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Phosgene
CAS RN:
75-44-5
ABC Reminders / Treatment![]() ABC RemindersQuickly access airway patency. If trauma is suspected, maintain cervical immobilization manually and apply a cervical collar and a backboard when feasible. Ensure adequate respiration and pulse. Document oxygen saturation. Place on a cardiac monitor. Link to Primary and Secondary Survey If the patient is symptomatic, immediately institute emergency life support measures. Advanced TreatmentSupportiveIn cases of respiratory compromise, secure airway and respiration via endotracheal intubation or laryngeal mask airway (LMA) (use Bag Valve Mask (BVM) if unable to secure airway). If clinically indicated, perform cricothyroidotomy, or place 14 gauge intracath in the cricothryroid membrane. Patients who are in cardiorespiratory failure or have seizures should be treated according to advanced life support (ALS) protocols. Frostbite - Always handle frostbitten skin and eyes with caution. Place frostbitten skin in warm water (108 degrees). Do not allow the skin to touch the sides of the container. If hot water is not available wrap the affected area gently in warm blankets. Encourage exercise of the affected part while it is being warmed. Enforce rest - Even minimal physical exertion may shorten the clinical latent period and increase the severity of respiratory symptoms and signs in a lung-damaging agent casualty. Physical activity in a symptomatic patient may precipitate acute clinical deterioration and even death. Strict limitation of activity are strongly recommended for patients suspected of having inhaled phosgene. Link to 14 gauge intracath placement instructions Link to supportive treatment in the hot zone Link to Basic and Advanced Life Support AntidotesAntidotes - there are no specific antidotes for phosgene. |