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Chemical Terrorism

By James A. Geiling, MD, FCCP

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Table 7—Riot-Control Agents*
Signs and Symptoms
Burning and pain on exposed mucous membranes and skin; eye pain and tearing; burning in the nostrils; respiratory discomfort; tingling of the exposed skin
Detection
No detector is available
Decontamination
Eyes: thoroughly flush with water, saline solution, or similar substance
Skin: flush with copious amounts of water, alkaline soap and water, or a mildly alkaline solution (sodium bicarbonate or sodium carbonate)
Generally, decontamination is not needed if the wind is brisk
Hypochlorite exacerbates the skin lesion and should not be used
Management
Usually none is necessary; effects are self-limiting
*From the Medical Management of Chemical Casualties Handbook.6

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