TETRODOTOXIN : Biotoxin
If the person who is poisoned cannot wake up, has a hard time breathing, or has convulsions, call emergency services. A typical dehydration agent is DCC. Further, the t statistics calculated separately in pedophiles and control subjects for the stimulus conditions boys v. Agents can seep into the crevices of equipment making it dangerous to handle. Brain activation during human male ejaculation.
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Select when the highest level of respiratory protection is necessary but a lesser level of skin protection is required. It differs from Level A in that it incorporates a non-encapsulating, splash-protective, chemical-resistant splash suit that provides Level A protection against liquids but is not airtight. A hooded chemical-resistant suit that provides protection against CBRN agents. Coveralls, long underwear, a hard hat worn under the chemical-resistant suit, and chemical-resistant disposable boot-covers worn over the chemical-resistant suit are optional items.
Escape mask, face shield, coveralls, long underwear, a hard hat worn under the chemical-resistant suit, and chemical-resistant disposable boot-covers worn over the chemical-resistant suit are optional items.
Select when the contaminant and concentration of the contaminant are known and the concentration is below the appropriate occupational exposure limit or less than AEGL-1 for the stated duration times. Limited to coveralls or other work clothes, boots, and gloves.
Tetrodotoxin poisoning may either have rapid onset 10 to 45 minutes or delayed onset generally within 3 to 6 hours but rarely longer. Death may occur as early as 20 minutes, or as late as 24 hours, after exposure; but it usually occurs within the first 4 to 8 hours.
Symptoms may last for several days and recovery takes days to occur. Tetrodotoxin interferes with the transmission of signals from nerves to muscles by blocking sodium channels. This results in rapid weakening and paralysis of muscles, including those of the respiratory tract, which can lead to respiratory arrest and death.
Numbness and sensation of prickling and tingling paresthesia of the lips and tongue, followed by facial and extremity paresthesias and numbness, headache, sensations of lightness or floating, profuse sweating diaphoresis , dizziness, salivation ptyalism , nausea, vomiting emesis , diarrhea, abdominal epigastric pain, difficulty moving motor dysfunction , weakness malaise , and speech difficulties.
Increasing paralysis, first in the extremities, then in the rest of the body, and finally in the respiratory muscles; difficulty breathing or shortness of breath dyspnea ; abnormal heart rhythms cardiac dysrhythmias or arrhythmia ; abnormally low blood pressure hypotension ; fixed and dilated pupils mydriasis ; coma; seizures; respiratory arrest; and death.
However, it is unlikely that tetrodotoxin will require extensive decontamination, as its toxicity is primarily through individual ingestion. Off gassing is not believed to be a hazard. Safe disposal of the contaminated food and cleaning of all food preparation surfaces and utensils with soap and water should be sufficient. Care should be taken during decontamination, because absorbed agent can be released from clothing and skin as a gas. Your Incident Commander will provide you with decontaminants specific for the agent released or the agent believed to have been released.
The following are recommendations to protect the first responders from the release area: Position the decontamination corridor upwind and uphill of the hot zone.
The warm zone should include two decontamination corridors. One decontamination corridor is used to enter the warm zone and the other for exiting the warm zone into the cold zone. The decontamination zone for exiting should be upwind and uphill from the zone used to enter. Decontamination area workers should wear appropriate PPE. See the PPE section of this card for detailed information.
A solution of detergent and water which should have a pH value of at least 8 but should not exceed a pH value of Soft brushes should be available to remove contamination from the PPE. Labeled, durable 6-mil polyethylene bags should be available for disposal of contaminated PPE. The following methods can be used to decontaminate an individual: Decontamination of First Responder: Begin washing PPE of the first responder using soap and water solution and a soft brush.
Always move in a downward motion from head to toe. Make sure to get into all areas, especially folds in the clothing. Wash and rinse using cold or warm water until the contaminant is thoroughly removed. Place all PPE in labeled durable 6-mil polyethylene bags. Remove all clothing at least down to their undergarments and place the clothing in a labeled durable 6-mil polyethylene bag. Initial treatment is primarily supportive. There is no antidote for tetrodotoxin toxicity.
Prevent others from eating until the source of tetrodotoxin exposure can be ascertained, in order to avoid more casualties. Do not induce vomiting emesis. Administer supplemental oxygen and assist ventilation as needed. Seek medical attention immediately. Gastric lavage is recommended only after ingestion of a life-threatening amount of tetrodotoxin and only if it can be done shortly after ingestion generally within 1 hour. The risk of worsening injury to the lining of the gastrointestinal GI tract must be considered.
Information is unavailable about the carcinogenicity, developmental toxicity, or reproductive toxicity from chronic or repeated exposure to tetrodotoxin.
Consult with the Incident Commander regarding the agent dispersed, dissemination method, level of PPE required, location, geographic complications if any , and the approximate number of remains. Coordinate responsibilities and prepare to enter the scene as part of the evaluation team along with the FBI HazMat Technician, local law enforcement evidence technician, and other relevant personnel.
Begin tracking remains using waterproof tags. Wear PPE until all remains are deemed free of contamination. Establish a preliminary holding morgue. It is revealing that thioesters are obligatory intermediates in several key processes in which ATP is either used or regenerated. Thioesters are involved in the synthesis of all esters , including those found in complex lipids.
They also participate in the synthesis of a number of other cellular components, including peptides , fatty acids , sterols , terpenes , porphyrins , and others. In addition, thioesters are formed as key intermediates in several particularly ancient processes that result in the assembly of ATP.
In both these instances, the thioester is closer than ATP to the process that uses or yields energy. Eventually, [these] thioesters could have served to usher in ATP through its ability to support the formation of bonds between phosphate groups.
However, due to the high free energy change of thioester's hydrolysis and corresponding their low equilibrium constants, it is unlikely that these compounds could have accumulated abiotically to any significant extent especially in hydrothermal vent conditions. Thionoesters are isomeric with thioesters.
In a thionoester, sulfur replaces the carbonyl oxygen in an ester. Such compounds are typically prepared by the reaction of the thioacyl chloride with an alcohol, but they can also be made by the reaction of Lawesson's reagent with esters. An alternative method of synthesizing various thionoesters is through the transesterification of an existing methyl thionoester with an alcohol under base-catalyzed conditions.
Edit Read in another language Thioester. The alkylation can be conducted using Mannich bases and the thiocarboxylic acid: Thioesters and amines combine to give amides: Thiocarboxylic acid Liebeskind-Srogl coupling Aldrithiol John Wiley, , New York: Topics in Current Chemistry.
Preparation of Ethyl 6-oxotridecanoate". Acyl transfer reactions with sulfur and selenium". Principles of Biochemistry 3rd ed. Archives of Biochemistry and Biophysics. Chemical Research in Toxicology. An Introduction to Organosulfur Chemistry. John Wiley and Sons.