Irritants - CS, CN, CNC, CA, CR, CNB, PS Workup

Updated: May 24, 2018
  • Author: Paul P Rega, MD, FACEP; Chief Editor: Zygmunt F Dembek, PhD, MPH, MS, LHD  more...
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Workup

Approach Considerations

Clinicians should don appropriate personal protective equipment (PPE) before triaging and assessing patients assumed to be contaminated with a riot control agent (RCA). Victims who have RCAs on clothes and exposed body parts require decontamination as a first step. 

Diagnosis of pulmonary irritant exposure is based on clinical findings. However, the following may provide useful information in some cases:

  • Arterial blood gas and capnography measurements allow for confirmation of adequate ventilation
  • A chest radiograph may be indicated in patients with significant respiratory complaints, especially if the offending agent is not known
  • Perform a slit lamp examination with fluorescein on patients with significant eye complaints, especially if the patient experienced a close-range exposure
  • An electrocardiogram (ECG) is indicated for patients with persistent respiratory complaints and/or chest discomfort, in the appropriate clinical setting