Book contents
- Cases in Simulated Disaster Medicine
- Reviews
- Cases in Simulated Disaster Medicine
- Copyright page
- Contents
- Contributors
- Section 1Introductory Chapters
- Section 2Geophysical Natural Disasters
- Section 3Meteorological Natural Disasters
- Section 4Hydrological Natural Disasters
- Section 5Climatological Natural Disasters
- Section 6Biological Natural Disasters
- Section 7Technological Disasters
- Case 27Medical Management of Chlorine Gas Exposure Following a Freight Train Derailment
- Case 28Treating Life-Threatening Injuries with Limited Resources while at Sea
- Case 29Outbreak at Sea
- Case 30Illness on the High Seas
- Case 31Riot Control Fallout
- Case 32Emergency Management of Blast Trauma from Refinery Explosion
- Section 8Terrorism-Related Disasters
- Section 9Mass Casualty Incident
- Index
- References
Case 31 - Riot Control Fallout
Surge due to Chemical Irritant Exposures
from Section 7 - Technological Disasters
Published online by Cambridge University Press: 06 February 2026
Book contents
- Cases in Simulated Disaster Medicine
- Reviews
- Cases in Simulated Disaster Medicine
- Copyright page
- Contents
- Contributors
- Section 1Introductory Chapters
- Section 2Geophysical Natural Disasters
- Section 3Meteorological Natural Disasters
- Section 4Hydrological Natural Disasters
- Section 5Climatological Natural Disasters
- Section 6Biological Natural Disasters
- Section 7Technological Disasters
- Case 27Medical Management of Chlorine Gas Exposure Following a Freight Train Derailment
- Case 28Treating Life-Threatening Injuries with Limited Resources while at Sea
- Case 29Outbreak at Sea
- Case 30Illness on the High Seas
- Case 31Riot Control Fallout
- Case 32Emergency Management of Blast Trauma from Refinery Explosion
- Section 8Terrorism-Related Disasters
- Section 9Mass Casualty Incident
- Index
- References
Summary
This case discusses the management of multiple casualties exposed to riot control agents, such as pepper spray and tear gas, during a large protest. It emphasizes the importance of prehospital preparation, proper decontamination procedures, and the differentiation of symptoms caused by various chemical agents. Critical actions such as triaging patients, managing those with severe respiratory symptoms, and ensuring appropriate consultations for complicated cases are addressed.
Information
- Type
- Chapter
- Information
- Cases in Simulated Disaster Medicine , pp. 212 - 217Publisher: Cambridge University PressPrint publication year: 2026
References
Agrawal, Y, Thornton, D, Phipps, A. CS gas: completely safe? A burn case report and literature review. Burns. 2009;35(6):895–897.CrossRefGoogle Scholar
Barry, JD, Hennessy, R, McManus, JG. Jr. A randomized controlled trial comparing treatment regimens for acute pain for topical oleoresin capsaicin (pepper spray) exposure in adult volunteers. Prehosp Emerg Care. 2008;12(4):432–437.CrossRefGoogle ScholarPubMed
Bessac, BF, Sivula, M, von Hehn, CA, et al. Transient receptor potential ankyrin 1 antagonists block the noxious effects of toxic industrial isocyanates and tear gases. FASEB J. 2009;23(4):1102–1114.CrossRefGoogle ScholarPubMed
Gerber, S, Frueh, BE, Tappeiner, C. Conjunctival proliferation after a mild pepper spray injury in a young child. Cornea. 2011;30(9):1042–1044.CrossRefGoogle Scholar
Haar, RJ, Iacopino, V, Ranadive, N, Weiser, SD, Dandu, M. Health impacts of chemical irritants used for crowd control: a systematic review of the injuries and deaths caused by tear gas and pepper spray. BMC Public Health. 2017;17(1):831.CrossRefGoogle ScholarPubMed
Horton, DK, Burgess, P, Rossiter, S, Kaye, WE. Secondary contamination of emergency department personnel from O-chlorobenzylidene malononitrile exposure, 2002. Ann Emerg Med. 2005;45(6):655–658.CrossRefGoogle ScholarPubMed
Olajos, EJ, Salem, H. Riot control agents: pharmacology, toxicology, biochemistry and chemistry. J Appl Toxicol. 2001;21(5):355–391.CrossRefGoogle ScholarPubMed
Rothenberg, C, Achanta, S, Svendsen, ER, Jordt, S-E. Tear gas: an epidemiological and mechanistic reassessment. Ann N Y Acad Sci. 2016;1378(1):96–107.CrossRefGoogle ScholarPubMed
Toprak, S, Ersoy, G, Hart, J, Clevestig, P. The pathology of lethal exposure to the riot control agents: towards a forensics-based methodology for determining misuse. J Forensic Leg Med. 2015;29(January):36–42.CrossRefGoogle Scholar
Vaca, FE, Myers, JH, Langdorf, M. Delayed pulmonary edema and bronchospasm after accidental lacrimator exposure. Am J Emerg Med. 1996;14(4):402–405.CrossRefGoogle ScholarPubMed
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