Department of Public Health and Disease Prevention, College of Medicine, University of Toledo, Health Science Campus, Toledo, Ohio 43614, USA.
Nurs Health Sci. 2009 Dec;11(4):374-7. doi: 10.1111/j.1442-2018.2009.00489.x.
A botulism-induced mass casualty incident has the potential to severely compromise a community's health-care infrastructure, based upon its lethality, rare occurrence, and duration of symptoms, which require extensive support and care. Although early recognition and treatment with antitoxin or botulism immunoglobulin are essential to the effective management of this type of an incident, the two major challenges in recognition and treatment are the hundreds, if not thousands, of casualties or potential casualties requiring rapid screening and the fact that most clinicians remain ignorant of the management of botulism. The purpose of this article is to present the Botulism Questionnaire, which will assist with the screening of casualties, provide educational and diagnostic cues for clinicians and the lay public, and create a layer of protection for the health-care infrastructure. The applications of this questionnaire in various formats, the numerous points of distribution, and the variety of platforms from which it can be launched will be explored.
肉毒中毒导致的大量人员伤亡事件有可能严重影响社区的医疗基础设施,这是基于其致命性、罕见性和症状持续时间,需要广泛的支持和护理。尽管早期识别和使用抗毒素或肉毒免疫球蛋白进行治疗对于有效管理此类事件至关重要,但识别和治疗方面的两个主要挑战是需要快速筛选数百人(如果不是数千人)的伤亡人员或潜在伤亡人员,以及大多数临床医生仍然不了解肉毒中毒的管理。本文的目的是介绍肉毒中毒问卷,该问卷将有助于筛选伤亡人员,为临床医生和公众提供教育和诊断线索,并为医疗基础设施提供一层保护。我们将探讨该问卷在各种形式中的应用、众多分发点以及可以启动的各种平台。