The Federal Court Has Banned This Page

Copyright_Notice_-_2017-08-22_23.12.33

Federal Court Has Banned This Page: Riot, Protest & Disaster Medicine Q-Ref

…Nah, jk. You’re alright mate.

But I get the feeling you are going to need this:

1 Chemical Weapons - pepper

Be aware, chemical agents simulate these symptoms by generating the conditions for these symptoms. The symptoms are genuine, it is the duration of effects that are generally limited. This is not the same thing.

Also note, long term respiratory and systemic damage has been reported from brief exposures. As with “Taser” style or acoustic weaponry, ‘general non-lethality’ has a broad definition: one that can include death and permanent disability.

Take the example below, from youth volunteer group the “Janoskians“, as a patient symptom presentation reference.

 

 

Be aware of the lethal dose ranges for tear gas and pepper sprays, especially in confined or repeated dosing:

Leathal Doses of Ppper Spray

Disaster Medicine – Chemical Weapon Hospital Base Protocol: Riot Related Injury.

2 Riot Chemical Weapons pepper & Tear Gas Tx Pcol

Remember: Agents are designed to irritate throat, eyes, lung lining and skin. Remove all clothes, apply supportive care up to and including asthma medications and intubation. Rule out anaphylaxis. Do not allow oils or ointments that may increase skin permeability.

chem agent gen chart

Use bases if agent is known (supplemental material below).

Lethal_In_Disguise_The_Health_Hazards_Of_Pepper_Spray_-_2017-10-09_08.52.41

Riot Protest: Limited Resource Protocol.

+1 Basic Tear Gas

Use Eye Flush Laboratory Protocol.

What does water look like? In a lab eye irrigation protocol, you get to have a closer look:

What does water look like, lets take a look

And Know Your Dispersal Acoustic Weaponry Effects:

lrad_specs

lrad devices

LRAd dbs

Remember: 160db-180db of projected sound can have lethal circulatory and respiratory effects. They can also aggravate underlying conditions.

*WARNING* Standard LRAD dispersal technology has a max sustained power output capable of generating 190db+. This must be considered in disaster medicine differentials.

Basic Tourniquet Procedure: Remember placement proximal and distal of injury if possible. ALWAYS REMEMBER TIME(!) Write it on patient’s head if need be.

torniq qk ref

Good luck out there! Save some citizens, and be safe in your triage unit – or else you can not help others.

And always use appropriate precautions for unknown agents, contaminants or general unknown symptom cluster source.

Check with your CTC Medical Liaison officer for current warnings of radiological or other chemical/biological alerts.

Notify shift manager if there is a sudden influx of patients with a similar (non-standard) symptom profile.

..

JJR (2017) Digital/Cyber Law, Disaster Medicine & National Security Consultant (ChronLS 0171009Ed4).

[+++] Research Blog Marker

Refer

  1. Jennifer S. Love, MD , Edward T. Dickinson, MD, NRP, FACEP (SEP 2017) Review of Chemical Warfare Agents and Treatment Options, JEM: J EmergMedServ., http://tinyurl.com/y9av5gog
  2. ACLU (a2017) Lethal In Disguise: Health Consequences of Crowd Control Weaponry, Physicians for Human Rights. http://tinyurl.com/yahcqexw
  3. Pitschmann, V. (2014). Overall View of Chemical and Biochemical Weapons. Toxins, 6(6), 1761–1784. https://doi.org/10.3390/toxins6061761/ http://tinyurl.com/yb68df7j
  4. Ganesan, K., Raza, S., & Vijayaraghavan, R. (2010). Chemical warfare agents. Journal of Pharmacy and Bioallied Sciences, 2(3), 166. https://doi.org/10.4103/0975-7406.68498/ http://tinyurl.com/y6uftb8c
  5. Lt PR Charie (2008) Disaster Management: The WMD Dimension – Some Observations, Journal on Chemical and Biological Weapons, http://tinyurl.com/yapwvzgb
  6. Birnbaum, M., & Daily, E. (2009). Competency and Competence. Prehospital and Disaster Medicine, 24(1), 1-2. doi:10.1017/S1049023X00006452/ http://tinyurl.com/y8xcprat
  7. S. M. White (2002). Chemical and biological weapons. Implications for anaesthesia and intensive care, BJA: British Journal of Anaesthesia, Volume 89, Issue 2, 1 August 2002, Pages 306–324, https://doi.org/10.1093/bja/aef168
  8. Holmes, J. F., Freilich, J., Taylor, S. L., & Buettner, D. (2015). Electronic Alerts for Triage Protocol Compliance Among Emergency Department Triage Nurses: A Randomized Controlled Trial. Nursing Research, 64(3), 226–230. https://doi.org/10.1097/NNR.0000000000000094/ http://tinyurl.com/ya8afn58
  9. Debacker, M. (2003). Hospital Preparedness for Incidents with Chemical Agents. International Journal of Disaster Medicine, 1(1), 42–50. https://doi.org/10.1080/15031430310000865/ http://tinyurl.com/y8mdqj5z
  10. Milsten, A. M., Tennyson, J., & Weisberg, S. (2017). Retrospective Analysis of Mosh-Pit-Related Injuries. Prehospital and Disaster Medicine, 1–6. https://doi.org/10.1017/S1049023X17006689/ http://tinyurl.com/ya7chfc6
  11. Debacker, M. (2003). Hospital Preparedness for Incidents with Chemical Agents. International Journal of Disaster Medicine, 1(1), 42–50. https://doi.org/10.1080/15031430310000865/ http://tinyurl.com/y78hfpmh
  12. Haley, T., & De Lorenzo, R. (2009). Military Medical Assistance Following Natural Disasters: Refining the Rapid Response. Prehospital and Disaster Medicine, 24(1), 9-10. doi:10.1017/S1049023X00006476/ http://tinyurl.com/y7bahye
  13. Wattana, M., & Bey, T. (2009). Mustard Gas or Sulfur Mustard: An Old Chemical Agent as a New Terrorist Threat. Prehospital and Disaster Medicine, 24(1), 19-29. doi:10.1017/S1049023X0000649X/ http://tinyurl.com/y9ajd2dd
  14. Zeitz, K., Tan, H., Grief, M., Couns, P., & Zeitz, C. (2009). Crowd Behavior at Mass Gatherings: A Literature Review. Prehospital and Disaster Medicine, 24(1), 32-38. doi:10.1017/S1049023X00006518/ http://tinyurl.com/y7mv8c7o

 

 

 

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