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Lessons by Volume

Chemical Terrorism

By James A. Geiling, MD, FCCP

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**Table 6—**Incapacitating Agents (BZ)*
Signs and Symptoms
Mydriasis; dry mouth; dry skin; increased deep tendon reflexes; decreased level of concentration; disturbance in perception and interpretation (illusions and/or hallucinations); denial of illness; short attention span; impaired memory
Detection
No field detector is available
Decontamination
Gentle but thorough washing of skin and hair with water or soap and water is required. Bleach is not necessary. Remove clothing.
Management
Antidote: physostigmine Supportive: monitoring of vital signs, especially core temperature
From the Medical Management of Chemical Casualties Handbook*.⁶

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