Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 57 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Selected Toxidromes and Potential Chemical Etiologies Category Severe gastroenteritis Cholinergic crisis Cellular hypoxia Peripheral neuropathy Mouth pain / ulcerations MMWR 10/3/03 Clinical Syndrome Abdominal pain, emesis profuse diarrhea, shock SLUDGE symptoms, Fasciculations, weakness N/V, headache, AMS, shock, seizures, dec pH Muscle weakness, sensory loss Lip / mouth / pharyngeal ulcerations; burning pain Potential Chemical Etiology Arsenic, Ricin, Colchicine OP insecticides, nicotine CN, SMFA, CO, Azide Hg, As, Thallium, Lead, Paraquat / diquat; caustics, Hg Module One – Toxic Warfare: Looking Beyond Conventional Chemical Weapons 57 Note that using the guide provided by the CDC leads to the suspicion of one of the cellular poisons, ricin, colchicine or arsenic because he had severe gastroenteritis and a shock presentation. December 2008 Version 2.0 Page 62
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 58 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Ricin Poisoning Module One – Toxic Warfare: Looking Beyond Conventional Chemical Weapons 58 In fact on autopsy a tiny metallic sphere was retrieved from his posterior thigh. Pictured above, the sphere was ingeniously introduced through the tip of a specialized umbrella designed to implant such a metallic object. It was only later when there was a 2 nd case, that the mystery was solved and it became apparent the this dissident Bulgarian journalist (Georgi Markov) had died after have been injected with the metallic sphere which contained… ricin…derived from the castor bean plant. The modified umbrella is on the left. The metallic object with two tiny holes drilled through it, with a total volume of 0.2 microliters. The plant on the right is Ricinus communis, or the Castor Bean plant. The seeds come from the reddish pods, which are found in the autumn. December 2008 Version 2.0 Page 63
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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