ChemicalRadiologicalPrinciples化学辐射原理.pptx
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1、Chemical/Radiological PrinciplesOBJECTIVESLearn how to perform a rapid assessment of a nerve agent terrorism situation.Recognize characteristic signs and symptoms of nerve agent poisoning.Chemical/Radiological PrinciplesOBJECTIVESUnderstand proper decontamination for nerve agent poisoning.Learn medi
2、cal management of nerve agent exposed victims.Learn specific antidotes for nerve agent poisoning victims.Chemical/Radiological PrinciplesAn unknown gas is released in the downtown rapid transit station.It is described as a thick mist,and was found in 5 separate stops.Thousands of commuters rapidly f
3、led the stations to the streets.EMS transport is overwhelmed,and several local EDs are unable to absorb the patients presenting by ambulance,car,taxi,and on foot.Many patients present to offices and local health departments.ScenarioFriday,January 31 8:47 AM(Rush Hour)Chemical/Radiological Principles
4、One patient that presents to a local health clinic complains of tearing and runny nose.He also has mild shortness of breath.Mild wheeze is noted on exam.Ten other patients at the clinicare asymptomatic,but are very worried.ScenarioFriday,January 31 10:02 AMChemical/Radiological PrinciplesPublic heal
5、th officials confirm that the gas was Sarin,similar to the toxin used in the subway of Tokyo.ScenarioFriday,January 31 10:27 AMChemical/Radiological PrinciplesHas your staff been adequately trained about chemical weapons?Does your staff understand basic principles of decontamination?Who should your
6、staff alert?Who will alert your staff in the event of a chemical terrorism event?Things to ConsiderChemical/Radiological PrinciplesNerve AgentsChemical/Radiological PrinciplesLiquids that disseminate in the vapor/aerosolized formOnset is abrupt(seconds to hours)Designed to irritate,incapacitate,inju
7、re or killPredominantly inhalational and dermal threatsIf death occurs,usually respiratory causeCharacteristics of Nerve AgentsChemical/Radiological PrinciplesChemical incidents are obvious shortly after exposure.Biological agents will take days to cause symptoms.ONE patient can contaminate your fac
8、ilityFirst responders/health care providers are in the line of fireCharacteristics of Nerve AgentsChemical/Radiological PrinciplesFirst used as a weapon during WWIMost recent event-Japanese subway incident in 1995Aum Shinrikyo cult released Sarin into 5 subway cars in downtown Tokyo12 deaths,hundred
9、s injured,5500 sought care 4,600 self-referred135 first responders were injuredHistory of Nerve Agent Weapons UseChemical/Radiological PrinciplesShoko AsaharaChemical/Radiological PrinciplesNERVE AGENTSChemical/Radiological PrinciplesMilitaryTabun(GA),Sarin(GB),Soman(GD),VX CommercialParathion,Sevin
10、 Therapeutic DrugsAntiliriumProstigmine Mestinon General CharacteristicsChemical/Radiological PrinciplesEffects of vapor-immediateWide range of symptoms-Affects sensitive organs of the face and respiratory system-Over-stimulation of the central nervous systemGeneral CharacteristicsChemical/Radiologi
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- ChemicalRadiologicalPrinciples 化学 辐射 原理
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