Disaster Preparedness, Pediatric Considerations in Primary Blast Injury, Chemical, and Biological Terrorism
- Mitchell Hamele; William Poss; Jill Sweney
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This article reviews the presentation, pathophysiology, and treatment of victims of primary blast injury (PBI), chemical weapons, and biological weapons. It covers aspects of pediatric victim care that may be unfamiliar to the critical care provider. Specific blast injury types covered include lung, cardiovascular, gastrointestinal, brain, ophthalmologic, auditory. Chemical agents include nerve agents, vesicants, pulmonary agents, cyanide, and riot control agents (pepper spray, "tear gas"). Biological agents include anthrax, plague, small pox, tularemia, botulism, and viral hemorrhagic fevers.
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