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. 1996 May;13(3):202–206. doi: 10.1136/emj.13.3.202

Sarin: guidelines on the management of victims of a nerve gas attack.

A P Volans 1
PMCID: PMC1342693  PMID: 8733661

Abstract

Sarin is now a weapon of the terrorist. Its acute effects are primarily due to unrestricted cholinergic activity at both muscarinic and nicotinic receptors. Treatment is based on the use of large doses of atropine and pralidoxime which may lead to practical problems of sufficient drug supplies for the average hospital. Ventilation may be necessary and present problems. Victim decontamination involves use of bleach, soap and water. Staff handling casualties need protection with respirators and butyl rubber boots and gloves.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abbas F. Report of the specialists appointed by the Secretary-General of the United Nations to investigate allegations by the Islamic Republic of Iran concerning the use of chemical weapons. Arch Belg. 1984;Suppl:302–310. [PubMed] [Google Scholar]
  2. Abou-Donia M. B., Lapadula D. M. Mechanisms of organophosphorus ester-induced delayed neurotoxicity: type I and type II. Annu Rev Pharmacol Toxicol. 1990;30:405–440. doi: 10.1146/annurev.pa.30.040190.002201. [DOI] [PubMed] [Google Scholar]
  3. Jamal G. A. Long term neurotoxic effects of organophosphate compounds. Adverse Drug React Toxicol Rev. 1995 Summer;14(2):85–99. [PubMed] [Google Scholar]
  4. Minton N. A., Murray V. S. A review of organophosphate poisoning. Med Toxicol Adverse Drug Exp. 1988 Sep-Oct;3(5):350–375. doi: 10.1007/BF03259890. [DOI] [PubMed] [Google Scholar]
  5. Morita H., Yanagisawa N., Nakajima T., Shimizu M., Hirabayashi H., Okudera H., Nohara M., Midorikawa Y., Mimura S. Sarin poisoning in Matsumoto, Japan. Lancet. 1995 Jul 29;346(8970):290–293. doi: 10.1016/s0140-6736(95)92170-2. [DOI] [PubMed] [Google Scholar]
  6. Nozaki H., Aikawa N., Shinozawa Y., Hori S., Fujishima S., Takuma K., Sagoh M. Sarin poisoning in Tokyo subway. Lancet. 1995 Apr 15;345(8955):980–981. [PubMed] [Google Scholar]
  7. Senanayake N., Karalliedde L. Neurotoxic effects of organophosphorus insecticides. An intermediate syndrome. N Engl J Med. 1987 Mar 26;316(13):761–763. doi: 10.1056/NEJM198703263161301. [DOI] [PubMed] [Google Scholar]
  8. Suzuki T., Morita H., Ono K., Maekawa K., Nagai R., Yazaki Y. Sarin poisoning in Tokyo subway. Lancet. 1995 Apr 15;345(8955):980–980. [PubMed] [Google Scholar]
  9. World M. J. Toxic gas trauma. Lancet. 1995 Jul 29;346(8970):260–261. doi: 10.1016/s0140-6736(95)92158-3. [DOI] [PubMed] [Google Scholar]

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