title: Clinical review: Tokyo - protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance.
abstract: Determine the effectiveness of decontamination, and perform thorough dry or wet decontamination, depending on the circumstances. Always remain cognizant of the fact that, even after decontamination has been completed, contamination may not have been completely eliminated. Perform periodic monitoring to determine whether secondary exposure has occurred in health care workers; if it appears that secondary exposure has occurred, then the PPE level must be increased and attempts must be made to identify and eliminate the source of the contamination. Finally, if the victims were exposed through ingestion, then consider the possibility that secondary exposure will occur during gastric lavage.
authors.affiliation: Advanced Emergency Medical Center, Juntendo Izu-Nagaoka Hospital, Shizuoka, Japan.
authors.forename: Sumie
authors.initials: S
authors.lastname: Okumura
authors.forename: Tetsu
authors.initials: T
authors.lastname: Okumura
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ishimatsu
authors.forename: Kunihisa
authors.initials: K
authors.lastname: Miura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Maekawa
authors.forename: Toshio
authors.initials: T
authors.lastname: Naito
mesh_terms: D051337:Chemical Terrorism / Q000266:history / Q000517:prevention & control*; D003666:Decontamination / Q000379:methods; D004189:Disaster Planning / Q000266:history / Q000379:methods*; D006282:Health Personnel; D049673:History, 20th Century; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional; D009784:Occupational Diseases / Q000266:history / Q000517:prevention & control*; D016273:Occupational Exposure / Q000266:history / Q000517:prevention & control*; D011482:Protective Devices; D012524:Sarin / Q000506:poisoning; D014041:Tokyo
chemical_list: D012524:Sarin