Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 55 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Treating Fumigant Poisoning • No antidotes available • Remove victim from source • Thorough decontamination • Oxygenation • Symptomatic and supportive care as indicated Module Four – Cyanide & Fumigants 55 All exposures to fumigants should be treated with immediate removal from source, thorough skin and eye decontamination, oxygenation, supplemented by symptomatic and supportive care. No specific antidote is available for any of these exposures. Treatment of hypocalcemia sometimes seen with sulfuryl fluoride poisoning may be necessary. Supportive care is indicated. This includes oxygen and decontamination of exposed skin and eyes. A full “wet decon” is not usually necessary for a vapor or gas exposure alone. December 2008 Version 2.0 Page 242
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 56 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Fumigants: Summary Gas Vikane Methyl Bromide Properties Poorly detectable (occasionally mixed with chloropicrin) Poorly detectable (occasionally mixed with chloropicrin) Clinical manifestations Neurologic Gastrointestinal Potentially delayed onset Mucous membranes irritation Neurologic Seizures Lung Management Remove from exposure Flush skin/eyes 100% O2 Supportive care Same Phosphine Fishy / garlic odor Neurologic, Cardiac, Lung Same Module Four – Cyanide & Fumigants 56 This chart is a reminder and comparison of the different fumigants that we have discussed today. It shows some of the sensory warning properties (or lack thereof), the clinical signs of poisoning, and management strategies, which are essentially supportive. December 2008 Version 2.0 Page 243
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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