Which three of the following are classified as chemical agents used in weapons of mass destruction (WMD)?
a. Radioactive Agents
b. Nerve Agents
c. Pulmonary Agents
d. Botulinum Toxin
e. Viral Hemorrhagic Fevers
f. Vesicants
b. Nerve Agents
c. Pulmonary Agents
f. Vesicants
Chemical Agents used in WMDs
VESICANTS (Chemical)
- Lewisite
- CX Mustard
Causes
- Blistering:
NERVE AGENTS (Organophosphates)
- Affect the CNS
PULMONARY Agents
- Phosgene,
- Chloride
- Hydrogen Sulfide.
CYANIDE Agents.
BIOLOGICAL AGENTS
- Anthrax
- Smallpox.
Biological Agents
MicroOrganisms or TOXINS
Derived from Living Organisms
That Can Cause
- DISEASE or
- DEATH
In Humans, Animals, or Plants.
BACTERIA = Anthrax,
VIRUSES = Smallpox
TOXINS = Botulinum.
Which of the following is a key principle of effective Incident Command?
A. Independent operations by each responding agency
B. Allowing individual responders to make independent tactical decisions
C. A flexible and scalable organizational structure
D. Minimal communication to avoid confusion
C. A flexible and scalable organizational structure
DOT Class 1:
Explosives
DOT Class 2:
Gases
DOT Class 3:
Flammamble/Combustable Liquids
DOT Class 4:
Flammable Solids, Dangerous when Wet or Water Reactive
DOT Class 5:
Oxidizers & Organic Peroxides
DOT Class 6:
Toxic Substances & Infectious Substances
DOT Class 7:
Radioactive
DOT Class 8:
Corrosive Substances
DOT Class 9:
Miscellaneous Hazards
NERVE Agents
Organophosphate Chemicals that INHIBIT Acetylcholinesterase, causing cholinergic crisis.
-Sarin (GB),
-VX,
-Tabun (GA),
-Soman (GD).
Classic NERVE AGENT Toxidrome mnemonic.
SLUDGE/ DUMBELS
- Salivation,
- Lacrimation,
- Urination,
- Defecation,
- GI cramps,
- mesis).
Primary cause of death in nerve agent exposure.
Respiratory Failure due to
- Bronchorrhea,
- Bronchospasm
- Paralysis.
Prehospital Priorities for Nerve Agents.
PPE,
Rapid Antidote Administration,
Airway Control,
Decontamination.
Antidotes for Nerve Agents
Atropine,
Pralidoxime (2-PAM),
Diazepam.
PULMONARY Agents
CHEMICAL AGENT
- aka CHOKING AGENTS
What are Pulmonary Agents?
Chemicals that Damage Lung Tissue, causing
- Non-Cardiogenic Pulmonary Edema.
Prehospital management of pulmonary agents.
Oxygen,
Airway Support,
Monitor for Delayed Deterioration,
Rapid Transport.
Major delayed complication.
Acute Respiratory Distress Syndrome (ARDS).
Odor clues for pulmonary agents.
Chlorine (Bleach)
Phosgene (fresh hay/green apples/grass).
Ammonia
Key symptom pattern of pulmonary agents.
Mild initial irritation followed by delayed respiratory distress (up to 24 hours).