Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 14 Chemical Agents of Opportunity for Terrorism: TICs & TIMs What happened Module Two - The Clinical Neurotoxicology of Chemical Terrorism These images reveal how much confusion there was. Some victims were alive and appear well, others appear quite ill. The degree of Personal Protective Equipment use varied, but appears to have been inadequate in most images. 14 December 2008 Version 2.0 Page 82
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 15 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Module Two - The Clinical Neurotoxicology of Chemical Terrorism 15 The events in the news media unfolded over several days. It was initially thought that the security services pumped an aerosol anesthetic into the theatre - later reported to be weaponized Fentanyl (possibly carfentanil) - through the air conditioning system. If it was an opioid, why was the military not prepared with antidote (naloxone)….would it have worked or helped anyway The amount of time to enter the building and administer the antidote naloxone makes it unlikely to have helped many. An opioid is a type of drug class that includes heroin and morphine. The drugs present in the poppy plant are termed opiates. There are other drugs that are synthesized or manufactured in pharmaceutical factories that resemble the active ingredients found in the poppy plants. These are referred to as synthetic opioids. Examples include meperidine and methadone. Another example is fentanyl which is very potent as will be described on the next slide. Opioids cause sedation, and in larger doses cause coma. They are also used to control pain. Deaths occur from respiratory arrest. December 2008 Version 2.0 Page 83
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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