Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Like it or not, we now live in a world of heightened awareness that a dreaded event is going to occur. If we have an unexpected input (irritation, funny odor, see a friend faint) then we may manifest a natural response - fear. Fear and anxiety lead to autonomic arousal (tachycardia – rapid heart beat, forceful heart beat – “pounding in the chest” – perhaps with increased blood pressure, sweating, tremor, lightheadedness, rapid breathing). Autonomic arousal occurs from release of epinephrine and norepinephrine from our adrenal glands. These symptoms may feel like a chemical exposure to the person and he/she becomes even more fearful. These symptoms are REAL, and reinforce the victim’s perception of being poisoned. In the absence of reassurance, evaluation, or recognition of this fear-arousal cycle, unexposed or non-poisoned people may panic, and one person panicking may lead to mass panic. December 2008 Version 2.0 Page 450
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 25 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Panic is Rare During a Disaster • Observed groups of patients in period of impact – “Cool and Collected ” (75%) – Stunned and bewildered (>20%) – Confused, anxious, hysterical crying (
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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