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Radiation legislation, 434 types of, 420 Radiation exposure sources of, 422 types of, 424 Radiation safety, 417 Radiation toxicology, 411-436 diagnosis, 413, 426 emergencies, resources for radiation, 435

NIOSH publications, 435 external contamination, 413, 427 external irradiation, 413, 429 internal contamination, 413, 428 isotopes, 413

laws of radiosensitivity, 421 pregnancy, radiation exposures during, 413, 432-434 fetal radiation, 432 gestational age, dose, 432 malformations, 432

pregnant workers, 434 termination of pregnancy, 434 preparing for arrival of victims, 425 radiation monitoring, 421 radiation safety, 417 radioactive isotopes, 423 resources for radiation emergencies, 413

sources, 413

sources of radiation exposure, 422 types of exposure, 413 types of radiation, 420 types of radiation exposure, 424 units of measure, 413, 421 whole body radiation/acute radiation syndrome, 413, 430-431 Radioactive isotopes, 423 Radiographic evaluation, 33, 41-45 abdominal x-rays, 43-44 airspace filling, 42-43 decreased bone density, 41 head computerized tomographic scan, 44-45

increased bone density, 41 known radiopaque toxins, 41 lungs, chest x-rays, 42-43 pleura, mediastinum, heart, chest x-rays, 43

toxin-induced skeletal changes, 41 unknown radiopaque toxins, 41 visualizing toxins, 41 Rattlesnakes, 309-311 Raw, grocery-bought chickens, 247 Receptor states, 13 Receptor theory, 13 Red hourglass spider, 314 Red phosphorus, 356 Red squill, 357 Reef, filter feeders, 269 Reproductive toxicology, 137-152

epidemiology of, 139, 141 Reptiles, 309

Respiratory depression, 85 Reticulonodular pattern, 43 Retrospective cohort study, 505 Ricin, 449 Rifampin, 216 Riot control agents, 446 Robitussin, 87 Rodenticides, 349-360

alpha-naphthylthiourea, 357 anticoagulants, 357-358 arsenic, 356 barium, 356-357 barium carbonate, 356 bromethalin, 357 cholecalciferol, 357 epidemiology, 355 high toxicity, 355-357 low toxicity, 357-358 moderate toxicity, 357 norbormide, 357

phosphorus red vs. yellow phosphorus,

356 red squill, 357

sodium monofluoroacetate, 355 strychnine, 355 thallium, 355

toxidrome, differential diagnosis, 358 vacor, 356

yellow phosphorus, 355-356 zinc phosphide, 355 Rotaviruses, 254

Salamanders, 313

Salamandra species salamanders, 313

Salmonella species, 249-250

Same management, 128

Sandflies, 337

Sarcoptidae, 345

Sassafras, 300

"Saturnine" gout, 386

Scabies mites, 345

Scopolamine, 87

Scorpion, 316

Screening, 491, 507-508

characteristics, abused drugs, 482 Screening tests, 508 biases, 500, 508 Scrub typhus mites, 345-346 Sea snakes, 330 Sea urchins, 325 Seafood poisoning, 263-280

amnesic shellfish poisoning, 272 ancient history, 267 baitfish feeders, 270 burden of disease, 268 crustacean poisoning, 265, 274 determinants of seafood-borne disease, 268

diarrhetic shellfish poisoning, 271 epidemiology, 265, 268 filter feeders, 269 finfish poisoning, 265, 275-277 ciguatera fish poisoning, 275 ciguatoxic fish, 275 freshwater fish poisoning, 276 marine botulism, 277 saltwater fish poisoning, 276 scombroid fish poisoning, 275-276 tetrodotoxic fish poisoning, 276 history, 265 management, 265 marine toxins, 269

bioaccumulated exotoxins, 269 endogenous endotoxins, 269 modern history, 267 neurotoxic shellfish poisoning, 271 paralytic shellfish poisoning, 271 Pfiesteria-complex organisms, 265, 273

plankton, 269

phytoplankton, 269

zooplankton, 269 prevention, 265 shellfish poisoning, 265 Secondary survey, 35

treatment, 35 Secondary treatment, 35 Sedative-hypnotics, 155 Sedative-hypnotics, 153-190 Sedatives, 11, 466-467 Selenium, 394 Serotonin syndrome, 162 Serum toxicology, 40 Sexual dysfunction female, 143 male, 142 Shigella sonnei, 250 Short-term anesthetics, 174-175 Shy bladder, 479-480, 486 Simuliidae, 337 Siphonaptera, 341 Skewed distribution, 514 Smallpox, 449 Smoke inhalation, 399, 404 epidemiology, 404 management, 404 Snake bite treatments, 312 Snakes, 309

non-poisonous, 309 Sodium azide, 128-129 Sodium bicarbonate, 71-72 Sodium channel blockers, 168 Sodium hypochlorite, 121 Sodium monofluoroacetate, 355 Soft ticks, 344 Solanine group, 302 Some considerations, 496-498 Sonoran coral snake, 311 Sources of bias, 505 Sources of error in measuring rates,

497-498 Southern copperhead, 309 Southern fire ants, 317-318 Spanish fly, 318 Specimen collection, 479 Specimen rejection, 479 Spectrophotometric tests, 39 Spiders, 314

Australian funnel web, 316 hobo, 315 red hourglass, 314 Stable fly, 339 Stages, 335

Staph enterotoxin B, 449 Staphylococcus aureus, 250 Starfish, 325

Statistical methods, guide to use of, 518

Stimulant overdose, symptoms of, 468

Stimulant withdrawal, symptoms of, 468

Stimulants, 468

Stingrays, 328

Stonefish, 329

Streptomycin, 216

Strychnine, 355

Substance abuse monitoring, 455-521 abused substances, 457, 465-469 alcohol testing, 457, 476 procedures, 476 random alcohol testing, 476 Americans with Disabilities Act, 458 amphetamines, 469, 483, 485 cannabinoids, 482 chain of custody, 457, 478-484 chemical dependency, 457, 464

circumstantial substance abuse, 464 experimental substance abuse, 464 recreational substance abuse, 464 recurrent substance abuse, 464 substance dependency, 464 tolerance develops, 464 withdrawal develops, 464 cocaine, 482 codeine, 482 components, 457

comprehensive drug-free workplace program, components of, 459 crack cocaine, 469 drug testing, 457, 477-478 procedures, 477 specimen collection, 478 drug tests, 462

employee assistance programs, 457, 473

employment drug testing, 460 epidemiology, 457, 461-463 federal regulations, 457, 459-460 forensic laboratory drug testing,

483-484 hallucinogen, 467 hallucinogens, 467-468 inhalants, 467

litigation package, contents of, 481 lysergic acid diethylamide, 467-468 marijuana, 461, 467 medical review officers, 457, 471-472 methamphetamine, 481 Miranda rights, 485-487 morphine, 482 MRO responses, 457 negative specimen, 480 Omnibus Transportation Employee Testing Act, 462, 474-475 opiate metabolism, 482-484 opiates, 465-466 opioid intoxication, 465 opioid overdose, 465 opioid withdrawal, 466 opioids, 465-466 PCP, 483

psychedelics, 467-468 psychiatric medications, 474 psychoactive substances, 465 rehabilitation, 457, 474-475 screening characteristics, commonly abused drugs, 482

sedatives, 466-467 shy bladder, 479-480, 486 specimen collection, 479 specimen rejection, 479 stimulants, 468

substance abuse professionals, 457, 470

therapeutic medications, 474 types of drug testing, 461 Substance abuse professionals, 457, 470 Succimer, 61 Sulfonamides, 212-213 Sulfonylureas, 83, 231 Sulfur mustard, 445 Summary analysis, 514 Supraventricular tachycardia, 48 Surveillance, 491, 509 Sympathetics, 56 Sympathomimetic toxidrome, 56

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