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Fourth Generation AgentsAgent Identification![]() Agent IdentificationPatients may demonstrate some combination of SLUDGE and DUMBBELS. SLUDGE – Salivation, Lacrimation, Urination, Defecation, Gastrointestinal upset, Emesis DUMBBELS – Defecation, Urination, Miosis/Muscle weakness, Bronchospasm/Bronchorrhea, Bradycardia, Emesis, Lacrimation, Salivation/Sweating Note that:
Exposures to nerve agents, including FGAs, may be difficult to distinguish clinically from overdoses of opioids or other street drugs. Polysubstance mixtures and novel preparations of illicit drugs have become increasingly frequent in street drug intoxications. Some can present with unusual physiological profiles and signs and symptoms that could be confused with those of chemical warfare agents. ![]() Agent Identification
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