![]() Dr Fredrick Sidell (now deceased), an expert on chemical terrorism in the USA, advocated decontamination, drugs, airway, breathing, and circulation (DDABC) as the basic treatment for nerve agent poisoning. ![]() This difference in symptoms is attributable to the higher 70% concentration and active means by which the sarin was dispersed at Matsumoto, as opposed to the 33% concentration and passive means of dispersal employed in Tokyo. However, in the Matsumoto sarin attack, endotracheal intubation was more difficult in many victims because of airway hypersecretion and bronchospasm. The Japanese medical literature describes the standard treatment for sarin toxicity as (A) maintain the airway, (B) assist breathing, and (C) support circulation. In victims of the Tokyo subway sarin attack, endotracheal intubation was not difficult. Tetsuo Satoh, in Handbook of Toxicology of Chemical Warfare Agents, 2009 IV Emergency treatment of sarin toxicity
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