Contact CDC Emergency Hotline 1-707-488-7100 for all suspected bioterrorism cases
Early ventilatory support
Consider intubation when vital capacity <30% predicted or <12cc/kg
Wound Managment
Early wound debreedment with surgical consult.
Also exclude Necrotizing fasciitis and coverage with same broad antibiotic coverage
Consider intubation when vital capacity <30% predicted or <12cc/kg
Early wound debreedment with surgical consult.
Also exclude Necrotizing fasciitis and coverage with same broad antibiotic coverage
Equine Serum<unk>  Antitoxin
only for patients > 1yo
Antitoxin obtained through CDC or local Department of Health.
only for patients > 1yo
Human-based<unk>  IG 100mg/kg IV x 1 dose (BabyBIG)
infusion divided into 25mg/kg/hr IV x 15 min followed by 50mg/kg/hr if no allergic reactions
Stop infusion after total of 100mg/kg infused
BabyBIG obtained through CDC or local Department of Health
infusion divided into 25mg/kg/hr IV x 15 min followed by 50mg/kg/hr if no allergic reactions
Stop infusion after total of 100mg/kg infused
Equine Serum<unk>  Antitoxin
only for patients > 1yo
Antitoxin obtained through CDC or local Department of Health
only for patients > 1yo
Individualize therapy with ID consultant
Broad antibiotic coverage same as for Necrotizing fasciitis while awaiting wound cultures
Botulism
Neuromuscular weakness
Tardive dyskinesia
Upper motor neuron:
Akathisia
CVA
Beer potomania syndrome
Hemorrhagic stroke