Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 37 Compared to the CAK, hydroxocobalamin has a fast onset of action and is associated with minor adverse effects such as red discoloration of skin and urine. Because of its intense color, it can interfere with cooximeter readings. Hydroxocobalamin was given an expedited review and was approved for use in the treatment of cyanide poisoning in December 2006. Its main advantage is its ease of use and the lack of methemoglobin formation (which would be problematic in the setting of concomitant carbon monoxide poisoning) December 2008 Version 2.0 Page 224
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 38 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Cyanide as a Weapon An Ideal Terrorist Weapon • Plentiful • Readily available • Special knowledge not required • Capable of causing mass casualties • Capable of causing social disruption • Requires large quantities of resources to combat its effects Module Four – Cyanide & Fumigants 38 Since cyanide is easy to obtain, plentiful, and easily converted into gaseous form, it is capable of causing mass casualties and social disruption. It requires large quantities of resources to control its effects (rapid response, ventilation, and specific antidotes, which may not be readily available). Thus, it is ideally suited for use as a weapon. December 2008 Version 2.0 Page 225
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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