Consensus Guideline for Care of Patients in the Prehospital and Aerospace Settings with Exposures to Hydrazine and Hydrazine Derivatives

The consensus guideline for clinical care of patients with exposure to HZ/HZ-Ds is as follows: Prior to decontamination, use appropriate personal protective equipment, and when necessary, support ventilation using a bag-valve-mask and administer midazolam intramuscularly for seizures. After decontamination, provide supplemental oxygen; consider selective advanced airway management when indicated; administer inhaled beta-agonists for wheezing; and, for seizures unresponsive to multiple doses of benzodiazepines that occur during pre-planned, high-hazard activities, such as spacecraft recovery, consider intravenous or intraosseous pyridoxine.

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Publication Details

Journal
Prehospital Emergency Care
Published
2024-12-13
DOI
https://doi.org/10.1080/10903127.2024.2442097
Primary Topic
Cardiac Arrest and Resuscitation
Type
article
Field-Weighted Citation Impact
0.00
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article

Consensus Guideline for Care of Patients in the Prehospital and Aerospace Settings with Exposures to Hydrazine and Hydrazine Derivatives

Jason R. West, Bryan Z. Wilson, Andrew J. Harrell, HoanVu Nguyen et al.
Prehospital Emergency Care
Cardiac Arrest and Resuscitation
article

Consensus Guideline for Care of Patients in the Prehospital and Aerospace Settings with Exposures to Hydrazine and Hydrazine Derivatives

Jason R. West, Bryan Z. Wilson, Andrew J. Harrell, HoanVu Nguyen, Scott McIntosh, Mary Knotts, Joshua B. Gaither, Melissa A. Lerman, Diane E. Hindman, Stevan Gilmore, Richard Cole, Aun Chian Yeoh, Frank G. Walter, Christopher J. Edwards, Amber D Rice, Farshad M. Shirazi, Todd Davis, Robert N. E. French, Mark Truxillo, Jacob T Debevec, Michael Schertz
article en

Abstract

The consensus guideline for clinical care of patients with exposure to HZ/HZ-Ds is as follows: Prior to decontamination, use appropriate personal protective equipment, and when necessary, support ventilation using a bag-valve-mask and administer midazolam intramuscularly for seizures. After decontamination, provide supplemental oxygen; consider selective advanced airway management when indicated; administer inhaled beta-agonists for wheezing; and, for seizures unresponsive to multiple doses of benzodiazepines that occur during pre-planned, high-hazard activities, such as spacecraft recovery, consider intravenous or intraosseous pyridoxine.

Prehospital Emergency CareVol. 30(1)
United States Air Force Research Laboratory (US), Boeing (United States) (US), New York City Fire Department (US), University of Arizona (US), University of New Mexico (US), University of Utah (US), Boeing (Australia) (AU), United States Air Force (US), Washington Poison Center (US), Phoenix Children's Hospital (US), National Aeronautics and Space Administration (US), University of California Davis Medical Center (US), The University of Texas Medical Branch at Galveston (US)
Openalex Percentile: Top 60%
Cardiac Arrest and Resuscitation
DOISourceOpenAlex
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