TY - JOUR PY - 2021// TI - Chemical, biological, radiological, and nuclear mass casualty medicine: a review of lessons from the Salisbury and Amesbury Novichok nerve agent incidents JO - British journal of anaesthesia A1 - Haslam, James D. A1 - Russell, Paul A1 - Hill, Stephanie A1 - Emmett, Stevan R. A1 - Blain, Peter G. SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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. 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.

Language: en

LA - en SN - 0007-0912 UR - http://dx.doi.org/10.1016/j.bja.2021.10.008 ID - ref1 ER -