Guest
Technical Editor: Peter
Wald, MD, MPH
Guest
Contributors: Anca
Gurzau, MD, PhD; Eugen Gurzau, MD, PhD; Alan Hall, MD; Sam Keith,
MS, CHP; Michael Kosnett, MD, MPH; Polyxeni D. Koutkia, MD; Steven
Marcus, MD; Stela Ramboiu, MD; L.B. Sandy Rock, MD; Jim Ruttenber,
PhD, MD; Jack Snyder, MD, PhD, JD; Robert Spengler, PhD; Daniel
Sudakin, MD, MPH; Oscar Tarragó, MD, MPH; Pamela Tucker,
MD; Richard Wang, DO; Janet Weiss, MD; Luke Yip, MD
Peer
Reviewers: Jacqueline Agnew,
PhD, MPH; David V. Becker, MD; Kathleen McPhaul, RN, MPH; Noel
R. Rose, MD, PhD; Robert Sawyer, MD; Michael Tuttle, MD
ATSDR/DHEP
Authors: Diane
M. Drew, RN; Lauren Swirsky, CHES; Oscar Tarragó, MD, MPH
ATSDR/DHEP
Case Studies Team: Diane Dennis-Flagler, MPH; Sharon Hall,
RN, BSN (CDC/PHPPO); Kim Gehle, MD, MPH; Oscar Tarragó,
MD, MPH
We
would like to extend a special thank you to the members of the
Hanford community and others who provided input and comments on
this document. Their comments have contributed greatly to this
case study.
This
case study was prepared with the assistance of those who share
a common concern for health professional education, public health,
and the environment, including the American College of Medical
Toxicology (ACMT) and the American College of Preventive Medicine
(ACPM). Final responsibility for the contents and views expressed
in this case study resides with ATSDR.
Each
content expert for this case study indicated no conflict of interest
to disclose with the case study subject matter.
ATSDR
Publication No.: ATSDR-HE-CS-2004-0001
This
monograph is one in a series of self-instructional publications
designed to increase the primary care provider’s knowledge of
hazardous substances in the environment and to aid in the evaluation
of potentially exposed patients. See the Accreditation
section for more information about continuing medical education
credits, continuing nursing education units, and continuing education
units.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Toxic Substances and Disease Registry
Division of Health Education and Promotion
Disclaimer
The state
of knowledge regarding the treatment of patients potentially
exposed to hazardous substances in the environment is constantly
evolving and is often uncertain. In this monograph, ATSDR has
made diligent effort to ensure the accuracy and currency of
the information presented, but makes no claim that the document
comprehensively addresses all possible situations related to
this substance. This monograph is intended as an additional
resource for physicians and other health professionals in assessing
the condition and managing the treatment of patients potentially
exposed to hazardous substances. It is not, however, a substitute
for the professional judgment of a health care provider. The
document must be interpreted in light of specific information
regarding the patient and in conjunction with other sources
of authority.
Use
of trade names and commercial sources is for identification only
and does not imply endorsement by the Agency for Toxic Substances
and Disease Registry or the U.S. Department of Health and Human
Services.
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