Toxico-terrorism: Emergency Response and Clinical Approach to Chemical, Biological, and Radiological Agents / Edition 1

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The emergency medicine expertise you need to prepare for—and manage—any type of bioterrorist attack!

Written by emergency room physicians for emergency room physicians, Toxico-terrorism covers every essential aspect of the emergency medical response to microbial, radiological, and chemical agents of terrorism. Turn to any page, and you'll find lifesaving clinical strategies for the management of patients who have been exposed to a biologic, chemical, or nuclear agent.


  • A logical, building-block organization filled with key tables and synoptic boxes
  • Important coverage of pre-hospital and EMS issues
  • Insights into the means of transmission, the modes of dispersal, and how secondary infection and/or contamination can occur
  • Overview of bioterror-specific signs and symptoms
  • A section on emergency department preparedness that reviews critical topics such as nursing triage, hospital/facility security, pharmacy preparedness, and hospital staff issues
  • Up-to-date information on labs, microscopy, and radiology
  • Key diagnostic criteria for all agents
  • Thorough coverage of treatment strategies for all agents discussed in the book
  • Infection control modalities
  • Survey of prophylaxis strategies
  • Valuable section on public health considerations
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Product Details

  • ISBN-13: 9780071471862
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 8/3/2007
  • Edition number: 1
  • Pages: 622
  • Sales rank: 1,404,519
  • Product dimensions: 8.50 (w) x 10.80 (h) x 0.91 (d)

Meet the Author

Robin B. McFee, DO, MPH, FACPM,

Assistant Professor, Department of Preventive Medicine

SUNY/Stony Brook

Assistant Professor, Department of Medicine

NYCOM, New York Institute of Technology

Toxicologist, Long Island Regional Poison Information Center

Winthrop University Hospital

Mineola, New York

Medical Director, Threat Science


Director of Medical Toxicology

Evanston Northwestern Healthcare—OMEGA

Glenbrook Hospital

Glenview, Illinois

Professor of Emergency Medicine

Feinberg School of Medicine

Northwestern University

Professor of Medicine, Pharmacology, and Health Systems Management

Rush Medical College

Chicago, Illinois

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Table of Contents

Part I: General Patient Principles

1. Toxidrome Recognition

2. Biodromes--Bioweapon Recognition

3. Countermeasures and Facility Preparedness: An Overview

4. Supportive Care

5. Dermal Issues

6. Neurological Issues in Emergency Bioterrorism

7. Cardiac Issues

8. Musculoskeletal Manifestations of Bioterrorism

9. Ophthalmological Issues

10. Respiratory and Critical Care Unit Issues

11. Gastrointestinal and Hepatic Issues

12. Acute Psychiatric Issues

13. Palliative and Expectant (Black Tag) Care

14. Special Populations: Pediatrics

15. Geriatrics: Bioterrorism, Emerging Threats, and Emergency Preparedness: Special Considerations for Geriatric Patients

16. Special Populations: Women Who are Pregnant

17. Women's Reproductive Issues

18. Hospital Laboratory Issues
Part II: EMS Issues

19. Chempack

20. Approach to Disaster and Mass Casualty Incidents

21. Hazardous Materials (Hazmat) Emergencies

22. Enhancing Hospital Emergency Preparedness

23. EMS-ED Considerations

24. Field Identification and Decontamination of Toxins
Part III: Emergency Department Preparedness

25. Triage in the Emergency Department

26. Pharmacy Preparedness for Incidents Involving Nuclear, Biological, or Chemical Weapons

27. Hospital Staff Issues
Part IV: Specific Chemical Agent: Toxins/Toxicants

28. Nerve Agents

29. Blister Agents

30. Chemical Asphyxiants

31. Flammable Industrial Liquids and Gases

32. Corrosive Industrial Agents

33. Arsenic, Lead, and Mercury

34. Pulmonary Agents

35. Pesticides

36. Nonlethal Weapons or Incapacitating Agents

37. Other Chemical Agents
Part V: Biologicals

38. CDC Category Explanation (A,B,C) Overview

39. Anthrax

40. Yersinia Pestis--Plague

41. Botulism

42. Smallpox (Variola) and Poxviruses

43. Tularemia

44. Hemorrahagic Fever

45. CDC Category B Agents

46. CDC Category C Agents

47. Emerging Pathogens

48. Avian Influenza

49. SARS: Severe Acute Respiratory Syndrome

50. Agroterrorism
Part VI: Ionizing Radiation

51. A Practical Basis for Early Management of Radiologically Injured or Ill Patients: Ionizing Radiation Physics and Instrumentation, Radiation Protection, Contamination Control, Dosimetry, and Radiological/Nuclear (R/N) Terrorism

52. Diagnosis and Medical Management of Radiation Injuries and Illnesses
Part VII: Explosives/Incendiaries

53. Medical Management of Explosives
Part VIII: Public Health Considerations

54. Poison Information Centers

55. Biosurveillance

56. Vaccines

A. CDC Chemical Emergencies: Overview

B. CDC Laboratory Preparedness for Emergencies: Response to Suspicious Substances

C. CDC Laboratory Preparedness for Emergencies: Facts about the Laboratory Response Network

D. CDC Laboratory Preparedness for Emergencies: Laboratory Network for Biological Terrorism

E. CDC Specimen-Collection Protocol for a Chemical-Exposure Event

F. Centers for Disease Control and Prevention Shipping Instructions for Specimens Collected from People Who May Have Been Exposed to Chemical-Terrorism Agents: Collecting Specimens

G. Continuation Guidance--Budget Year Four, Focus Area D: Laboratory Capacity--Chemical Agents

H. Instructions for Shipping Blood Samples to CDC after a Chemical-Exposure Event

I. Instructions for Shipping Urine Samples to CDC after a Chemical-Exposure Event

J. Sentinel Laboratory Guidelines for Suspected Agents of Bioterrorism: Clinical Laboratory Bioterrorism Readiness Plan

K. Riot Control Agents

Chlorine Use as a Weapon

Intentional Use of Radiation as a Weapon
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