Copyright © 2020 Robert Samuel Cromartie, III. All rights reserved

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HighTechTerrorCvrSz1a1Welcome and thank you for your interest in author, Sam Cromartie and HIGH-TECH TERROR.

This book has been written to serve as a readable, “user-friendly” text, principally for health care professionals and all the varied personnel involved in initial response teams, to aid them in the prompt recognition and management of patients suffering from acts of terrorism with biological, chemical, or nuclear weapons, and to outline preventive measures that need to be taken to reduce casualties. Discussions in the book include those diseases and/or injuries that are most serious and believed most likely to be encountered.

Those professionals who will benefit most from the information provided are those who deal directly with patients and people; that is, Physicians, especially those in Family Practice, Primary Care, Internal Medicine, and Pediatrics; as well as Surgeons, various Sub-specialists, Intensivists, and Hospitalists; Emergency Department personnel; Physician Assistants and Nurse Practitioners; Nurses; and First Line Responders. The book is especially valuable for those who may be involved in the initial or early care of patients. In addition, Police and Security personnel; Public Health workers; Health Care Administrators; those involved in Disaster Preparedness; Legislators and those on their Staffs; and anyone responsible for the security and well-being of the nation, will also find this text informative and useful.

Because most all of the above people, including health care providers, have little or no experience with infectious, chemical, or nuclear agents that may be used in terrorist attacks, the book fills the need for an easily understandable source of information concerning the illnesses and/or injuries likely to occur. The authors believe that familiarity with this text and access to data contained herein could be vital to salvaging not only critically ill patients, but also in preventing diseases and/or injuries to those who are otherwise healthy who might become secondarily involved.

For Legislators and non-medical personnel responsible for the safety and welfare of the people, the book serves as a ready reference and description of the source, type, breadth, and magnitude of the disasters that are likely to occur. These people need only to complement this information with their imaginations to motivate them into action.

In the first of three parts of the book, Biological Agents, the reader will find an overview and classification of biologic agents and their associated syndromes most helpful in putting the subject in perspective. This material precedes separate and distinct sections containing terse descriptions of expected clinical presentations that should arouse suspicions of the presence of terrorist-promoted diseases and/or injuries and outlines how to diagnose, treat, prevent, and contain each of the major threats under consideration.

Similar approaches are utilized to present the second and third parts, Chemical Warfare and Terrorism and Nuclear Terrorism, respectively; that is, both of these subjects are previewed by helpful overviews of the history and basic sciences involved before the agents and diseases and/or injuries that might be encountered are separately discussed.

Although the thrust of this book focuses upon early recognition, appropriate treatment and management, and prevention of illnesses and/or injuries which might result from terrorist attacks; many of the agents, principles, and approaches discussed may also be applied to managing natural (e.g., pandemic influenza) or accidental (e.g., nuclear power plant accidents) disasters.         

Since the past can teach us much about infectious, chemical, and nuclear agents, a generous dose of relevant history is included throughout. Such historical content prepares us to understand and anticipate: 1) how these agents have been and might be weaponized and exploited for evil purposes, 2) the likelihood of encountering them, 3) the delivery systems or mechanisms of agent dispersions that might be used, 4) the difficulties of prompt recognition of the illnesses they produce, and 5) the immediate and secondary consequences of such diseases/injuries, both in terms of morbidity and mortality. Through the lens of history, we are then compelled to reflect upon the unanticipated problems that these medical disasters might pose; such as, widespread hysteria, crippled healthcare systems, absence of public safety, economic chaos, and shortage of food supplies, just to name a few.          

Finally, this text is intended to remind us that terrible weapons will always exist and are certain to be used against humanity in the future, not just in the military, but also in the civilian arenas. Thus, the more health care providers and everyone else involved with the health care industry know about this subject and the diseases and injuries these agents or weapons can produce, the more likely mankind will be able to successfully mute, survive, or prevent their catastrophic consequences.

The Disease and Its History

Anthrax is a disease produced by spore-forming bacteria that primarily occurs in herbivores such as sheep, goats, cattle, and swine as a result of ingestion of naturally occurring infectious spores. Usually,man is only infected incidentally. The disease has been present world-wide for centuries and was probably the etiology of the Fifth Plague,which killed the Egyptians’ livestock described in Exodus. Read more >>

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