Chapter 11. Managing Civilian Casualties Affected by Nerve Agents

  1. Timothy C. Marrs OBE, MD, DSc, FRCP, FRCPath2,3,4,
  2. Robert L. Maynard CBE, FRCP, FRCPath5 and
  3. Frederick R. Sidell MD6
  1. J. Allister Vale3,
  2. Paul Rice1 and
  3. Timothy C. Marrs OBE, MD, DSc, FRCP, FRCPath2,3,4

Published Online: 2 APR 2007

DOI: 10.1002/9780470060032.ch11

Chemical Warfare Agents: Toxicology and Treatment, Second Edition

Chemical Warfare Agents: Toxicology and Treatment, Second Edition

How to Cite

Vale, J. A., Rice, P. and Marrs, T. C. (2007) Managing Civilian Casualties Affected by Nerve Agents, in Chemical Warfare Agents: Toxicology and Treatment, Second Edition (eds T. C. Marrs, R. L. Maynard and F. R. Sidell), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470060032.ch11

Editor Information

  1. 2

    Edentox Associates, Pinehurst, Four Elms Road, Edenbridge, Kent TN8 6AQ, UK

  2. 3

    National Poisons Information Service (Birmingham Centre) and West Midlands Poisons Unit, City Hospital, Birmingham B18 7QH, UK

  3. 4

    Lancashire School of Health and Postgraduate Medicine, University of Central Lancashire, Preston, PR1 2HE, UK

  4. 5

    Health Protection Agency, Chilton, Didcot, Oxfordshire OX11 0RQ, UK

  5. 6

    US Army Medical Research Institute of Chemical Defense, Aberdeen Proving Ground, MD 21010-5400, USA

Author Information

  1. 1

    Defence Science and Technology Laboratory, Porton Down, Salisbury, Wiltshire, SP4 0JQ, UK

  2. 2

    Edentox Associates, Pinehurst, Four Elms Road, Edenbridge, Kent TN8 6AQ, UK

  3. 3

    National Poisons Information Service (Birmingham Centre) and West Midlands Poisons Unit, City Hospital, Birmingham B18 7QH, UK

  4. 4

    Lancashire School of Health and Postgraduate Medicine, University of Central Lancashire, Preston, PR1 2HE, UK

Publication History

  1. Published Online: 2 APR 2007
  2. Published Print: 23 MAR 2007

ISBN Information

Print ISBN: 9780470013595

Online ISBN: 9780470060032

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Keywords:

  • managing nerve agent civilian casualties;
  • meteorological factors in air delivery;
  • nerve agent poisoning and management implications;
  • ageing process and AChE–nerve agent complex monodealkylation;
  • nerve agent release training

Summary

This chapter contains sections titled:

  • Introduction

  • Factors Influencing the Impact of Nerve Agents

  • Differences between Attacks against Military Personnel and those Initiated by Terrorists against a Civilian Population

  • Mechanisms of Nerve Agent Poisoning and Implications for Management

  • Making the Diagnosis

  • Clinical Features

  • Analytical Confirmation of the Diagnosis

  • Principles of Management

  • Management of Nerve Agent Poisoning Outside Hospital

  • Management of Nerve Agent Poisoning in Hospital

  • Preparation and Training for a Nerve Agent Release

  • References