BIOS 230 Lecture 15: Chapter 22
Document Summary
Chapter 22: something borrowed, something blue: a wedding to remember - the wedding outbreak - methemoglobinemia caused by sodium nitrite in punch - stephanie. A reporter called the health department and wanted to know why ambulances were flooding all three emergency rooms in des moines, iowa. Physicians who were treating patients confirmed that the cyanosis was due to methemoglobinemia that was laboratory confirmed in numerous patients. The epidemiologist who wrote the chapter called coworkers from the health department - nurse, epidemiologist, and physician to gather info from hospitals. At first, used known symptoms of methemoglobinemia (cyanosis, headache, shortness of breath, lightheadedness, weakness, confusion, etc. ) Clinical criteria: collapse, cyanosis, headache, dizziness, palpitations, shortness of breath, nausea, vomiting, weakness, fatigue, chest discomfort, or chills within 8 hours of the wedding. Suspect case: attendee with one or more clinical criteria. Confirmed case: suspect case meeting laboratory criteria. Interviewed emergency department physicians, patients, and other wedding guests.
