Rehabilitation After a Chem/Bio Incident

Abstract

After a chemical/biological incident, triage and initial treatment will need to be followed by extensive periods of rehabilitation, in respiratory, cardiac, wound care, pain and psychiatry orthopedic, stroke, spinal cord, and head injury. The areas of most concern will be dependent on the agent used. If mustard is used, rehabilitation will be similar to burn patients with the emphasis on care of the skin, respiratory function and eye care. The effects on heart muscle and therefore cardiac function will also be a priority, but this care will be similar to those with cardiac problems without a chemical/biological event. As the skin is the first barrier to infection, care of wounds will be ongoing until healed. Skin heals in a progressive, structured way, and again this will be the same without a chemical/biological event. If phosgene or choking agents were used, respiratory care will be a priority, and an ongoing rehab concern. Respiratory care will be a continuation of initial treatments, with the addition of breathing exercises to enhance the ability of remaining lung tissue to be productive. Cardiac rehab will be essential to enhance the viable heart muscle with the goal of improving cardiac output. If nerve agents are used the effects on behavior including paranoia, as well as catastrophic victim behaviors of shock, depression, helplessness, and loss of life as it was prior to the incident.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2001
Accession Number
ADP013442

Entities

People

  • June Webber

Tags

DTIC Thesaurus Topics

  • Burns
  • Choking Agents
  • Dermatologic Agents
  • Head Injuries
  • Health Care
  • Health Services
  • Hospitals
  • Nerve Agents
  • Pain
  • Patient Care
  • Physical Activity
  • Rehabilitation
  • Societies
  • Spinal Cord
  • Technical Information Centers
  • Terrorism
  • Therapy

Fields of Study

  • Medicine

Readers

  • Critical Infrastructure Protection in CBRN and WMD Threats.
  • Trauma Surgery or Emergency Medicine.
  • Trauma or Military Medicine