Clinical Guide to Bioweapons and Chemical Agents

Terrorist events of the past few years are fundamentally driving the need for enhanced public health protection across the world. Although the issues are complex, one aspect is paramount: new, innovative approaches for early identification and intervention are essential for optimal responses to these dangers. **Clinical Guide to Bioweapons and Chemical Agents** is a quick reference for the busy clinician, to assist in the new public health response to the threats from bioterrorism and other public health disease. Although no single approach answers all of the challenges confronting our public health system, the book fulfills many of the requirements by providing point-of-care decision support for physicians, other health care workers, and first responders when confronted with suspected public health diseases and conditions. Using a simple format and lexicon the book is designed for ease of real-time data collection and as a means for mass education of health care professionals and first responders about specific diseases and conditions. It combines established principles of disease management protocols with effective differential diagnosis algorithms. **The Clinical Guide** is written for physicians, emergency medical responders, and other health care professionals for use at the front line, in the Emergency Department, and in the clinic as a first responder’s tool of choice. Front Matter....Pages i-xxxvii Anthrax....Pages 3-9 Avian Influenza....Pages 10-14 Bolivian Hemorrhagic Fever....Pages 15-18 Botulism....Pages 19-24 Brucellosis....Pages 25-29 Campylobacteriosis....Pages 30-33 Chickenpox....Pages 34-38 Cholera....Pages 39-42 Clostridium Perfringens Gastroenteritis....Pages 43-45 Crimean – Congo Hemorrhagic Fever....Pages 46-50 Cryptosporidiosis....Pages 51-54 Dengue....Pages 55-59 E Coli 0157:h7....Pages 60-62 Eastern Equine Encephalitis....Pages 63-66 Ebola Hemorrhagic Fever....Pages 67-71 Epsilon Toxin – Clostridia Perfringens....Pages 72-74 Giardiasis....Pages 75-78 Glanders....Pages 79-83 Hantavirus Pulmonary Syndrome....Pages 84-87 Hemorrhagic Fever with Renal Syndrome....Pages 88-91 Infectious Hepatitis – Acute....Pages 92-95 Infectious Mononucleosis....Pages 96-99 Influenza....Pages 100-103 Lassa Fever....Pages 104-108 Legionellosis....Pages 109-113 Leptospirosis....Pages 114-119 Listeriosis....Pages 120-123 Lyme Disease....Pages 124-128 Lymphocytic Choriomeningitis....Pages 129-132 Malaria....Pages 133-137 Marburg Hemorrhagic Fever....Pages 138-141 Melioidosis....Pages 142-145 Meningococcemia....Pages 146-150 Monkeypox....Pages 151-154 Mumps....Pages 155-158 OMSK Hemorrhagic Fever....Pages 159-162 Parvovirus B19....Pages 163-166 Plague....Pages 167-171 Psittacosis....Pages 172-176 Q Fever....Pages 177-181 Rift Valley Fever....Pages 182-185 Rocky Mountain Spotted Fever....Pages 186-190 Rubella – Acquired....Pages 191-194 Rubeola....Pages 195-198 Salmonellosis....Pages 199-202 SARS....Pages 203-205 Shigellosis....Pages 206-209 Smallpox....Pages 210-214 Staphylococcus Food Poisoning....Pages 215-217 Streptococcal Pharyngitis....Pages 218-221 Trichinellosis....Pages 222-226 Tularemia....Pages 227-231 Typhoid Fever....Pages 232-236 Typhus – Epidemic....Pages 237-241 Typhus – Murine....Pages 242-245 Typhus – Scrub....Pages 246-249 Venezuelan Equine Encephalitis....Pages 250-253 Viral Gastroenteritis....Pages 254-256 Viral Rhinitis....Pages 257-260 West Nile Fever....Pages 261-265 Western Equine Encephalitis....Pages 266-269 Yellow Fever....Pages 270-273 Yersiniosis....Pages 274-277 Ammonia Poisoning....Pages 281-284 Arsenic Poisoning....Pages 285-288 Arsine Poisoning....Pages 289-292 Barium Poisoning....Pages 293-296 Benzene Poisoning....Pages 297-300 Brevetoxin Poisoning....Pages 301-303 Bromine Poisoning....Pages 304-307 BZ Poisoning....Pages 308-311 Carbon Monoxide Poisoning....Pages 312-316 Chlorine Poisoning....Pages 317-320 Colchicine Poisoning....Pages 321-324 Cyanide Poisoning....Pages 325-329 Digitalis Poisoning....Pages 330-333 Elemental Mercury Poisoning—Acute....Pages 334-337 Ethylene Glycol Poisoning....Pages 338-341 Lewisite Poisoning....Pages 342-345 Methyl Bromide Poisoning....Pages 346-349 Methyl Isocyanate Poisoning....Pages 350-353 Nicotine Poisoning....Pages 354-357 Opioid Poisoning....Pages 358-361 Organophosphate Poisoning....Pages 362-366 Osmium Tetroxide Poisoning....Pages 367-370 Phosgene Poisoning....Pages 371-374 Phosphine Poisoning....Pages 375-379 Radiation Poisoning....Pages 380-383 Ricin Poisoning....Pages 384-387 Riot Control Agents Poisoning....Pages 388-390 Sarin Poisoning....Pages 391-395 Sodium Monofluoroacetate Poisoning....Pages 396-398 Sulfuryl Fluoride Poisoning....Pages 399-402 Sulfur Mustard Poisoning....Pages 403-406 Super Warfarin Poisoning....Pages 407-409 Tabun Poisoning....Pages 410-413 Tetrodotoxin Poisoning....Pages 414-417 Thallium Poisoning....Pages 418-421 Trichothecene Poisoning....Pages 422-425 VX Poisoning....Pages 426-429 Adrenal Failure....Pages 433-434 Arthritis....Pages 435-436 Congestive Heart Failure....Pages 437-439 Corneal Injury....Pages 440-441 Dehydration....Pages 442-443 Disseminated Intravascular Coagulation....Pages 444-445 Guillain – Barré Syndrome....Pages 446-448 Hemolytic Anemia....Pages 449-450 Hepatic Failure....Pages 451-452 Hyperkalemia....Pages 453-454 Meningitis/Encephalitis....Pages 455-457 Myocarditis....Pages 458-460 Noncardiac Pulmonary Edema....Pages 461-462 Orchitis....Pages 463-464 Osteomyelitis....Pages 465-466 Pancreatitis....Pages 467-468 Pericarditis....Pages 469-470 Pneumonia....Pages 471-473 Renal Failure....Pages 474-476 Respiratory Failure....Pages 477-478 Rhabdomyolysis....Pages 479-480 Thrombocytopenia....Pages 481-482 Back Matter....Pages 483-498

Recent events of the past 5 years are fundamentally driving the need for enhanced public health protection across the world. Although the issues are complex, one aspect is paramount: new, innovative approaches for early identification and intervention are essential for optimal responses to these dangers.

The many challenges confronting healthcare systems include:

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• Operation at near-capacity much of the time, with severely limited ability to absorb the increasing burdens of potential public health issues
• 
  
• Serious neglect of the public health system for many years
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• Suboptimal working relationships between public health agencies and "front-line" health care practitioners

This book will assist in the new public health response to the threats from bioterrorism and other public health disease by combining established principles of disease management protocols with effective differential diagnosis algorithms.

With time in front of the patient always at a premium, there is the need for tools to aid the clinician in the efficient management of patients. While the majority of specialist clinicians have the complete diagnostic toolkit, many of the more unusual disorders and their diagnostic features are less clear to the general internist and primary care/family medicine physician.

It is with this in mind that the author has been collating the current diagnostic criteria for all health-related bioterrorist threats and other public health disorders. This book proposal represents the print version of this project and is intended to be a quick reference for the busy clinician. With this in mind, the format of the book will be designed for maximum ease of use in the clinic. It will have a pocketbook trim size and will extend to approximately 300 pages.

Although no single approach answers all of the challenges confronting our public health system, the book fulfills many of the requirements by providing:

• 
  
• Point-of-care decision support for physicians, other health care workers, and first responders when confronted with suspected public health diseases and conditions;
• 
  
• A common format and lexicon for all persons and entities involved in public health decisions and for ease of real-time data collection; and
• 
  
• A means for mass education of health care professionals and first responders about specific diseases and conditions.

The book will assist in the new public health response to the threats from bioterrorism and other public health disease by combining established principles of disease management protocols with effective differential diagnosis algorithms. Although no single approach answers all of the challenges confronting our public health system, this book fulfills many of the requirements. The author has collated the current diagnostic criteria for all health-related bioterrorist threats and other public health disorders. The book represents the print version of this project and is intended to be a quick reference for the busy clinician.