Chemical Agents of Opportunity for Terrorism: TICs & TIMs

Chemical Agents of Opportunity for Terrorism
Training Support Package
Participant Guide
Slide 40
Chemical Agents of Opportunity for Terrorism:
TICs & TIMs
Summary
• Expect large numbers of patients after mass chemical exposure
– Often difficult to identify those needing immediate medical care
• Avoid labels without objective diagnostic criteria
– “Worried well ”, “Mass hysteria ” less helpful than “I know you are worried;
things check out OK now. I will check on you again …”
• Use historic lessons, expected behaviors to guide planning
• Communication is Key
– Interagency coordination may avoid needless fear
• Know your resources and partner with them
– Including ACMT/Medical Toxicologists
Module One – Observed Behaviors during Mass Chemical Exposures
40
In summary, we should expect large numbers of patients after a potential mass chemical
exposure; some will be in need of urgent treatment, some will have a variety of nonspecific
stress-induced symptoms, and others will just be concerned.
Rather than labeling these people, we should strive to acknowledge their concerns,
assess their physical status and re-evaluate their condition.
Planning for large numbers of patients with various needs should be a routine part of our
disaster planning. Improving communication and utilizing the expertise available
regionally and nationally are important steps in preparing for chemical terrorism and
HazMat events.
December 2008 Version 2.0 Page 466