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disaster 5th 1108_5th ed 2011 - Homeland Security and Emergency ...

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leading to death. Survivors of serious poisoning may<br />

develop heart <strong>and</strong> brain damage due to lack of oxygen.<br />

Treatment: Cyanide poisoning is treat<strong>ed</strong> with antidotes <strong>and</strong> supportive<br />

m<strong>ed</strong>ical care (mainly to help symptoms). The main things are to avoid area<br />

where it was releas<strong>ed</strong> <strong>and</strong> seek m<strong>ed</strong>ical attention as soon as possible.<br />

• First - leave area as quickly as possible<br />

... if outdoors - move upwind <strong>and</strong> stay low to ground<br />

... if in building - get outside <strong>and</strong> get upwind<br />

• If inhal<strong>ed</strong> - get fresh air as quickly <strong>and</strong> calmly as possible<br />

• If on clothing or skin - remove contaminat<strong>ed</strong> shoes <strong>and</strong><br />

clothes but don’t pull anything over head - cut it off. Seal<br />

all in a bag then put that bag in a bag - ask how to dispose<br />

of. Imm<strong>ed</strong>iately wash body <strong>and</strong> hair with soap & water.<br />

• If in eyes - remove contacts if necessary. If eyes burning<br />

or vision blurr<strong>ed</strong>, rinse eyes with water for 10-15 minutes.<br />

• If swallow<strong>ed</strong> - if someone drinks or eats something<br />

expos<strong>ed</strong> to cyanide, do NOT make them puke or drink<br />

fluids - call 9-1-1<br />

Sarin (Nerve) - is a clear, colorless, odorless <strong>and</strong> tasteless liquid that could<br />

evaporate into a vapor (gas) <strong>and</strong> contaminate the environment. It is manmade<br />

<strong>and</strong> originally develop<strong>ed</strong> to kill insects. Nerve agents basically turn<br />

“off” the body’s ability to stop muscles <strong>and</strong> gl<strong>and</strong>s from twitching.<br />

How it spreads: Sarin could be releas<strong>ed</strong> into the air, water, or soil as a<br />

weapon. People can be expos<strong>ed</strong> by breathing vapors, by drinking or eating<br />

something contaminat<strong>ed</strong>, or by touching water, soil or clothing expos<strong>ed</strong> to<br />

sarin. A person’s clothing can release sarin for about 30 minutes after being<br />

expos<strong>ed</strong> to vapor. Because sarin vapor is heavier than air, it settles in lowlying<br />

areas creating a greater exposure hazard.<br />

Signs & Symptoms: Depends on how much, what form, <strong>and</strong> how people<br />

are expos<strong>ed</strong> to sarin. No matter how expos<strong>ed</strong> (breathing, absorb<strong>ed</strong> through<br />

skin, or eating / drinking it), the following may show up within seconds<br />

(vapor or gas) or within minutes to 18 hours (liquid)...<br />

• Head - runny nose, drooling or excess spittle, headache<br />

• Eyes - watery, small pupils, blurr<strong>ed</strong> vision, eye pain<br />

• Lungs - cough, tight feeling in chest, fast/rapid breathing<br />

• Nervous system - confusion, drowsiness, weakness<br />

• Heart/blood - slow/fast pulse, rise/drop in blood pressure<br />

• Stomach/gastrointestinal - abdominal pain, puking, sick to<br />

stomach, diarrhea, pee lot more than normal<br />

... plus ...<br />

www.itsa<strong>disaster</strong>.net or call 1-888-999-4325<br />

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