratory protection is disrupted. Summary of Recommendations for Postexposure Prophylaxis Given the limited supply of vaccine, and the lack of reported cases in people given antibiotic prophylaxis following the 2001 attacks, Working Group on Civilian Biodefense continues to recommend that 60 days of antibiotics is sufficient protection postexposure.

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Biological, Chemical, and Radiological Terrorism: Emergency Preparedness and Response for the Primary Care Physician by Alan Melnick


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