Abstract
Awareness and preparation by emergency medical responders for possible mass casualties from a toxic chemical release is an essential part of disaster response. Although individual poisoning and small-scale chemical incidents occur on a regular basis, large-scale releases are relatively uncommon and medical experience in managing casualties with toxic trauma is limited. A number of major chemical releases that have taken place over the past 100 years are considered in this chapter. These provide many lessons for those preparing for the management of toxic trauma. In addition, for planning a response, individual training, particularly in protection and application of medical knowledge from common medical conditions that mimic the effects of chemical agents, such as asthma and acute lung injury all contribute to building an effective response to mass chemical casualties, an occurrence, we must hope, will continue to be a rarity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Dunlop JB (2006) The 2002 Dubrovka and 2004 Beslan hostage crises: a critique of Russian counter—terrorism. Ibidem Verlag, Stuttgart
Hill BA (2008) History of the medical management of chemical casualties. In: Tuorinsky SD (ed) Medical aspects of chemical warfare office of the surgeon general, US army. Borden Institute, Washington DC, pp 77–114 (Chap. 3)
Lapierre D, Moro J (2002) Five past midnight in Bhopal. Simon and Schuster, London
Mehta PS, Mehta AS, Mehta SJ, Makhijani AB (1990) Bhopal tragedy’s health effects: a review of methyl isocyanate toxicity. JAMA 264:2781
Moles TM, Baker DJ (1999) Clinical analogies for the management of toxic trauma. Resuscitation 42(2):117–124
Okumura T, Nomura T, Suzuki T et al (2007) The dark morning: the experiences and lessons learned from the Tokyo subway sarin attack. In: Marrs TC, Maynard RL, Sidell FR (eds) Chemical warfare agents: toxicology and treatment, 2nd edn. Wiley, Chichester, pp 277–286 (Chap. 13)
Syria Chemical Attack: What We Know. At www.bbc.uk/news/world-middleeast-23927399. Accessed 14 Oct. 2013
United Nations Mission to Investigate Allegations of the Use of Chemical Weapons in the Syrian Arab Republic: Report on the Alleged Use of Chemical Weapons in the Ghouta Area of Damascus on 21 August 2013. At www.un.org/disarmament/content/slideshow/Secretary_General_Report_CW_Investigations.pdf. Accessed 14 Oct. 2013
Urbanetti J, Newmark J (2010) Clinical aspects of large scale chemical events. In: Koenig KL, Schultz CH (eds) Disaster medicine: comprehensive principles and practices. Cambridge University Press, New York
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Baker, D. (2014). Preparing for Toxic Trauma. In: Toxic Trauma. Springer, London. https://doi.org/10.1007/978-1-4471-5598-0_10
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5598-0_10
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5597-3
Online ISBN: 978-1-4471-5598-0
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)