Introduction: Amid the global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), chloroquine and hydroxychloroquine were being studied as agents to prevent and treat coronavirus disease 2019. Information about these agents and their effects circulated throughout the general public media, raising the concern for self-directed consumption of both pharmaceutical and non-pharmaceutical products. Case Report: We present two cases of chloroquine toxicity that occurred after ingestion of an aquarium disinfectant that contained chloroquine phosphate in a misguided attempt to prevent infection by SARS-CoV-2. One patient had repeated emesis and survived, while the other was unable to vomit, despite attempts, and suffered fatal cardiac dysrhythmias. Conclusion: These cases illustrate the spectrum of toxicity, varied presentations, and importance of early recognition and management of chloroquine poisoning. In addition, we can see the importance of sound medical guidance in an era of social confusion compounded by the extremes of public and social media.
This chapter explores the relationship between change and the American military school. Its objective is to demonstrate that the military school is not only readily adaptable to change, but in the process is an important agent for change. However, reaching that conclusion requires the reader to first understand what is often misunderstood, the nature of a military school. Upon that knowledge of the purpose, organization, process, learning model, and most significantly, the vision and mission of the American military school come the realization that this learning institution can be an effective catalyst for change. It therefore is an important segment of the American educational system and can have a vital role in sustaining America's leadership in the world. Support for that proposition is offered by analyzing how one American military school, the New Mexico Military Institute, has changed in response to a series of challenges to its future such as the COVID-19 pandemic. This chapter deals with leadership, learning, change, and the American military school.
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