Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 26 Chemical Agents of Opportunity for Terrorism: TICs & TIMs What Toxic Gas Did He Inhale Module One – Toxic Industrial Gases as Terrorist Threats Chlorine 26 This case illustrates a typical finding from a severe chlorine gas exposure. This is a typical chest X-ray picture of chemical lung injury response: the presence of fluffy white infiltrates bilaterally is consistent with non-cardiogenic pulmonary edema or lung injury – i.e. not from fluid overload or heart failure. There are a number of medical conditions where the lungs become congested with fluid. The chest xray reveals the presence of infiltrates which take on a whitish appearance as opposed to the black radiographic appearance that appears with clear lung fields. If the lung congestion is thought to be from a failing heart, this is usually referred to as pulmonary edema. When the heart is not the culprit, the edema (or fluid congestion) is thought to be non-cardiogenic. An overwhelming infection can cause a non-cardiogenic edema. Consequential gas inhalation that results in a diffuse injury may also take on the appearance of non-cardiogenic edema. The radiograph on the slide has the appearance of a toxic gas exposure that may result after exposure to a number of toxic gases discussed in this presentation including chlorine, phosgene and methyl isocyanate. December 2008 Version 2.0 Page 150
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 27 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Audience Response Mixing together which of the following is most likely to form chlorine gas 1. Ammonia and acidic toilet bowl clearer 2. Bleach and acidic toilet bowl clearer 3. Cyanide and bleach 4. Acidic toilet bowl clearer and a dirty toilet 5. Unable to make chlorine gas in the house Module One – Toxic Industrial Gases as Terrorist Threats 27 . December 2008 Version 2.0 Page 151
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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