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CHAPTER 81: Biological Warfare 753

SUMMARY • Cashman JR. Emergency Response Handbook for Chemical and

A bioterrorist attack of any kind has the potential to overwhelm a commu- Biological Agents and Weapons. Boca Raton: CRC Press; 2008.
nity and indeed an entire nation. A high degree of suspicion and prompt • Category B Agents. Atlanta: Centers for Disease Control and
recognition of an event will be required in order to contain it. The likeli- Prevention; 2010. http://www.bt.cdc.gov/agent/agentlist-category
hood of exposed patients to require hospitalization and specifically critical .asp#b
care is high, and specific knowledge of the possible agents and estimating • Fact sheet: anthrax information for health care providers: Centers
the needs of a health care facility and community will be the cornerstones for Disease Control and Prevention; 2010. http://emergency.cdc
in disaster preparedness for a biological attack. Aside from the delivery of .gov/agent/anthrax/anthrax-hcp-factsheet.asp
critical care to the patient in the ICU, the intensivist will be involved in • Plague manual: epidemiology, distribution, surveillance and
making triage decisions (which automatically dictates how other non-ICU
beds are used and managed), managing resources related to the ICU, and control: World Health Organization; 2010. http://www.who.int/
csr/resources/publications/plague/WHO_CDS_CSR_EDC_99_
coordinating a multidisciplinary effort in caring for the exposed.
2_EN/en/
• Roccaforte JD, Cushman JG. Disaster preparation and management
KEY REFERENCES for the intensive care unit. Curr Opin Crit Care. 2002;8:607-615.
• Arnon SS, Schechter R, Inglesby TV, et al. Botulinum toxin as • Smallpox. Geneva: World Health Organization; 2010. http://www
a biological weapon: medical and public health management. .who.int/mediacentre/factsheets/smallpox/en/index.html
JAMA. 2001;285:1059-1070.
• Bioterrorism agents by diseases/category: Center for Disease
Control and Prevention; 2010. http://www.bt.cdc.gov/agent/ Acknowledgments: Parts of this chapter have been adapted from a
agentlist-category.asp previous publication: Karwa M, Bronzert P, Kvetan V. Bioterrorism and
• Bioterrorism Overview: Centers for Disease Control and Prevention; critical care. Crit Care Clin. April 2003;19(2):279-313. Reproduced with
2010. http://www.bt.cdc.gov/bioterrorism/overview.asp permission from Elsevier.
• Borio L, Inglesby T, Peters CJ, et al. Hemorrhagic fever viruses
as biological weapons: medical and public health management. REFERENCES
JAMA. 2002;287:2391-2405.
Complete references available online at www.mhprofessional.com/hall

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