Checklist for Initial Triage After an Anthrax Mass Exposure Event
Authors: Nathaniel Hupert, Marissa Person, Dan Hanfling, Rita Traxler, William A. Bower, Katherine Hendricks
Journal: Annals of Internal Medicine (2019)

Letters17 September 2019Checklist for Initial Triage After an Anthrax Mass Exposure EventNathaniel Hupert, MD, MPH, Marissa Person, MSPH, Dan Hanfling, MD, Rita Traxler, MHS, William A. Bower, MD, and Katherine Hendricks, MD, MPH&TMNathaniel Hupert, MD, MPHWeill Cornell Medicine, New York, New York (N.H.)Search for more papers by this author, Marissa Person, MSPHCenters for Disease Control and Prevention, Atlanta, Georgia (M.P., R.T., W.A.B., K.H.)Search for more papers by this author, Dan Hanfling, MDInova Fairfax Hospital, Falls Church, Virginia (D.H.)Search for more papers by this author, Rita Traxler, MHSCenters for Disease Control and Prevention, Atlanta, Georgia (M.P., R.T., W.A.B., K.H.)Search for more papers by this author, William A. Bower, MDCenters for Disease Control and Prevention, Atlanta, Georgia (M.P., R.T., W.A.B., K.H.)Search for more papers by this author, and Katherine Hendricks, MD, MPH&TMCenters for Disease Control and Prevention, Atlanta, Georgia (M.P., R.T., W.A.B., K.H.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0380 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Mr. Zheng and Dr. Ertle highlight several critical features of the anthrax exposure scenario addressed in our article. Mr. Zheng notes that many of our control participants were asymptomatic, but we disagree that this factor “is not helpful in establishing a differential diagnosis.” Excluding anthrax before hospitalization is important to preserve potentially scarce critical care resources. Mr. Zheng states, “Accurately and efficiently identifying persons with anthrax by using a simple checklist based on clinical presentation is not easy.” We agree, and this belief was the motivation for publishing our article (as noted in the article's opening paragraphs and ...Reference1. Sox HC. A triage algorithm for inhalational anthrax [Editorial]. Ann Intern Med. 2003;139:379-81. [PMID: 12965947] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Weill Cornell Medicine, New York, New York (N.H.)Centers for Disease Control and Prevention, Atlanta, Georgia (M.P., R.T., W.A.B., K.H.)Inova Fairfax Hospital, Falls Church, Virginia (D.H.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1817. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDevelopment and Performance of a Checklist for Initial Triage After an Anthrax Mass Exposure Event Nathaniel Hupert , Marissa Person , Dan Hanfling , Rita M. Traxler , William A. Bower , and Katherine Hendricks Checklist for Initial Triage After an Anthrax Mass Exposure Event Alan R. Ertle Checklist for Initial Triage After an Anthrax Mass Exposure Event Bing-Kun Zheng Metrics 17 September 2019Volume 171, Issue 6Page: 449KeywordsAlgorithmsAnthraxCritical careDisclosureHematologic testsHospitalizationsMotivationResearch laboratoriesTriageVital signs ePublished: 17 September 2019 Issue Published: 17 September 2019 PDF downloadLoading ...