MEDICAL ASPECTS of CHEMICAL and BIOLOGICAL WARFARE

1 Foreword by The Surgeon General xi
1 Preface xiii
1 Patient Flow in a Theater of Operations xv
1 Medical Aftermath of the Persian Gulf War xvi
1. Overview: Defense Against the Effects of Chemical and Biological Warfare Agents 1
2.

History of Chemical and Biological Warfare: An American Perspective

9
3.

Historical Aspects of Medical Defense Against Chemical Warfare

87
4.

The Chemical Warfare Threat and the Military Healthcare Provider

111
5.

Nerve Agents

129
6.

Pretreatment for Nerve Agent Exposure

181
7.

Vesicants

197
8.

Long-Term Health Effects of Nerve Agents and Mustard

229
9.

Toxic Inhalational Injury

247
10.

Cyanide Poisoning

271
11.

Incapacitating Agents

287
12.

Riot Control Agents

307
13.

Field Management of Chemical Casualties

325
14. Triage of Chemical Casualties 337
15. Decontamination 351
16. Chemical Defense Equipment 361
17. Healthcare and the Chemical Surety Mission 397
18. Historical Overview of Biological Warfare 415
19. The U.S. Biological Warfare and Biological Defense Programs 425
20. Use of Biological Weapons 437
21. The Biological Warfare Threat 451
22. Anthrax 467
23.

Plague

479
24. Tularemia 503
25. Brucellosis 513
26. Q Fever 523
27. Smallpox 539
28. Viral Encephalitides 561
29. Viral Hemorrhagic Fevers 591
30. Defense Against Toxin Weapons 603
31. Staphylococcal Enterotoxin B and Related Pyrogenic Toxins 621
32. Ricin Toxin 631
33. Botulinum Toxins 643
34. Trichothecene Mycotoxins 655
35. Medical Challenges in Chemical and Biological Defense for the 21st Century 677
Acronyms and Abbreviations 687
Index 691