Pediatric emergency medicine trisk 4561 4561
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FIGURE 132.3 Approach to the recognition and diagnosis of an attack with an unknown
chemical agent.
FIGURE 132.4 A fixed, indoor decontamination facility, contiguous with, but structurally
separate from, the main ED. A : The external entrance from the ambulance bay. B : Three
parallel lanes to provide capacity for both ambulatory and nonambulatory victims. (Courtesy of
Tony Van Dyke and Michael Goldberg, Department of Environmental Health and Safety,
Children’s Hospital of Philadelphia, Philadelphia, PA.)
Decontamination of casualties contaminated with chemical agents should occur
as soon as possible. Chemical agents, particularly liquid nerve agents and
vesicants as either liquids or vapors, can be absorbed through intact skin within a
few minutes. Although the effects of percutaneously absorbed chemical agents
