Recent events including the Sept. 11, 2001 attacks in New York, Washington, DC, and Pennsylvania have illustrated the vulnerability of the United States to terrorist activity. Many experts agree that a chemical or biological event is likely to occur within the continental United States during our lifetime. The anesthesiologist, as well as, emergency medicine provider and critical care specialis...

Chemical and biological weapons can be used during conflicts and by terrorists to injure or kill humans and animals. Chemical weapons contain toxic chemicals and biological weapons contain pathogenic organisms. With proper protective equipments and training, the lethal effects of chemical and biological warfare agents can be minimised. First aid kit is available that contain detection, decontam...

The IndustrialR e s e a r c h I n s t i t u t e ; SCIENCE is the official organ of the American Association for the Advancement of Science. Information regard-Reports ing membership in the Association may be secured from the office of the permanent secretary in the Smithsonian Two paintings, "The Alchemical Making of a Medicine in the 16th Century," by Michael Diemer, and the "Elixer of Life" b...

Prompt gamma-ray neutron activation analysis (PGNAA) is now a proven method for the identification of chemical warfare agents and explosives in military projectiles and storage containers. Idaho National Laboratory is developing a next-generation PGNAA instrument based on the new Ortec Detective mechanically-cooled HPGe detector and a neutron generator. In this paper we review PGNAA analysis of...

I am pleased that the two articles on Airport Remediation following a Chemical Terrorist Attack are being published in the Journal of Human and Ecological Risk Assessment since that will make them available to a larger audience and facilitate updating. Agency guideline reports tend to be shelved and forgotten and the two articles in this report should avoid that fate since they are much more th...

The UK government has carried out a research programme studying military capability under conditions of chemical warfare at a facility at Porton Down, Wiltshire, since World War I. In 2001 the Ministry of Defence commissioned a cohort study to investigate the long-term health effects on military veterans of their participation in this programme. We assessed the availability and quality of expos...

CONTEXT The main objectives of triage are securing patient safety during the process of emergency diagnosis and treatment, and reduction of waiting time for medical services and transport. To date, there is no triage system for nerve agent victims. EVIDENCE ACQUISITION This systematic review proposes a new triage system for patients exposed to nerve agents. Information regarding clinical sign...

To the Editor:—The interesting article by Flaishon et al. included prospective data on the difficulties of performing anesthetic and critical care duties in mass casualty situations. An additional factor to consider is the challenge of continuing to perform one’s duties while wearing full antichemical protective gear. As a member of the Air National Guard, I am obligated to perform chemical war...