ACMT Position Statement: Alternative or Contingency Countermeasures for Acetylcholinesterase Inhibiting Agents

Andrew Stolbach, Vikhyat Bebarta, Michael Beuhler, Shaun Carstairs, Lewis Nelson, Michael Wahl, Paul M. Wax, Charles McKay

Research output: Contribution to journalArticle

Abstract

First responders and health care providers must prepare to provide care for patients poisoned by acetylcholinesterase (AchE) inhibitor chemical warfare agents or pesticides. However, pre-deployed medical countermeasures (MCMs) may not be sufficient due to production and delivery interruption, rapid depletion of contents during a response, expiration of MCM components, or lack of local availability of approved MCMs. To augment supplies of community-based and forward-deployed nerve agent countermeasures, the American College of Medical Toxicology (ACMT) supports several strategies: (1) The use of expired atropine, diazepam, and pralidoxime auto-injectors and vials if non-expired drugs are unavailable; and (2) Investigation, development, and identification of alternative countermeasures—commonly stocked drugs that are not approved for nerve agent poisoning but are in the same therapeutic class as approved drugs.

Original languageEnglish (US)
Pages (from-to)261-263
Number of pages3
JournalJournal of Medical Toxicology
Volume14
Issue number3
DOIs
StatePublished - Sep 1 2018

Keywords

  • Acetylcholinesterase inhibitors
  • Atropine
  • Countermeasures
  • Expiration date
  • Pralidoxime

ASJC Scopus subject areas

  • Toxicology
  • Health, Toxicology and Mutagenesis

Fingerprint Dive into the research topics of 'ACMT Position Statement: Alternative or Contingency Countermeasures for Acetylcholinesterase Inhibiting Agents'. Together they form a unique fingerprint.

  • Cite this

    Stolbach, A., Bebarta, V., Beuhler, M., Carstairs, S., Nelson, L., Wahl, M., Wax, P. M., & McKay, C. (2018). ACMT Position Statement: Alternative or Contingency Countermeasures for Acetylcholinesterase Inhibiting Agents. Journal of Medical Toxicology, 14(3), 261-263. https://doi.org/10.1007/s13181-018-0658-4