TY - JOUR PY - 2019// TI - Neuroterrorism preparedness for the neurohospitalist JO - Neurohospitalist, The A1 - Ralston, Maj Samuel A. A1 - Murray, Maj Brian P. A1 - Vela-Duarte, Daniel A1 - Orjuela, Karen D. A1 - Pastula, Daniel M. SP - 151 EP - 159 VL - 9 IS - 3 N2 - In this review article, we highlight several potential biologic and chemical agents of "neuroterrorism" 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 "neuroterrorism" 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.

Language: en

LA - en SN - 1941-8744 UR - http://dx.doi.org/10.1177/1941874418806668 ID - ref1 ER -