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Lessons by Volume

Chemical Terrorism

By James A. Geiling, MD, FCCP

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**Table 4—**Lewisite*
Signs and Symptoms
Lewisite causes immediate pain or irritation of the skin and mucous membranes Erythema and blisters on the skin and eye and airway damage similar to those seen after mustard exposure develop later
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, 0.5% hypochlorite, water in large amounts
Management
Immediate decontamination Symptomatic management of lesions the same as for mustard lesions A specific antidote (BAL) will decrease systemic effects
From the Medical Management of Chemical Casualties Handbook*.⁶

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