Chemical Agents of Opportunity for Terrorism: TICs & TIMs

Chemical Agents of Opportunity for Terrorism
Training Support Package
Participant Guide
Slide 15
Chemical Agents of Opportunity for Terrorism:
TICs & TIMs
Case 2: Cyanide (Continued)
• 9:30 am Incident Command decides
– No decontamination at scene necessary
– Transport to area hospitals
• Hospital 1: 36 patients
• Hospital 2: 52 patients
• Hospital 3: 12 patients
• 9:50 am Treatment and Disposition
– Hospital 1:
• Gross decontamination in parking lot
• Lilly Cyanide Antidote Kit (N=2)
• Media interviews with cameras rolling
– Hospitals 2 & 3: Quick check and release
Module One – Observed Behaviors during Mass Chemical Exposures
15
All patients were transported to three local hospitals.
Hospital #1 received 36 patients. All were decontaminated outside the emergency
department in the cold and two patients were administered Lilly cyanide antidote kit for
symptoms. The antidote was administered based on subjective symptoms. A resident
interviewed on camera stated, “Apparently we have a cyanide antidote and we gave it to
patients with low oxygen saturation.” One patient receiving the antidote became
hypotensive after treatment, requiring overnight ICU admission.
Hospitals #2 and #3 received 52 and 12 patients, respectively. Evaluation without
decontamination was performed at these sites.
The media only filmed action at Hospital #1 where decontamination occurred - quite a
spectacle in 2 degree weather.
December 2008 Version 2.0 Page 441