ASBESTOS*: Secondary Assessment of Mass Casualties Due to Chemical or Radiological Weapons

Initial

In Evaluating Chemical Weapon Injuries

In Evaluating Radiological Weapon Injuries

Agents

Type (Is a toxidrome present?)

Estimated dose

Type (alpha, beta, gamma, neutron)

Estimated dose

State(s)

Is the agent a

  • Solid

  • Liquid†

  • Gas

  • Vapor†

  • Aerosol

  • Combination

The same as for chemical weapons

Body site(s)

Routes of entry (exposure and absorption)

Exposure (passage through whole body)? Where?

External contamination? Where?

Internal contamination? Where?

Combinations?

Effect(s)

Distribution

  • Local

  • Systemic

  • Both

The same as for chemical weapons

Severity

Of effects

Of exposure

The same as for chemical weapons

Time course

Past (onset, latent period)

Present (Getting better or worse? Stable?)

Future (expected prognosis)

The same as for chemical weapons

Other diagnoses?

Instead of (differential diagnosis)

In addition to (coexisting diagnoses)

The same as for chemical weapons

Synergism

Combined effects of multiple exposures

The same as for chemical weapons

* The acronym ASBESTOS was introduced by the author, Madsen JM, in Clin Lab Med 21(3):593-605, 2001.

† Most common states