Medical Response to Terrorism: Preparedness and Clinical Practice / Edition 2

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This comprehensive reference provides all the information emergency departments and personnel need to prepare for and respond to terrorist events. The first section covers all agents potentially used in terrorist attacks—chemical, biologic, toxicologic, nuclear, and explosive—in a systematic format that includes background, triage, decontamination, signs and symptoms, medical management, personnel protection, and guidelines for notifying public health networks. Algorithms show when to suspect and how to recognize exposure and detail signs and symptoms and management protocols. The second section focuses on all-hazards preparedness for hospitals, communities, emergency medical services, and the media, and includes an important chapter on simulation of disasters.

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Editorial Reviews

Doody's Review Service
Reviewer: Jennifer M Blair, M.D.(University of Chicago Pritzker School of Medicine)
Description: This book is more than just a guide to recognizing and treating casualties of purposeful threats like smallpox, botulism, pipe bombs, and nuclear devices; it places a strong emphasis upon the "preparing" to meet these dangers. Accordingly, part of the book comprises chapters detailing individual threats, and part instructs the reader in the principles of preparedness, from the hospital to the national scale.
Purpose: The authors' purpose is to teach medical and allied professionals about the various threats posed by terrorists as well as how best to prepare to meet them. They point out that medical personnel are not only uniquely vulnerable — the very unacceptability of attacking healthcare workers can make them an attractive target — but are also critically important as early responders. The book treats these topics comprehensively and takes its place alongside books of a somewhat different emphasis, such as those concentrating upon toxicology or disaster medicine. It brings together relevant topics from many fields that otherwise may seem peripherally related, and is a worthy and comprehensive guide.
Audience: The authors intend the book to be read not only by medical professionals but also by administrators and lay disaster planners. With the exception of a few chapters that are written in a more florid style, the text is a comfortable read, and many sections will probably interest even those readers with little medical background. The contributors are many and distinguished, including recognized authorities in toxicology and officials in the CDC and U.S. Department of Homeland Security, as well as medical professionals from countries that are particularly plagued by terrorism and who presumably have firsthand experience.
Features: Included is an extensive discussion of various agents of terrorism, including chemical, biological, nuclear, and explosive, as well as lesser-known agents like "calmative agents" and some that are smaller-scale, such as Molotov cocktails. Sequelae such as PTSD and crush syndrome are covered. The book also touches upon such interesting and lesser-discussed topics as agricultural terrorism, forensic medicine, and decontamination strategies. Nearly half the chapters contain highly practical information on preparing to face terrorism, discussing the needs of different contexts such as scenes, hospitals, and mass gatherings; how to handle the media; approaches to homeland security; civilian liaisons with the military; and communication strategies. The book's strengths lie in its broad range of topics and in its resolutely practical focus, including outstanding tables and abundant references that include helpful websites. It is a book one would want on hand in an emergency, as well as long before. Several review questions follow each chapter, but may not have been necessary, given the high ratio of material to questions. There are several "case studies," treating in more detail the Colombian and Israeli experiences, as well as one that was not mentioned in the table of contents, a one-paragraph personal testimony that felt somewhat extraneous. More long case studies would have been interesting. The book suffers from uneven editing, with some clearly superfluous chapter subheadings, redundant introductions to terrorism in many individual chapters, and — in one instance that it may be picayune to point out — a misquotation as well as misspelling of T.S. Eliot. The occasional author employed overly exuberant prose. However, the book rarely descends into dry academic expostulation and is an interesting read throughout.
Assessment: This is a worthy companion to related texts such as Disaster Medicine, by Hogan and Burstein, eds. (Lippincott Williams & Wilkins, 2002), and Goldfrank's Toxicologic Emergencies, 7th edition, Goldfrank et al., eds. (McGraw-Hill, 2002). It is up-to-date, relevant, and — its greatest strength — practical.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780781749862
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 10/18/2004
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 581
  • Product dimensions: 8.70 (w) x 11.20 (h) x 1.10 (d)

Table of Contents

Section 1:
Chemical Terrorism . . . 2
Section 2: Biological Agents . . . 56
Section 3: Biochemical Terrorism . . . 117
Section 4: Nuclear Terrorism . . . 137
Section 5: Explosives and Traumatic Terrorism . . . 198

Section 6:
Planning Preparedness for Terrorism . . . 220
Section 7: Equipment Preparedness for Terrorism . . . 284
Section 8: Communications Preparedness for Terrorism . . . 312
Section 9: Training Preparedness for Terrorism . . . 329
Section 10: Operational Medical Preparedness for Terrorism . . . 350
Section 11: Special Considerations for Terrorist Events . . . 389

Index 439

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