Disaster Medicine · MU Plovdiv

38. Disaster Medical Support to Area of Damage caused by Toxic Industrial Material – Chlorine

Inside: 8 sections · 2 min

Topic 38 of 46 in the MU Plovdiv syllabus for Disaster Medicine (Medicine, Year 3). The free AceMed note covers it in 8 sections, about 341 words (2 min of reading).

In this note

  1. Toxic industrial materials- chlorine. Toxicology. Characteristics and Medical Activities
  2. General Characteristics:
  3. Sources of exposure:
  4. Early response to chlorine exposure depends on:
  5. Pathophysiology:
  6. Clinical symptoms of chlorine intoxication:
  7. Differential diagnoses:
  8. Prevention/Treatment:

Toxic industrial materials- chlorine. Toxicology. Characteristics and Medical Activities

Written by Anam Hussain

General Characteristics:

  • Is part of the suffocating toxic chemicals group
  • Most aggressive toxic industrial material
  • Yellow/green gas with distinctive odour
  • Heavier than air and accumulates at bottom of poorly ventilates spaces
  • Moderately soluble in water
  • Strong oxidiser so reacts easy with flammable materials

Sources of exposure:

  • Inhalation exposures can occur environmentally or occupationally
  • Industrial bleaching operations
  • Participation in sewage treatment
  • Transportation releases
  • Storage tank failures
  • Chemical warfare
  • Household accidents: inappropriate mixing of hypochlorite cleaning solutions with acidic agents

Early response to chlorine exposure depends on:

  • Density of gas
  • Duration of exposure
  • Water content of exposed tissues
  • Individual susceptibility

Pathophysiology:

  • Target organs: respiratory and GI tract
  • Chlorine reacts with water of the mucosa in the eyes, nose mouth and respiratory tract.
  • Cellular injury develops from oxidation of function groups of cellular components
  • This is due to formation of HCL and hypochlorous acid from tissue water reaction and free radical formation
  • Necrosis occurs from direct effects of acid formation
  • Necrosis develops quickly due to intracellular cell injury from nitration and oxidation injuries

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