{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T15:30:09Z","timestamp":1749915009570},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":758,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Clostridium botulinum<\/jats:italic> toxins, the most poisonous substance known to humankind, are considered to be a [US] Centers for Disease Control and Prevention Category A bioterrorist agent. Despite this concern, little has been published with regard to the tactical aspects of triaging a mass-casualty event involving botulism victims arriving at an emergency department. Because neuromuscular-ventilatory failure is a principal reason for botulism's early morbidity and mortality, using a quick and sensitive test to evaluate this possibility is imperative. The purpose of this article is to propose the adoption of the Single-Breath-Count Test (SBCT). The ease and validity of the use of the SBCT in evaluating complications associated with various neuromuscular disorders make it an attractive adjunct for triage during a mass-casualty incident due to botulism. While education, immune globulin, antitoxin, and invasive airway techniques are well-recognized steps in treating botulism, incorporating a time-honored technique such as the SBCT, will be an important addition to the triage process.<\/jats:p>","DOI":"10.1017\/s1049023x00008062","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T07:53:17Z","timestamp":1472025197000},"page":"219-222","source":"Crossref","is-referenced-by-count":6,"title":["Single-Breath-Count Test: An Important Adjunct in the Triaging of Patients in a Mass-Casualty Incident Due to Botulism"],"prefix":"10.1017","volume":"25","author":[{"given":"Paul P.","family":"Rega","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Bork","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Burkholder-Allen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Bisesi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey P.","family":"Gold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00008062_ref007","doi-asserted-by":"publisher","DOI":"10.1097\/DMP.0b013e3181844d43"},{"key":"S1049023X00008062_ref016","first-page":"386","article-title":"Management of atlanto-axial dislocation: Some lessons learned.","volume":"50","author":"Jain","year":"2002","journal-title":"Neurol India"},{"key":"S1049023X00008062_ref011","unstructured":"11. Chan-Tack K , Bartlett J : Botulism. Available at http:\/\/emedicine.medscape.com\/article\/213311-overview. Accessed 17 January 2009."},{"key":"S1049023X00008062_ref003","first-page":"284","article-title":"Botulism, botulinum toxin, and bioterrorism: Review and update.","volume":"21","author":"Koirala","year":"2004","journal-title":"Infect Med"},{"key":"S1049023X00008062_ref018","volume-title":"World at Risk: The Report of the Commission on the Prevention of WMD Proliferation and Terrorism","author":"Graham","year":"2008"},{"key":"S1049023X00008062_ref015","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10187"},{"key":"S1049023X00008062_ref008","first-page":"829","article-title":"The neuromuscular respiratory system: Physiology, pathophysiology, and a respiratory approach to patients.","volume":"51","author":"Bendett","year":"2006","journal-title":"Respir Care"},{"key":"S1049023X00008062_ref002","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.8.1059"},{"key":"S1049023X00008062_ref001","first-page":"117","volume-title":"A Medical Response to Terrorism, Preparedness and Clinical Practice","author":"Timmon","year":"2005"},{"key":"S1049023X00008062_ref004","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0408526102"},{"key":"S1049023X00008062_ref005","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-2707"},{"key":"S1049023X00008062_ref006","doi-asserted-by":"publisher","DOI":"10.1097\/DMP.0b013e318182194e"},{"key":"S1049023X00008062_ref012","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2007.12.010"},{"key":"S1049023X00008062_ref013","first-page":"1016","article-title":"Neuromuscular disease causing acute respiratory failure","volume":"51","author":"Mehta","year":"2006","journal-title":"Resp Care"},{"key":"S1049023X00008062_ref014","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0704(05)70293-1"},{"key":"S1049023X00008062_ref017","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-33030"},{"key":"S1049023X00008062_ref009","unstructured":"9.Botulism: Current, comprehensive information on pathogenesis, microbiology, epidemiology, diagnosis, and treatment. Available at http:\/\/www.cidrap.umn.edu\/ cidrap\/content\/bt\/botulism\/biofacts\/botulismfactsheet.html. Accessed 17 January 2009."},{"key":"S1049023X00008062_ref010","unstructured":"10. Taillac PP , Kim J : CBRNE-Botulism. Available at http:\/\/emedicine.medscape.com\/article\/829125-overview. Accessed 17 January 2009."}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X00008062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T19:42:01Z","timestamp":1556480521000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X00008062\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["S1049023X00008062"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x00008062","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]}}}