A patient presents to the ED with blurred vision and drooping eyelids along with shortness of breath. A diagnosis of botulism poisoning is made. Which of the following is reported?

Explanation

•Suspicion of even one case of botulism immediately raises concern of a potential outbreak. Botulism is highly toxic and associated with contaminated food, particularly in improperly preserved foods like canned or tinned foods.

•The fair was a likely site of contaminated food, and the CDC and state health department should be notified, and attempts made to locate the contaminated food source and identify other persons who may have been exposed.

•Fact sheets should be prepared for the public, to explain that people exposed to botulinum toxin are not contagious and that anyone with symptoms should report for evaluation and care immediately.

Incorrect options:

•The patient's allergies should be documented as usual, but this does not require a separate report and is not the priority during a public health crisis.

•Orthostatic blood pressures are not indicated at this time.

•There is no reason to make a report of the patient's car to the police.

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