@article{ref1,
title="Neuroterrorism preparedness for the neurohospitalist",
journal="Neurohospitalist, The",
year="2019",
author="Ralston, Maj Samuel A. and Murray, Maj Brian P. and Vela-Duarte, Daniel and Orjuela, Karen D. and Pastula, Daniel M.",
volume="9",
number="3",
pages="151-159",
abstract="In this review article, we highlight several potential biologic and chemical agents of &quot;neuroterrorism&quot; of which neurohospitalists should be aware: anthrax, botulism toxin, brucella, plague, smallpox, organophosphates and nerve agents, cyanide, and carfentanil. Such agents may have direct neurologic effects, resulting in encephalopathy, paralysis, and/or respiratory failure. Neurohospitalists should be on the lookout for abnormal neurologic syndrome clustering, especially among patients presenting to the emergency department. If use of such a &quot;neuroterrorism&quot; agent is suspected, the neurohospitalist should immediately consult with emergency department personnel, infection control, infectious disease physicians, and/or Poison Control to make sure the scene is safe and to stabilize and isolate patients if necessary. The neurohospitalist should also immediately contact their local and/or state health department (or alternatively the US Centers for Disease Control and Prevention Emergency Operations Center) to report their suspicions and to obtain guidance and assistance.<p /> <p>Language: en</p>",
language="en",
issn="1941-8744",
doi="10.1177/1941874418806668",
url="http://dx.doi.org/10.1177/1941874418806668"
}