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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 />

Slide 45<br />

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

<strong>TICs</strong> & <strong>TIMs</strong><br />

Phosgene: Delayed Lung Injury<br />

6 hrs post-exposure<br />

10 hrs post-exposure<br />

Module One – Toxic Industrial Gases as Terrorist Threats<br />

45<br />

These Chest X-ray pictures <strong>of</strong> delayed-onset pulmonary edema after phosgene<br />

exposure shows the progression <strong>of</strong> peripheral pulmonary infiltrates over time, as is<br />

typical <strong>of</strong> non-cardiogenic pulmonary edema.<br />

Chest X-ray appearances can lag behind clinical symptoms, but the accumulation <strong>of</strong><br />

lung water – and inflammatory cells – as depicted by the increased whiteness <strong>of</strong> the<br />

normally black lung fields on X-ray is one indication <strong>of</strong> the degree <strong>of</strong> injury occurring in<br />

this case.<br />

December 2008 Version 2.0 Page 169

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