%0 Journal Article
%T Neuroterrorism Preparedness for the Neurohospitalist
%A Daniel M. Pastula
%A Daniel Vela-Duarte
%A Karen D. Orjuela
%A Maj. Brian P. Murray
%A Maj. Samuel A. Ralston
%J The Neurohospitalist
%@ 1941-8752
%D 2019
%R 10.1177/1941874418806668
%X In this review article, we highlight several potential biologic and chemical agents of ˇ°neuroterrorismˇ± 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 ˇ°neuroterrorismˇ± 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
%K terrorism
%K bioterrorism
%K neuroterrorism
%K anthrax
%K botulism
%K brucellosis
%K plague
%K smallpox
%K nerve agents
%K organophosphates
%K cyanide
%K carfentanil
%K neurohospitalist
%K neurologist
%K preparedness
%U https://journals.sagepub.com/doi/full/10.1177/1941874418806668