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- MUSTARDGAS in NERVGAS attacks used gas and its symptoms :
- Respiratory signs and symptoms
- * Clear rhinorrhea
- * Nasal irritation/pain
- * Sore throat
- * Cough
- * Dyspnea (shortness of breath)
- * Chest tightness
- * Tachypnea
- * Hemoptysis
- Dermal signs and symptoms
- * Itching
- * Immediate blanching (phosgene oxime)
- * Erythema (immediate with lewisite and phosgene oxime, may be delayed for 2 to 24 hours with mustards)
- * Blisters (within 1 hour with phosgene oxime, delayed for 2 to 12 hours with lewisite, delayed for 2 to 24 hours with mustards)
- * Necrosis and eschar (over a period of 7 to 10 days)
- (http://www.cdc.gov/NIOSH/ershdb/EmergencyResponseCard_29750008.html)
- What to do if this hit me ?
- - * GENERAL INFORMATION: Sulfur mustard is extremely toxic and may damage the eyes, skin, and respiratory tract and suppress the immune system. Although sulfur mustard causes cellular changes within minutes of contact, the onset of pain and other symptoms is delayed. Thus, patients/victims arriving immediately from the scene of sulfur mustard exposure are not likely to have signs and symptoms. The sooner after exposure that symptoms occur, the more likely they are to progress and become severe. Initial treatment is primarily supportive.
- * ANTIDOTE: There is no antidote for sulfur mustard toxicity. Decontamination of all potentially exposed areas within minutes after exposure is the only effective means of decreasing tissue damage.
- * EYE:
- o Immediately remove the patient/victim from the source of exposure.
- o Immediately wash eyes with large amounts of tepid water for at least 15 minutes.
- o Eyes must be decontaminated within minutes after exposure to limit injury.
- o Do not cover eyes with bandages.
- o Seek medical attention immediately.
- * INGESTION:
- o Immediately remove the patient/victim from the source of exposure.
- o Ensure that the patient/victim has an unobstructed airway.
- o Do not induce vomiting (emesis).
- o Administer nothing by mouth (NPO).
- o Seek medical attention immediately.
- * INHALATION:
- o Immediately remove the patient/victim from the source of exposure.
- o Evaluate respiratory function and pulse.
- o Ensure that the patient/victim has an unobstructed airway.
- o If shortness of breath occurs or breathing is difficult (dyspnea), administer oxygen.
- o Assist ventilation as required. Always use a barrier or bag-valve-mask device.
- o If breathing has ceased (apnea), provide artificial respiration.
- o Monitor for and treat spasmodic narrowing of the large airways (bronchospasm), if it occurs.
- o Seek medical attention immediately.
- * SKIN:
- o Immediately remove the patient/victim from the source of exposure.
- o See the decontamination section for patient/victim decontamination procedures.
- o Skin must be decontaminated within minutes after exposure to limit injury.
- o Persons exposed to sulfur mustard will seldom be received for medical treatment in time to prevent tissue damage.
- o Seek medical attention immediately.
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