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Keith A Candiotti - One of the best experts on this subject based on the ideXlab platform.

  • correction to a primer on nerve agents what the Emergency Responder anesthesiologist and intensivist needs to know
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2018
    Co-Authors: Keith A Candiotti
    Abstract:

    In the article entitled: “A primer on nerve agents: what the Emergency Responder, anesthesiologist, and intensivist needs to know” published in the October 2017 issue of the Journal, Can J Anesth 2017; 64: 1059-1070, two doses in Table 3 contained errors and have now been corrected (and highlighted in bold) in the revised table herein. In the table on page 1064, next to “Pralidoxime/Obidoxime/HI-6”, the second column should read: “Pralidoxime- Mild cases: 1-2 g iv over 5-10 min or im”. Also in the same row, the third column should read: “Individual doses should not exceed 2 g”. The publisher apologizes most sincerely for this error.

  • a primer on nerve agents what the Emergency Responder anesthesiologist and intensivist needs to know
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2017
    Co-Authors: Keith A Candiotti
    Abstract:

    The purpose of this review article is to familiarize first Responders, anesthesiologists, and intensivists with the medical management of patients exposed to nerve agents. This review is based on the current medical literature available to the general medical community. Nerve agents are some of the deadliest substances known to humanity. Though they kill primarily via muscle paralysis, which leads to respiratory arrest, these agents affect virtually every organ system in the body. Their primary mechanism of action is the body-wide inhibition of cholinesterases. This inhibition leads to the accumulation of acetylcholine, stimulating both nicotinic and muscarinic receptors. After decontamination, the primary treatment is with atropine to control muscarinic symptoms and with oximes to reactivate the cholinesterases and treat the nicotinic symptoms. Atropine doses can be much higher than conventionally used. Seizures are generally best treated with benzodiazepines. Patients with substantial exposure may require ventilatory and intensive care unit support for prolonged periods of time. While it is unlikely that most medical practitioners will ever encounter nerve agent poisoning, it is critical to be aware of the presenting symptoms and how best to treat patients exposed to these deadly agents. History has shown that rapid medical treatment can easily mean the difference between life and death for a patient in this situation.

Peter Mendel - One of the best experts on this subject based on the ideXlab platform.

Lewis N Lampiris - One of the best experts on this subject based on the ideXlab platform.

  • disaster medicine training survey results for dental health care providers in illinois
    Journal of the American Dental Association, 2007
    Co-Authors: Michael D Colvard, Lewis N Lampiris, Geoffrey A Cordell, Melissa Naiman, Danielle Mata
    Abstract:

    ABSTRACT Background Ongoing vigilance by governments, public health agencies and health care professionals monitoring potential epidemic and pandemic outbreaks, terrorist threats and ever-present natural disasters requires the continuous evolution of comprehensive disaster response plans and teams, which include the integration of oral health care professionals. Methods The authors conducted a study in which oral health care professionals assessed their training in the American Medical Association's (AMA's) National Disaster Life Support (NDLS) courses. At the conclusion of each instructional session, the authors asked participants to complete an anonymous course evaluation form to report their impressions of the training activity. The authors included in the analysis those evaluations associated with sessions attended almost exclusively by dentists and hygienists. Results The authors derived descriptive statistics from the selected course evaluations. Overall, oral health care professionals believed that the Core Disaster Life Support (CDLS) and Basic Disaster Life Support (BDLS) courses were of great educational value, rating course impact at 9.50 and 9.29, respectively, on a scale from 1 to 10. Conclusions Statistical evaluation instruments reveal satisfaction with the all-hazards awareness training received through the AMA's NDLS disaster medicine training curriculum. Licensed oral health care professionals in Illinois accepted the utility and merits of, and benefited from, the four-hour CDLS and eight-hour BDLS certification programs. Practice Implications Dental professionals in Illinois require minimal additional training for dental Emergency Responder duties. The AMA's NDLS curriculum provides effective preparation for dental professionals.

  • the dental Emergency Responder expanding the scope of dental practice
    Journal of the American Dental Association, 2006
    Co-Authors: Michael D Colvard, Lewis N Lampiris, Albert H Guay, Catherine M Stokes, James J. James, Geoffrey A Cordell, Gregory Scott
    Abstract:

    ABSTRACT Background Natural disasters, the potential for terrorism and weapons-of-mass-destruction events occurring within the continental United States necessitate that all licensed health care providers understand the National Incident Management System and be able to contribute to inoculation, mass casualty assistance and triage care of the populace. Conclusions Health care and political leaders constantly revise “all hazard” response plans, using the available health care assets that local, state and federal agencies bring to Emergency events. Illinois Public Act 49-409 modifies the scope of dental practice within Illinois to allow for a dental Emergency Responder (DER). Practice Implications The DER is a dentist or dental hygienist “acting within the bounds of his or her license when providing care during a declared local, state or national Emergency.”

Bob Weinhold - One of the best experts on this subject based on the ideXlab platform.

  • Emergency Responder health what have we learned from past disasters
    Environmental Health Perspectives, 2010
    Co-Authors: Bob Weinhold
    Abstract:

    As the Deepwater Horizon disaster unfolds in the Gulf of Mexico, public health practitioners are having a sinking deja vu feeling. Once again, environmental disaster has struck, and tens of thousands of Emergency Responders—some professionals, but many more volunteers—have swung into action, potentially risking their health as they work to clean up the worst oil spill in U.S. history. Veterans of similar disasters are wondering if historical lessons learned can help keep the damage to a bare minimum. But a paucity of hard data on Emergency Responder health makes it difficult even to ask the right questions. “Emergency Responders have not been adequately studied,” says Gina Solomon, codirector of the occupational and environmental medicine residency and fellowship program at the University of California, San Francisco, and a senior scientist with the Natural Resources Defense Council. “They tend to be ignored.” Professional Emergency Responders such as firefighters may not put much emphasis on health effects studies. “They are going to do what they need to do regardless of their own safety,” says Don Donahue, executive director of the Center for Health Policy & Preparedness at the Potomac Institute for Policy Studies, who has firefighters in his extended family. “They have to be a little crazy by definition.” That heroic approach is manna for the people they save, but firefighters may pay a price with disorders such as cancer. Studies of cancers in firefighters have had mixed results, but there is evidence linking this occupation with brain, thyroid, esophageal, bladder, testicular, prostate, and cervical cancers, as well as melanoma and Hodgkin disease (Bates1 and Ma et al.2 are two such studies). Health risks tend to be even greater for the many nonprofessional Emergency Responders who rush to the scene of crises such as oil spills, terrorist attacks, hurricanes, train derailments, and chemical releases. Those workers often don’t have the training and advanced equipment that protect professional Emergency Responders to some degree. These and many other factors make it a daunting challenge to protect the health of Emergency Responders during disasters.

Valencia Waller - One of the best experts on this subject based on the ideXlab platform.