☣️ Chapter 763 · Terrorism Syndromes

Nelson Textbook of Pediatrics 22nd Edition | Nerve agents (sarin/VX): cholinergic crisis → miosis, bronchorrhea, seizures. Antidote: atropine + pralidoxime + benzodiazepine. Inhalational anthrax: widened mediastinum, ciprofloxacin+clindamycin. Pneumonic plague: gentamicin/ciprofloxacin. Cyanide: hydroxocobalamin. Chlorine/phosgene: pulmonary edema, supportive care.

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📋 30 Clinical Scenarios — Chemical & Bioterrorism Syndromes

📇 High‑Yield Review Cards

🩺 Clinical Recognition: Terrorism Syndromes

Select a syndrome to review diagnosis and management (Nelson Ch 763).

📋 Stepwise Management of Terrorism Agents

🔑 Key Principles — Chapter 763
• Nerve agents (sarin, VX): Cholinergic crisis → atropine 0.05-0.1 mg/kg + pralidoxime 25-50 mg/kg + midazolam. Decontamination first.
• Cyanide: Hydroxocobalamin 70 mg/kg IV (turns urine red).
• Inhalational anthrax: Ciprofloxacin + clindamycin/rifampin. Widened mediastinum.
• Pneumonic plague: Gentamicin or ciprofloxacin.
• Chlorine/phosgene: Pulmonary edema → supportive care, oxygenation.

    ⚡ Reflex Prompts — Terrorism Emergencies

    📖 Summary: Terrorism Syndromes (Nelson 763)