Title |
ACMT Position Statement: Alternative or Contingency Countermeasures for Acetylcholinesterase Inhibiting Agents
|
---|---|
Published in |
Journal of Medical Toxicology, April 2018
|
DOI | 10.1007/s13181-018-0658-4 |
Pubmed ID | |
Authors |
Andrew Stolbach, Vikhyat Bebarta, Michael Beuhler, Shaun Carstairs, Lewis Nelson, Michael Wahl, Paul M. Wax, Charles McKay |
Abstract |
First responders and health care providers must prepare to provide care for patients poisoned by acetylcholinesterase (AchE) inhibitor chemical warfare agents or pesticides. However, pre-deployed medical countermeasures (MCMs) may not be sufficient due to production and delivery interruption, rapid depletion of contents during a response, expiration of MCM components, or lack of local availability of approved MCMs. To augment supplies of community-based and forward-deployed nerve agent countermeasures, the American College of Medical Toxicology (ACMT) supports several strategies: (1) The use of expired atropine, diazepam, and pralidoxime auto-injectors and vials if non-expired drugs are unavailable; and (2) Investigation, development, and identification of alternative countermeasures-commonly stocked drugs that are not approved for nerve agent poisoning but are in the same therapeutic class as approved drugs. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 26 | 58% |
Poland | 1 | 2% |
Qatar | 1 | 2% |
Canada | 1 | 2% |
Venezuela, Bolivarian Republic of | 1 | 2% |
Unknown | 15 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 21 | 47% |
Members of the public | 17 | 38% |
Scientists | 7 | 16% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 17 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 3 | 18% |
Professor > Associate Professor | 3 | 18% |
Other | 2 | 12% |
Student > Ph. D. Student | 1 | 6% |
Lecturer > Senior Lecturer | 1 | 6% |
Other | 1 | 6% |
Unknown | 6 | 35% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 3 | 18% |
Chemistry | 2 | 12% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 6% |
Social Sciences | 1 | 6% |
Unknown | 10 | 59% |