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Chemical Terrorism

By James A. Geiling, MD, FCCP

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Table 3—Mustard*
Signs and Symptoms
Asymptomatic latent period (hours)
Erythema and blisters on the skin
Irritation, conjunctivitis, and corneal opacity and damage in the eyes
Mild upper respiratory signs to marked airway damage
Also, GI effects and bone marrow stem cell suppression
Detection
M256A1, M272 water testing kit, MINICAMS, the ICAD, M18A2, M21 remote sensing alarm, M90, M93A1 Fox, Bubbler, CAM, DAAMS (but not the M8A1 automatic chemical agent alarm), M8 paper, or M9 paper.
Decontamination
M291, M295, hypochlorite, water in large amounts
Management
Decontamination immediately after exposure is the only way to prevent damage
Supportive: there is no specific therapy
*From the Medical Management of Chemical Casualties Handbook.6

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