RESUMO
Determine the effectiveness of decontamination, and perform thorough dry or wet decontamination, depending on the circumstances. Always remain cognizant of the fact that, even after decontamination has been completed, contamination may not have been completely eliminated. Perform periodic monitoring to determine whether secondary exposure has occurred in health care workers; if it appears that secondary exposure has occurred, then the PPE level must be increased and attempts must be made to identify and eliminate the source of the contamination. Finally, if the victims were exposed through ingestion, then consider the possibility that secondary exposure will occur during gastric lavage.
Assuntos
Terrorismo Químico/prevenção & controle , Planejamento em Desastres/métodos , Pessoal de Saúde , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/prevenção & controle , Terrorismo Químico/história , Descontaminação/métodos , Planejamento em Desastres/história , História do Século XX , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional , Doenças Profissionais/história , Exposição Ocupacional/história , Equipamentos de Proteção , Sarina/intoxicação , TóquioAssuntos
Planejamento em Desastres/métodos , Substâncias Perigosas , Capacitação em Serviço/métodos , Substâncias para a Guerra Química , Planejamento em Desastres/normas , Linhas Diretas , Humanos , Japão , Aprendizagem Baseada em Problemas , Sociedades Científicas , Terrorismo/prevenção & controle , ToxicologiaRESUMO
The Tokyo subway sarin attack was the second documented incident of nerve gas poisoning in Japan. The St. Luke's International Hospital received 640 patients on the day of the attack. Reduction in plasma cholinesterase (ChE) activity was generally associated with the severity of acute signs of toxicity. With time and treatment, the value rose quickly. To evaluate possible residual signs of symptoms 1 year after the attack, we sent questionnaires to the victims; of 303 respondents, 45% still had some symptoms including eye problems, easy fatigability, headache, and fear. Therefore, we conducted a study in collaboration with investigators at the Tokyo University Department of Public Health to evaluate possible long-term neuropsychological sequelae. The findings suggest the need to closely follow such patients for possible persistent functional changes.
