Potential agents of chemical warfare. Worst-case scenario protection and decontamination methods

Chemical warfare agents

Among the Weapons of Mass Destruction, chemical warfare (CW) is probably one of the most brutal created by mankind in comparison with biological and nuclear warfare. Chemical weapons are inexpensive and are relatively easy to produce, even by small terrorist groups, to create mass casualties with small quantities. The characteristics of various CW agents, general information relevant to current physical as well as medical protection methods, detection equipment available and decontamination techniques are discussed in this review article. A brief note on Chemical Weapons Convention is also provided.

The effects of weapons of mass destruction on children

PURPOSE

Children are especially vulnerable to the effects of chemical and biological weapons of mass destruction (WMD) because of physiologic, pharmacologic, and developmental characteristics. Presentation of signs and symptoms of exposure to biological and chemical agents are similar to those seen in adults. Pediatric considerations for decontamination and treatment of child victims of biological and chemical agents are discussed.

CONCLUSION

As front-line providers, nurses need to be aware of potential agents, their uses and effects as WMD, and recommended treatments.

PRACTICE IMPLICATIONS

Understanding the additional physiologic and situational needs of children, nurses can optimize the survival and outcomes of children when disaster strikes.

Respiratory agents: irritant gases, riot control agents, incapacitants, and caustics

There are many chemical respiratory agents suitable for use by terrorists. They are the oldest chemical agents used and have caused the most casualties throughout the 20th century. Many are available in large quantities for industrial use and are susceptible to potential sabotage. This paper will concentrate on respiratory agents that are readily available and have the potential to cause a large number of casualties and panic. These agents have a lower rate of lethality when compared to other chemical agents but could produce many casualties that may overwhelm the emergency medical system.