Napalm Exposure 

  • Author: Lisandro Irizarry, MD, MPH, FAAEM; Chief Editor: Robert G Darling, MD, FACEP   more...
 
Updated: Apr 23, 2012
 

Background

Napalm, invented by Fieser in 1942, is an incendiary substance made by the simple procedure of adding a "gelling" powder, composed of naphthalene and palmitate (hence "napalm"), to gasoline in varying concentrations to form a sticky, combustible substance.

This white, cloudy, jellylike substance has unique properties that render it an effective incendiary agent. Napalm is extremely stable, tolerating temperatures well above 150°F (effective in the tropics) and as low as -40°F (bomb shelters, cold weather environments). It is not shattered easily by explosives and can be stored for long periods without significant breakdown. Gelation of this substance occurs in 3-20 minutes. Gel formation enhances its effectiveness by allowing for a controlled, contained, and prolonged burn. Gelation also enhances its stability, with napalm requiring much higher temperatures to ignite than gasoline. There is no "off-sourcing" of hydrocarbon fumes associated with the nonignited compound. In fact, ignition requires the use of trinitrotoluene (TNT) to explode and ignite white phosphorus, the ignited temperature of which is high enough to result in the combustion of napalm.

Napalm has been used primarily in the form of incendiary bombs, firebombs, land mines, and flamethrowers. During World War II, firebombs, in the form of 165-gallon containers, were the primary method for the disbursement of napalm. One firebomb released from a low-flying airplane was capable of producing damage to a 2500-yd2 area. During the Korean War, the United States dropped approximately 250,000 pounds of napalm per day. Napalm's increased viscosity resulted in the enhanced effectiveness of flamethrowers, which were frequently used in World War II. Because of gasoline's increased instability, volatility, and its rapid burning and self-consumption, its effectiveness was limited to within 30 yards. Napalm, through its unique properties, extended the effective range of flamethrowers to 150 yards.

After World War II, the United States conducted an intensive effort to enhance the properties and effectiveness of napalm as an incendiary agent. This effort resulted in the development of napalm B (super napalm, NP2), which substituted polystyrene and benzene for naphthalene and palmitate. The resulting substance continued to bear the name napalm, although it lacked the 2 components of its namesake. Conventional napalm burns for 15-30 seconds, whereas napalm B burns for up to 10 minutes. Napalm B provided the United States with an incendiary substance with enhanced stability and controllability and, as such, became the weapon of choice during the Vietnam War. Such enhanced stability required an igniting agent such as white phosphorus, which burns at a higher temperature of 4532°F. White phosphorus replaced thermite, the ignitor previously used for traditional napalm.

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Epidemiology

Frequency

United States

Napalm has been used by the United States as recent as the Persian Gulf War.

Mortality/Morbidity

Morbidity and mortality are related directly to the extent of injuries received from trauma and extensive burns from exposure. No cases have been reported of systemic poisoning of individuals in contact with nonignited napalm.

German post-war estimates reveal approximately 25,000 deaths and 30,000 wounded individuals during a 2-day attack on Dresden, Germany, with the use of 3.4 kilotons of incendiary, half of which was napalm. According to a memorandum released by the Ministry of Foreign Affairs of the People's Republic of Korea, after the Korean War more than 10,000 napalm bombs were released during a 20-day period killing 12,000 individuals and wounding 2,500 others.[1]

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Contributor Information and Disclosures
Author

Lisandro Irizarry, MD, MPH, FAAEM  Chair, Department of Emergency Medicine, Brooklyn Hospital Center; Assistant Professor, Department of Emergency Medicine, Weill Cornell School of Medicine

Lisandro Irizarry, MD, MPH, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Medical Toxicology, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Mollie V Williams, MD  Assistant Clinical Professor, Fellow in Disaster Preparedness, Department of Emergency Medicine, State University of New York Downstate Medical Center, Brooklyn

Mollie V Williams, MD is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

José Eric Díaz-Alcalá, MD, FAAEM,  Consulting Staff in Medicine Service, Division of Emergency Medicine/Medical Toxicology, Veterans Affairs Caribbean Healthcare System; Medical Director, Puerto Rico Poison Control Center, San Juan, Puerto Rico

José Eric Díaz-Alcalá, MD, FAAEM, is a member of the following medical societies: American Academy of Clinical Toxicology, American Academy of Emergency Medicine, and American College of Medical Toxicology

Disclosure: Nothing to disclose.

Specialty Editor Board

Mark Keim, MD  Senior Science Advisor, Office of the Director, National Center for Environmental Health, Centers for Disease Control and Prevention

Mark Keim, MD is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Rick Kulkarni, MD  Attending Physician, Department of Emergency Medicine, Cambridge Health Alliance, Division of Emergency Medicine, Harvard Medical School

Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: WebMD Salary Employment

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Robert G Darling, MD, FACEP  Adjunct Clinical Assistant Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, F Edward Hebert School of Medicine; Associate Director, Center for Disaster and Humanitarian Assistance Medicine

Robert G Darling, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, American Telemedicine Association, and Association of Military Surgeons of the US

Disclosure: Nothing to disclose.

References
  1. Napalm. Globalsecurity.org. Available at http://www.globalsecurity.org/military/systems/munitions/napalm.htm. Accessed July 3, 2007.

  2. Bullens EF. Chemicals in combat. Armed Forces Chem J. 1952;5(4):4-7.

  3. Fieser LF. Napalm. Indust and Engin Chem. 1946;38:768-773.

  4. Harvey F. Air war in Vietnam. Flying. 1966;5:38-95.

  5. Hollingsworth EW. Use of thickened gasoline in warfare. Armed Forces Chem J. 1951;4(6):26-32.

  6. McLean AD. Burns and military clothing. J R Army Med Corps. Feb 2001;147(1):97-106. [Medline].

  7. Napalm. Wikipedia. Available at http://en.wikipedia.org/wiki/Napalm. Accessed July 3, 2007.

  8. Reich P, Sidel VW. Current concepts. Napalm. N Engl J Med. Jul 13 1967;277(2):86-8. [Medline].

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