In theory, the decontamination of a gas is not necessary, but in the attack on the Tokyo subway, the sarin trapped in the victims’ clothing caused myositis in 10% of emergency department personnel. This problem would have been avoided if the dresses had been removed. Liquid decontamination is achieved in military installations using the M291 skin decontamination kit, which contains active carbon impregnated with cation exchange resins (Ambergard), which absorb the liquid and remove it from the skin. Civil organizations have created deposits of this product, approved in the United States by the Food and Drug Administration (FDA). In hospitals, soap and large volumes of water are usually sufficient. Physical removal of the agent is much more effective than all decontamination solutions and lotions. In all situations, it must be undertaken before the person is hospitalized, so that it does not contaminate the facility or the care staff. In individuals with contaminated wounds, clothing that may be impregnated with gas or liquid and any other foreign material that might retain and conserve the harmful liquid must be removed from them.
Respiratory Support Measures Intoxication by the neurotoxic agent, the victim almost always dies from lung problems. Ventilation will be complicated by increased resistance and by the abundance of secretions. Atropine should be administered prior to mechanical ventilation or at the beginning of this, as it will greatly facilitate it.
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