Chemical WarfareMedical Author:
Jeffrey L Arnold, MD, FACEP
Medical Editor:
Suzanne White, MD
Medical Editor:
Francisco Talavera, PharmD, PhD
Medical Editor:
Raymond J Roberge, MD, MPH, FAAEM, FACMT
Risk of ExposureInjury from chemical weapon agents, known as CWAs, may result from industrial accidents, military stockpiling, war, or a terrorist attack. Industrial accidents are a significant potential source of exposure to chemical agents. Chemicals such as phosgene, cyanide, anhydrous ammonia, and chlorine are used widely. These chemicals are frequently transported by industry. The accidental release of a methylisocyanate cloud (composed of phosgene and isocyanate) was implicated in the Bhopal, India, disaster in 1984.
Although a number of international treaties have banned the development, production, and stockpiling of chemical weapons, these agents reportedly are still being produced or stockpiled in several countries. Within the last decade, terrorists deployed chemical weapons against civilian populations for the first time in history. The release of sarin in Matsumoto, Japan, in June 1994 by the extremist Aum Shinrikyo cult left 7 dead and 280 injured. The following year, the Aum Shinrikyo cult released sarin vapor in the Tokyo subway system during morning rush hour, leaving 12 dead and sending more than 5,000 casualties to local hospitals. Several characteristics of chemical weapon agents lend themselves to terrorist use.
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Personal Protective Equipment »
Personal Protective Equipment Introduction
Personal protective equipment (PPE) refers to the respiratory equipment, garments, and barrier materials used to protect rescuers and medical personnel from exposure to biological, chemical, and radioactive hazards.
- The goal of personal protective equipment is to prevent the transfer of hazardous material from victims or the environment to rescue or health care workers.
- Different types of PPE may be used depending on the hazard present. The types of hazards addressed here include biological warfare agents (BWAs), chemical warfare agents (CWAs), and radioactive agents.
- The most common routes of exposure to these hazards include inhalation (breathing, from the air), skin contact, and ingestion (eating or drinking).
The use of personal protective equipment by the general public for protection against chemical and biological agents is...
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CBRNE - Chemical Warfare Mass Casualty Management »
This article is for managers who prepare hospital operational plans, for leaders responsible for response activities within a hospital, and for hospital health care providers.
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