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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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<strong>Chemical</strong> <strong>Agents</strong> <strong>of</strong> <strong>Opportunity</strong> <strong>for</strong> <strong>Terrorism</strong><br />

Training Support Package<br />

Participant Guide<br />

Module Three<br />

Toxic Industrial Gases as Terrorist Threats - Administration<br />

Page<br />

<strong>Chemical</strong> compounds are produced in massive quantities as part <strong>of</strong> America's industrial<br />

complex. Many <strong>of</strong> these compounds are amenable to use as large scale terrorist weapons.<br />

These chemicals are produced, transported, and stored in communities across our nation and<br />

are easily accessible by all. These chemicals pose a significant health risk to individuals and<br />

populations should they be released either intentionally or accidentally. Exposure to toxic gases<br />

will create serious health implication <strong>for</strong> victims. Many <strong>of</strong> these irritive gases, such as chlorine,<br />

phosgene, and ammonia, exert their effects by the production <strong>of</strong> corrosive agents, such as<br />

hydrochloric acid and ammonium hydroxide. Other agents, such as hydr<strong>of</strong>luoric acid, also<br />

produce systemic effects. Individual characteristics <strong>of</strong> each gas will determine its toxicity and<br />

health effects. Quick response and appropriate clinical management will be critical to reducing<br />

morbidity and mortality. Prevention includes methods to decrease the likelihood <strong>of</strong> exposure and<br />

mitigation ef<strong>for</strong>ts will be important. Current legislation under the community right to know act<br />

mandates disclosure <strong>of</strong> the presence <strong>of</strong> toxic chemicals within communities.<br />

Duration<br />

45 minutes<br />

Scope Statement<br />

This module will address a number <strong>of</strong> chemicals, such as phosgene, chlorine, and anhydrous<br />

ammonia, which might be disseminated as inhalational threats. Historical examples <strong>of</strong> the<br />

release <strong>of</strong> these gases and their impact on the community will be reviewed. Their<br />

pathophysiology, treatment, and potential sources in the community and in the transportation<br />

system will be discussed.<br />

Terminal Learning Objective (TLO)<br />

• Understand the threat posed by toxic industrial gases and the<br />

recognition, assessment and management <strong>of</strong> exposed patients.<br />

Enabling Learning Objectives (ELO)<br />

Resources<br />

• Review the history <strong>of</strong> industrial gas exposures and regulatory<br />

response<br />

• Identify major compounds <strong>of</strong> interest<br />

• Understand the varying clinical picture created by the gases, based<br />

on their physical properties and toxicity<br />

• Address methods to decrease likelihood <strong>of</strong> exposure and illness<br />

Each <strong>of</strong> the eight course modules is deployed as an interactive, instructor-lead, MS PowerPoint<br />

presentation containing didactic content, historical examples, and selected case studies. All<br />

presentations are included in a printed participant guide (PG) containing the modules’ overview,<br />

December 2008 Version 2.0 Page 120

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