|
FIRE |
React
with steam or water to produce toxic and corrosive vapors. |
Contain
to prevent contamination to uncontrolled areas. |
Water
mist, fog, and foam, CO2. Avoid methods that
will cause splashing or spreading. |
|
EXPOSURE |
· Liquid or vapors can be fatal.
· Clothing releases agent for about 30 minutes after contact
with vapor.
· Contaminated
surfaces present long-term contact hazard. |
Do
not breathe fumes.
Skin contact must be avoided at all times. |
Seek
medical attention Immediately. |
| INHALATION |
Inhalation
can cause symptoms in 2-5 minutes.
Same
sequence of symptoms despite the route of exposure:
MILD
· runny nose
· tightness of the chest and
breathing difficulty
· eye pain, dimness of vision
and pin pointing of pupils (miosis)
· difficulty in breathing and
cough
MODERATE
· increased eye symptoms with
blurred vision
· drooling and excessive sweating
· severe nasal congestion
· increased tightness of the
chest and breathing difficulty
· nausea, vomiting, diarrhea,
and cramps
· generalized weakness, twitching
of large muscle groups
· headache, confusion, and drowsiness
SEVERE
· involuntary defecation and
urination
· very copious secretions
· twitching, jerking, staggering
and convulsions
· cessation of breathing, loss of consciousness, coma and death. |
Hold
breath until respiratory protective mask is donned.
Fire-fighting
personnel should wear full protective clothing and respiratory
protection during fire-fighting and rescue.
Positive
pressure, full face piece, NIOSH-approved self-contained
breathing apparatus (SCBA) will be worn. |
· If severe signs, immediately
administer, in rapid succession, all three Nerve Agent
Antidote Kit(s), Mark I injectors (or atropine if directed
by a physician).
· If signs and symptoms are
progressing, use injectors at 5 to 20 minute intervals.
(No more than 3 injections unless directed by medical
personnel.)
· Maintain record of all injections
given.
· Give artificial respiration
if breathing has stopped. Use mouth-to-mouth when mask-bag
or oxygen delivery systems not available. Do not use mouth-to-mouth
if face is contaminated.
· Administer oxygen if breathing
is difficult. |
| SKIN |
See
Inhalation
Lethal
doses can kill in 1-2 hours.
Pupil
size may range from normal to moderately reduced. |
Protective
Gloves: Butyl Rubber Glove M3 and M4 Norton, Chemical
Protective Glove Set |
The
primary mode for decontamination of chemical agents is soap and water.
A 0.5% hypochlorite solution can be used. There are differing
guidelines for decontamination and more research is needed
to identify the optimal decontamination method.
See "Personal Decontamination" and "Appendix
D" in Treatment
of Chemical Agent Casualties and Conventional Military
Chemical Injuries (from the U.S. Navy Counterproliferation
Office).
See also the Medical Management of Chemical Casualties
Handbook (from the U.S. Army Medical Research Institute
of Chemical Defense [USAMRICD]) for a general review of
the issues and more on the military decontamination powder
approach. |