Kimyasal Maddelerin Savaşı: Boğucu Gazlar

Öz

Boğucu gazlar kişiyi esas olarak solunum sistemi üzerinde etkileyen, endüstri alanında kullanılması nedeniyle terör grupları tarafından kolay elde edilen ve kontrolü oldukça zor olan, büyük miktarlarda üretilen kimyasal savaş ajanlarıdır. Birinci Dünya Savaşı sırasından bu yana kullanılmaya başlanan ve kullanımıyla ağır zaiyatlara sebep olan boğucu kimyasal savaş ajanları ne yazık ki günümüzde de hala varlığını sürdürmekte ve bir savaş aracı olarak kullanılmaya devam etmektedir. KBRN olaylarında hastane öncesi alanda görev alan bütün çalışanlar tarafından başlıca boğucu gazların neler oldukları, fiziksel ve kimyasal özellikleri, toksisite mekanizmalarının bilinmesi; kullanımının önüne geçemediğimiz bu gazların etkilerinin hafifletilmesinde yardımcı olacaktır. Boğucu gazların antidotu olmamakla birlikte kortikoid kullanımı önerilmektedir. Tedavi bronkodilatörler, yüksek doz kortikosteroidler ve profilaktik antibiyotiklerle solunum desteği içermektedir. Tedavi semptomlara dayalı uygulanmaktadır. Boğucu gazlara maruziyet durumunda yeni tedavi yöntemleri ve antidot çalışmaları geliştirilmelidir.

Anahtar Kelimeler

• Kimyasal Savaş Ajanları
• Boğucu Gazlar
• Toksisite

WAR OF CHEMİCAL AGENTS: CHOKİNG GASES

Öz

Choking gases are chemical warfare agents produced in large quantities that affect the person mainly on the respiratory system, are easily obtained by terrorist groups due to their use in industry, and are very difficult to control. Choking chemical warfare agents, which have been used since the First World War and caused heavy casualties, unfortunately still exist today and continue to be used as a tool of war. In CBRN incidents, all employees working in the pre-hospital area should know what the main choking gases are, their physical and chemical properties, and their toxicity mechanisms; It will help alleviate the effects of these gases, the use of which we cannot prevent. Although there is no antidote for choking gases, the use of corticoids is recommended. Treatment includes respiratory support with bronchodilators, high-dose corticosteroids, and prophylactic antibiotics. Treatment is applied based on symptoms. In case of exposure to choking gases, new treatment methods and antidote studies should be developed.

Anahtar Kelimeler

• Chemical Warfare Agents
• Choking Gases
• Toxicity

Kaynakça

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