By Robin B. McFee and Jerrold B. Leikin, M.D.; Bernard J. Scaglione, MA, CPP, CHSP
***** Toxico-terrorism: Emergency Response and Clinical Approach to Chemical, Biological, and Radiological Agents. By Robin B. McFee and Jerrold B. Leikin, M.D.; published by McGraw Hill Professional, www.mcgraw-hill.com (Web); 622 pages; $65.95.
Toxico-Terrorism is a technical publication that outlines in detail the clinical treatment of patients exposed to chemical, biological, or radiological weapons of mass destruction, plus many more common hazardous materials (hazmats). Authors Robin B. McFee and Jerrold B. Leikin, M.D., are highly qualified and knowledgeable in this area, and it shows in the book, which offers a wide range of critical information.
The book documents the different signs and symptoms associated with hazardous materials, ranging from sarin gas to mercury, and it explains how to determine a specific type of exposure. The text further provides detailed guidance on the proper equipment and procedures necessary to successfully treat various types of exposure, including the types of protective garments necessary and the room ventilation requirements.
From a clinical perspective, Toxico-Terrorism is a great resource. It is not, however, a security publication. There is no discussion of access control, vehicular traffic management, or lockdown—issues relevant to securing a facility. This book should not be used as a primary reference by security professionals unless they already have an above average understanding of emergency care.
For emergency physicians, hazmat response professionals, and emergency medical services personnel, it is a must-read and should be retained as a reference by all hospitals and acute care facilities positioned to receive victims of a terrorist attack or any hazardous material contamination.
Reviewer: Bernard J. Scaglione, MA, CPP, CHSP (Certified Healthcare Safety Professional), is director of security at New York Presbyterian Hospital-Weill Cornell Campus and the principal partner at The Security Design Group. He is president of the New York City Metropolitan Healthcare Safety and Security Directors Association and the vice chair for the ASIS International Healthcare Council.
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