RT Book, Section A1 Horowitz, B. Zane A1 Hendrickson, Robert G. A2 Tintinalli, Judith E. A2 Stapczynski, J. Stephan A2 Ma, O. John A2 Yealy, Donald M. A2 Meckler, Garth D. A2 Cline, David M. SR Print(0) ID 1121501499 T1 Chemical Disasters T2 Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071794763 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1121501499 RD 2024/03/29 AB Although the term "agents of mass destruction" is often used in planning for terrorist events, in reality, few chemicals can be delivered by terrorists in the appropriate fashion to create large numbers of deaths.1 However, chemical mass casualty events do occur. The setting may involve the release of industrial chemicals, such as the 1984 industrial accident in Bhopal, India, that caused more than 2500 deaths and 200,000 injuries from a methyl isocyanate release,2 or a natural chemical incident, such as the emission of carbon dioxide in Lake Nyos, Cameroon, that was responsible for 1700 chemical asphyxiant deaths. Chemical terrorism may also occur through acts of willful deployment, as with the sarin release in the Tokyo subway in 1995 in which 12 people died and 5500 sought medical attention.