1st Edition

Bioterrorism Field Guide to Disease Identification and Initial Patient Management

By Dag K.J.E. von Lubitz Copyright 2003

    The outbreak of anthrax infections that followed September 11, 2001, showed all too clearly that while we can defend ourselves against bioterrorism, our defenses need improvement. What's most important is the ability to recognize the associated disease, and recognize them quickly. Yet, many in the medical world are unfamiliar with the characteristic signs and symptoms of bioterrorism agents and are unable to differentiate between diseases whose symptoms appear almost identical. While a plethora of information on such diseases is available, finding it is time consuming.

    Bioterrorism: Field Guide to Disease Identification and Initial Patient Management is an accessible resource that helps first-responders to quickly recognize the signs and symptoms caused by exposure to bioterrorism agents. It provides enough information to initiate treatment while a definitive diagnosis is being determined and presents measures for preventing contamination of those involved in the victims' medical management.

    A special quick-reference foldout chart features a matrix linking 180 symptoms to 17 diseases and 90 differential diagnosis. In bulleted format, the book includes for each pathogenic agent:

  • A brief description
  • Signs and symptoms
  • Diagnostic features
  • Lab tests and expected results
  • Treatment (specific drug regimens)
  • Prophylaxis (specific drug regimens)
  • Precautionary measures

    This book is a potentially life-saving resource that can be thrown into a medical bag and kept there, hopefully forever unused. But if needed, it is a resource that can quickly provide information that will prevent secondary infections, improve site safety, and buy life-saving time for victims.
  • Brief Overview of Biological Warfare and Bioterrorism
    Terrorism as a Threat
    Bioterrorism in History
    Pathogens Posing Major Threats
    Class A Agents
    Class B Agents
    Class C Agents
    Medical Diagnosis and Initial Treatment
    General Aspects of Medical Management
    Bacterial Diseases
    Viral Diseases
    Pediatric Treatment
    Bacterial Diseases
    Viral Diseases
    Useful Procedures
    Specimen Collection: General Rules
    Plague Specimens
    Useful Microscopy Techniques
    Precautionary Measures
    Protective Clothing
    Patient Transport
    Handling of Contaminated Material
    Handling of Deceased Victims
    Personnel Issues Relevant to Bioterrorism
    Personnel Issues
    Psychological Issues
    Security Issues
    Training Issues
    Federal, State, and International Organizations
    Federal and State Agency Reports
    Books and Manuals
    Relevant Societies
    Research Organizations
    Biological Agents
    Periodicals and Other Publications
    Discussion Groups
    Emergency Management
    Federal and State Agencies Relevant to Counter-Bioterrorism
    U.S. Department of Justice
    Federal Bureau of Investigation (FBI) Field Offices
    Federal, State, and Territorial Healthcare Authorities


    Dag K.J.E. von Lubitz

    "Finding the best information that is currently available frequently requires persistence and effort. Von Lubitz … here provides ready access to information about infectious diseases for health care workers … . … [The book] presents information … in a manner that would prove useful even in very stressful moments. Thus it is a book suitable for true field use. … If needed, it would provide the essential information to start treatment, and maintain it until expert assistance become available. Summing Up: Recommended."
    - CHOICE

    "As the title implies this field guide can be used as a starting place for obtaining rapid access to relevant medical information. … Recommended for non-specialists medical personnel at any level e.g. physicians, nurses, paramedics and first responders, and for establishments responsible for public safety."
    - E-Streams, Vol. 7, No. 11

    Won Highly Commended in the Public Health category of the 2004 British Medical Association Library Book Competition.
    "Field Guides like this are exactly what our country needs to address the hysteria that seems to surround the subject of chemical and biological attack. We must address this hysteria through education and training programs to educate the public, health care professionals, and our senior leaders. This field guide gives concise usable information to diagnose and treat such problems. I heartily recommend it for every practitioner in the field and for our public so that they are educated about the threat and can replace the hysteria with a reasoned approach based on fact."
    - Lt. General Paul K. Carlton, Jr. (Ret.), Director, Integrative Center for Homeland Security, Texas A&M University

    "Dr. von Lubitz is a world leader in the field of high fidelity medical simulation. This manual, which provides a basic and accessible summary of information on possible bioterrorism agents, is a timely addition to the literature on this topic. Through concise prose and formatting, Dr. von Lubitz presents information necessary for those wishing to simulate bioterrorism events, teach about the topic, or recognize and treat these conditions at a basic level."
    - Kenneth A. Williams, MD, FACEP, Brown University, University of Massachusetts, Rhode Island Dept of Health EMS Division, and Principal Investigator, The Rhode Island Disaster Initiative