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Essential Lessons in a Potential Sarin Attack Disaster Plan for a Resource-Constrained Environment

Published online by Cambridge University Press:  18 May 2017

Matthew John Watermeyer Open the ORCID record for Matthew John Watermeyer [Opens in a new window] ,
Nicole Dippenaar ,
Nelly Clotildea Tchouambou Simo ,
Sean Buchanan  and
Abdullah Ebrahim Laher
Matthew John Watermeyer*
Affiliation:
University of the Witwatersrand Faculty of Health Sciences, Department of Emergency Medicine, Johannesburg, South Africa
Nicole Dippenaar
Affiliation:
University of the Witwatersrand Faculty of Health Sciences, Department of Emergency Medicine, Johannesburg, South Africa
Nelly Clotildea Tchouambou Simo
Affiliation:
University of the Witwatersrand Faculty of Health Sciences, Department of Emergency Medicine, Johannesburg, South Africa
Sean Buchanan
Affiliation:
University of the Witwatersrand Faculty of Health Sciences, Department of Emergency Medicine, Johannesburg, South Africa
Abdullah Ebrahim Laher
Affiliation:
University of the Witwatersrand Faculty of Health Sciences, Departments of Emergency Medicine and Critical Care, Johannesburg, South Africa
*
Correspondence and reprint requests to Matthew John Watermeyer, University of the Witwatersrand Faculty of Health Sciences, Department of Emergency Medicine, Johannesburg, South Africa 2050 (e-mail: mjwatermeyer@gmail.com).
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Abstract

Sarin is a potent nerve agent chemical weapon that was originally designed for military purposes as a fast-acting anti-personnel weapon that would kill or disable large numbers of enemy troops. Its potent toxicity, ease of deployment, and rapid degradation allow for rapid deployment by an attacking force, who can safely enter the area of deployment a short while after its release. Sarin has been produced and stockpiled by a number of countries, and large quantities of it still exist despite collective agreements to cease manufacture and destroy stockpiles. Sarin’s ease of synthesis, which is easily disseminated across the Internet, increases the risk that terrorist organizations may use sarin to attack civilians. Sarin has been used in a number of terrorist attacks in Japan, and more recently in attacks in the Middle East, where nonmilitary organizations have led much of the disaster relief and provision of medical care. In the present article, we examine and discuss the available literature on sarin’s historical use, delivery methods, chemical properties, mechanism of action, decontamination process, and treatment. We present a management guideline to assist with the recognition of an attack and management of victims by medical professionals and disaster relief organizations, specifically in resource-constrained and austere environments. (Disaster Med Public Health Preparedness. 2018;12:249–256)

Keywords

sarinweapons of mass destructiondisaster planningmass casualty incidents
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 2 , April 2018 , pp. 249 - 256
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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