Chemical, biological, radiological, and nuclear mass casualty

Br J Anaesth · Feb 2022

Review

Chemical, biological, radiological, and nuclear mass casualty medicine: a review of lessons from the Salisbury and Amesbury Novichok nerve agent incidents.

On March 4, 2018, two casualties collapsed on a park bench in Salisbury, Wiltshire, UK. They were later discovered to have been the victims of an attempted murder using the Soviet-era Novichok class of nerve agent. ⋯ Before the COVID-19 pandemic, the Salisbury and Amesbury incidents were the longest-running major incidents in the history of the UK National Health Service. This narrative review seeks to reflect on the lessons learned from these chemical incidents, with a particular focus on hospital and local organisational responses.

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- James D Haslam, Paul Russell, Stephanie Hill, Stevan R Emmett, and Peter G Blain.
- Anaesthesia and Intensive Care Medicine, Salisbury NHS Foundation Trust, Wiltshire, UK. Electronic address: james.haslam@nhs.net.
- Br J Anaesth. 2022 Feb 1; 128 (2): e200-e205.
AbstractOn March 4, 2018, two casualties collapsed on a park bench in Salisbury, Wiltshire, UK. They were later discovered to have been the victims of an attempted murder using the Soviet-era Novichok class of nerve agent. The casualties, along with three further critically ill patients, were cared for in Salisbury District Hospital's Intensive Care Unit. Before the COVID-19 pandemic, the Salisbury and Amesbury incidents were the longest-running major incidents in the history of the UK National Health Service. This narrative review seeks to reflect on the lessons learned from these chemical incidents, with a particular focus on hospital and local organisational responses.Copyright © 2021 British Journal of Anaesthesia. All rights reserved.

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Chemical, biological, radiological, and nuclear mass casualty medicine: a review of lessons from the Salisbury and Amesbury Novichok nerve agent incidents.

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