Chemical weapons - Revision history

Rossdonaldson1 at 20:46, 15 April 2026

2026-04-15T20:46:37Z

← Revisión anterior		Revisión del 20:46 15 abr 2026
Línea 7:		Línea 7:
	[[File:Liquid Pool Chlorine.jpg\|thumb\|[[Chlorine gas\|Liquid pool chlorine]]]]		[[File:Liquid Pool Chlorine.jpg\|thumb\|[[Chlorine gas\|Liquid pool chlorine]]]]
	[[File:VA042083 River Bank Defoliation.jpg\|thumb\|[[Agent orange]] use in Vietnam.]]		[[File:VA042083 River Bank Defoliation.jpg\|thumb\|[[Agent orange]] use in Vietnam.]]
			[[File:Ayman2.jpg\|thumb\|[[White phosphorus]] injuries]]
	*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.		*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.

2026-04-15T20:45:33Z

Background

← Revisión anterior		Revisión del 20:45 15 abr 2026
Línea 6:		Línea 6:
	[[File:1920px-Ammonia smoke.jpg\|thumb\|A test tube filled with [[ammonia toxicity\|ammonium chloride]] smoke made by reacting ammonia with hydrochloric acid.]]		[[File:1920px-Ammonia smoke.jpg\|thumb\|A test tube filled with [[ammonia toxicity\|ammonium chloride]] smoke made by reacting ammonia with hydrochloric acid.]]
	[[File:Liquid Pool Chlorine.jpg\|thumb\|[[Chlorine gas\|Liquid pool chlorine]]]]		[[File:Liquid Pool Chlorine.jpg\|thumb\|[[Chlorine gas\|Liquid pool chlorine]]]]
			[[File:VA042083 River Bank Defoliation.jpg\|thumb\|[[Agent orange]] use in Vietnam.]]
	*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.		*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.

2026-04-15T20:42:12Z

← Revisión anterior		Revisión del 20:42 15 abr 2026
Línea 2:		Línea 2:
	[[File:Lewisite poster ww2.jpg\|thumb\|WWII [[Lewisite]] poster]]		[[File:Lewisite poster ww2.jpg\|thumb\|WWII [[Lewisite]] poster]]
	[[File:A-1E drops white phosphorus bomb 1966.jpg\|thumb\|Dropping of [[white phosphorus]] bomb.]]		[[File:A-1E drops white phosphorus bomb 1966.jpg\|thumb\|Dropping of [[white phosphorus]] bomb.]]
			[[File:Phosgene poster ww2.jpg\|thumb\|Phosgene poster]]
			[[File:Hydrochloric acid 30 percent.jpg\|thumb\|[[Hydrochloric acid]]]]
			[[File:1920px-Ammonia smoke.jpg\|thumb\|A test tube filled with [[ammonia toxicity\|ammonium chloride]] smoke made by reacting ammonia with hydrochloric acid.]]
			[[File:Liquid Pool Chlorine.jpg\|thumb\|[[Chlorine gas\|Liquid pool chlorine]]]]
	*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.		*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.

2026-04-15T20:23:53Z

Background

← Revisión anterior		Revisión del 20:23 15 abr 2026
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Lewisite poster ww2.jpg\|thumb\|WWII [[Lewisite]] poster]]
			[[File:A-1E drops white phosphorus bomb 1966.jpg\|thumb\|Dropping of [[white phosphorus]] bomb.]]
	*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.		*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.

2026-04-15T20:01:30Z

Disposition

← Revisión anterior		Revisión del 20:01 15 abr 2026
Línea 90:		Línea 90:
	**[[Nerve agent]] exposure with [[cholinergic crisis]]		**[[Nerve agent]] exposure with [[cholinergic crisis]]
	**[[Vesicant]] exposure with significant burns		**[[Vesicant]] exposure with significant burns
	**[[Pulmonary ~~agent~~]]s with respiratory distress		**[[Pulmonary chemical agents]] with respiratory distress
	**[[Cyanide exposure]]		**[[Cyanide exposure]]

2026-04-15T19:59:31Z

Disposition

← Revisión anterior		Revisión del 19:59 15 abr 2026
Línea 84:		Línea 84:

	==Disposition==		==Disposition==
	*~~Decontamination is first priority before any disposition decision~~		*Consider ED vs admission observation (typically ≥6 hours) for:
	*Admit to ICU for:
	**Nerve agent exposure with cholinergic crisis
	**Vesicant exposure with significant burns
	**Pulmonary agents with respiratory distress
	**Cyanide exposure
	*Admit for observation (~~minimum 6~~ hours):
	**All symptomatic exposures		**All symptomatic exposures
	**Phosgene exposure (delayed pulmonary edema may occur 24-48 hours after exposure)		**Phosgene exposure (delayed pulmonary edema may occur 24-48 hours after exposure)
	*~~Notify hazmat, public health, and law enforcement immediately~~		*Admit to ICU for:
			**[[Nerve agent]] exposure with [[cholinergic crisis]]
			**[[Vesicant]] exposure with significant burns
			**[[Pulmonary agent]]s with respiratory distress
			**[[Cyanide exposure]]

	==See Also==		==See Also==

2026-04-15T19:55:52Z

Management

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	==Management==		==Management==
	*Depends on specific agent used		*Depends on specific agent used
	*Regardless of agent, ~~Decontamination~~ and ABCs are of primary importance		*Regardless of agent, decontamination and ABCs are of primary importance
	**Use appropriate personal protective equipment (PPE)		**Use appropriate personal protective equipment (PPE)
	**Decontamination (should take place pre-hospital or otherwise prior to entering the ED)		**Decontamination (should take place pre-hospital or otherwise prior to entering the ED)

2026-04-15T19:53:33Z

Types

← Revisión anterior		Revisión del 19:53 15 abr 2026
Línea 7:		Línea 7:
	*Agents heavier than air have increased concentrations closer to the ground exposing children > adults		*Agents heavier than air have increased concentrations closer to the ground exposing children > adults

	~~===Types===~~
	{{Chemical weapon DDX}}		{{Chemical weapon DDX}}

2026-04-15T19:53:18Z

Types

← Revisión anterior		Revisión del 19:53 15 abr 2026
Línea 7:		Línea 7:
	*Agents heavier than air have increased concentrations closer to the ground exposing children > adults		*Agents heavier than air have increased concentrations closer to the ground exposing children > adults

	==Types==		===Types===
	{{Chemical weapon DDX}}		{{Chemical weapon DDX}}

2026-03-22T10:04:03Z

Add evidence-based Disposition section

@@ Línea 83: / Línea 83: @@
 ***Remove all patient clothing
 ***Brush off dry agent (e.g. powders), copiously irrigate skin of any liquid contaminant
 ==See Also==

← Revisión anterior		Revisión del 20:42 15 abr 2026
Línea 2:		Línea 2:
	[[File:Lewisite poster ww2.jpg\|thumb\|WWII [[Lewisite]] poster]]		[[File:Lewisite poster ww2.jpg\|thumb\|WWII [[Lewisite]] poster]]
	[[File:A-1E drops white phosphorus bomb 1966.jpg\|thumb\|Dropping of [[white phosphorus]] bomb.]]		[[File:A-1E drops white phosphorus bomb 1966.jpg\|thumb\|Dropping of [[white phosphorus]] bomb.]]
			[[File:Phosgene poster ww2.jpg\|thumb\|Phosgene poster]]
			[[File:Hydrochloric acid 30 percent.jpg\|thumb\|[[Hydrochloric acid]]]]
			[[File:1920px-Ammonia smoke.jpg\|thumb\|A test tube filled with [[ammonia toxicity\|ammonium chloride]] smoke made by reacting ammonia with hydrochloric acid.]]
			[[File:Liquid Pool Chlorine.jpg\|thumb\|[[Chlorine gas\|Liquid pool chlorine]]]]
	*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.		*Can be released via unintended means such as a spill from a damaged railroad tank car or industrial explosion as well as by intentional means as chemical weapons.