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Title: Chemical warfare
Description: This note summarizes the toxicological mechanisms and management of chemical warfare toxicity

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Chemical warfare
They 're:
* Blister agent

* Choking agents

* Blood agents

* Nerve agents

1) Blistering agents:
* They're chemical compounds that cause severe skin, eye & mucosal
irritations→ painful water blisters
Examples:
* sulfur mustard→ it's called mustard gas (colorless gas that smells like
mustard, or garlic odor)
* N- mustard
* Lewisite→ is an early blister agent that was developed during WWI
...

* dyspnea, tachypnea & hemoptysis
...

* wash the exposed area & ABCs
...


2) Choking agents:
* They are chemicals that impede a victim's ability to breathe
...
passages→ suffocation
...
o
...

* Phosgene gas: - The most dangerous commonly used pulmonary agent
- Colorless gas under ordinary conditions
...
4 times > air
- Cause a massive pulmonary edema which reaches maximum
symptoms on 12 hrs after exposure followed by death within
24-48 hrs
...

Complications:* corrosive on the eye→ blurred vision & deep burns
* Coughing, chest pain, & tightness & resp
...


3) Blood agents:
* They're agents has a hematotoxic (cytotoxic effect)
...

* Cyanide gas can absorbed through inhalation or in the liquid form can be
swallowed accidently or intentionally
...

* Cyanide rapidly combines with cytochrome oxidase complex→ inhibition→
prevent aerobic resp
...

Complications:* Heart & CNS are the most susceptible organs
...

* Cessation of resp
...

Treatment:* First→ IV amyl nitrate which causes dissociation of bound cyanide from
cytochrome A3 & frees the enzyme to produce ATP again→
cyanomethemoglobin (non toxic)
...

* Second→ Sodium thiosulfate, it converts cyanide to thiocyanate→ renal exc
...

- Should be diagnosed before using cobalt due to inherent
toxicity of cobalt
...


How to survive a gas attack:
1) Know the prop
...

2) Move quickly into area with a clean air to minimize exposure
...

4) Remove all clothing that may have been exposed to gas, not let the clothes
touch your face or head, then seal the clothes into plastic bags
...

N
...

6) call for emergency services
Title: Chemical warfare
Description: This note summarizes the toxicological mechanisms and management of chemical warfare toxicity