Biological and chemical terrorism: a guide for healthcare by Raymond S. Weinstein

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By Raymond S. Weinstein

Would you know the indicators of a organic or chemical weapon attack?

Would you understand how to diagnose and deal with your patients?

Would you know the way to guard your employees and your self in doing so?

For
answers to questions like those in an issue of mins, flip to this e-book: the
first particularly designed to guide you thru identity of the main
likely organic or chemical guns utilized in a bioterrorist attack.

Through an simply available cross-referencing chart, it is possible for you to to
look up suspicious indicators provided by means of unforeseen clusters of sufferers, and
then speedy locate precise descriptions of the main most probably motives. The publication
lists and describes forty three organic and chemical guns intimately, together with
clinical and laboratory identity, therapy, and private precautions.

Biological and Chemical Terrorism is:

  • Comprehensive - the one so much whole description
    of organic and chemical guns on hand
  • Easy-to-use - worthy tear-out charts of organic
    and chemical guns, lists of websites, and CDC mobilephone numbers are
    designed to be published and said at-a-glance
  • Quick and concise to be used at any degree of an assault -
    even if in coaching previously or taken off the shelf in the course of a precise
    emergency
  • The first released textual content to incorporate chemical war
    id and remedy
  • Written by way of specialists with unheard of and broad-ranging wisdom of those
    weapons

even if you're a fundamental care health care provider, nurse practitioner, ER
physician, or the other firstline healthcare supplier, you are going to make the most of
this functional and authoritative advisor. it's the simply e-book on hand at the present time to
give you the full details essential to deal with a bioterrorist emergency
with pace, accuracy, and confidence.

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Extra info for Biological and chemical terrorism: a guide for healthcare providers and first responders

Sample text

Following an aerosol release, pneumonic and typhoidal tularemia would tend to predominate. Typhus (scrub) (Orienta tsutsugamuchi) see page 108 6–18 days Sudden onset of flulike illness with fever, chills, severe headache, and myalgia. Associated with a papule at the site of inoculation (chigger bite) that progresses to an ulceration with a black crust or eschar that must be differentiated from cutaneous anthrax. Tender regional or general lymphadenopathy is common. CXR = chest x-ray 20 Acute Respiratory Syndrome with Fever Disease/Agent Incubation Initial Symptoms Anthrax, inhalational (Bacillus anthracis) see page 38 1–6 days 24–48 hours of fever (or recent history of fever), chills, cough, malaise, headache, myalgias, and possible chest tightness.

Weight loss, migratory arthralgias, and headache are also common. CXR often demonstrates unilateral infiltrates, effusions, and hilar adenopathy. Pulmonary nodules and cavitations may also occasionally be seen. Rash is common, with early fine papular, nonpruritic rash progressing to erythema nodosum and/or erythema multiforme (consider this diagnosis in the triad of fever, erythema nodosum, and arthralgias). May progress to superficial maculopapular lesions, cutaneous ulcers, subcutaneous abscesses, and/or lymphadenopathy.

Spreads centrally to trunk over 1–2 days. All lesions always at same stage of development (as opposed to chickenpox). Rash appears as macules and small papules (day 1–2) → papules (day 3–4) → vesicles (day 4–6) → pustules that may be umbilicated (day 7–10) → flattening of pustules (day 11) → crusting & scabbing (day 12–14). Lesions feel hard, like buckshot under the skin, are painful, and are of variable sizes. Tularemia (Francisella tularensis) see page 106 1–21 days Ulceroglandular tularemia is the most common natural form and presents as an erythematous and tender skin papule or 1–2 cm vesiculated lesion at the site of inoculation.

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