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The book is thought provoking and emphasizes how we are all connected to the process of life and death. As a physician (with writing as an avocation) I thought it offered a wonderful look at the many facets of medical care and those that deliver it.
This book would be a wonderful gift for anyone in the profession but can be enjoyed by anyone with an interest in the human condition.
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The book begins with a historical overview of the use of biological weapons. The next two chapters, respectively, provide detailed information on the biological agents that the CDC considers to be the most dangerous and likely to be weaponized (Category "A" agents), followed by Category "B" and "C" agents - agents which have the potential to be used as weapons. These chapters include terrific consolidated tables that provide a ready reference and overview of pertinent information on each of the biological agents.
The next two chapters are two of the most important in the book for health professionals and bioterrorism planners. First, the book provides an overview of the CDC's Laboratory Response Network and the most important laboratory tests and procedures for identifying biological agents. Once again the book provides consolidated tables that provide quick reference to the tests and clinical specimens required for each agent. Then the book provides a 10 step approach to identifying a biological attack by modifying the Advanced Trauma Life Support model familiar to emergency health care providers (i.e. Primary and Secondary Surveys). This "tool" can easily be adopted into medical bioterrorism plans and procedures.
The book also provides an epidemiological approach to performing triage in a mass casualty, large-scale bioterroism event based on the PICE (Potential Injury/illness Creating Event)stages by expanding the "SIR" model (Susceptible, Infected, Infective, Removal) to include "Exposed" and "Vaccinated Succesfully" populations. This chapter includes an excellent graphic that summarizes this "SEIRV" methodology.
A chapter on creating a basic bioterrosim incident management plan for hospitals outlines the critical issues that the plan must address, as well as some potential solutions to a few of the more difficult bioterrorism management problems.
The book also addresses an area for which there has been little information previously - vulnerable populations such as children, pregnant women, the elderly and immuno-compromised patients. Once again, two consolidated tables provide excellent ready reference for anibiotic therapy for pregnant women and children.
In addition, the book covers mental health issues, state and federal bioterrorism related programs, and future bioterrorism challenges and provides a community perspective on identifying and responding to a bioterrorism event.
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lived as a child amongst revolutionaries in Poland,
but read about the sea and dreamt of wild adventures.
He watched his mother die in exile in Siberia
and his father follow her to the grave soon thereafter.
Seasons of the mind can be taught to rule the heart.
Joseph Conrad survived a life of tedium and hair breadth escapes at sea,
but dreamt of understanding what drives and saddles men's souls.
He is rumored to have killed a man in a barroom brawl
and then escaped to England to take on a new identity.
There is very little time for true understanding.
Father and author Conrad lived quietly in a London suburb
and wrote in epic stretches that left him sleeping on the floor.
One day he emerged from his writing studio
and did not recognize his own son in the hallway.
Life stumbles on through fields of crowded emotion.
There is no loss of honor in fearing life's many deaths.