Toxic Trauma A Basic Clinical Guide
Winner of BMA Medical Book Award, Highly Commended in Public Health Written for medical professionals, this book provides a concise reference with clear guidelines on how to manage both the victims of chemical agent exposure and the site of the incid
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Toxic Trauma A Basic Clinical Guide Second Edition
Toxic Trauma
David J. Baker
Toxic Trauma A Basic Clinical Guide Second Edition
123
David J. Baker SAMU de Paris Hôpital Necker—Enfants Malades Paris France
ISBN 978-3-319-40915-3 DOI 10.1007/978-3-319-40916-0
ISBN 978-3-319-40916-0
(eBook)
Library of Congress Control Number: 2016950375 © Springer International Publishing Switzerland 2014, 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to all those who have suffered toxic trauma and to those who have cared for them, in war and in peace.
Foreword
One of the most testing problems an emergency physician or clinical toxicologist can face is posed by a seriously ill or unconscious patient who appears to have been exposed to some toxic substance and whose clinical condition is rapidly worsening. Whether the identity of the substance is known from the clinical history or circumstances of exposure, or is unknown, it is likely that immediate treatment to support vital physiological functions will be needed. Contrary to popular opinion, specific antidotes are few in number and, in any case, cannot be given until the identity of the toxic substance, or substances, has been discovered. This may take some time, and time is a luxury seldom enjoyed by the emergency physician. As soon as one steps outside the range of drugs and chemicals too often chosen by those with suicidal intent, the range of toxic substances to which the patient may have been exposed becomes vast and includes materials of animal, plant and bacterial origin in addition to the innumerable toxic chemicals produced by man. A special case of the latter is provided by radioactive materials. In addition, though of less immediate importance to the physician, exposure may
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