UNEXPECTED NERVE-GAS EXPOSURE IN THE CITY OF MATSUMOTO - REPORT OF RESCUE ACTIVITY IN THE FIRST SARIN GAS TERRORISM

This report describes the rescue activities and the exposure of rescue and hospital personnel from the first unexpected nerve gas terrorist attack using sarin (isopropyl methylphophonoftuoridate) in the city of Matsumoto at midnight on June 27, 1994. The details of the emergency activities in the disaster were studied based on the records from emer gency departments of the affiliated hospitals and records from the fir ehouse. About 600 people, including residents and rescue staff, were e xposed to sarin gas. Fifty-eight residents were admitted to hospitals, and 7 died. Among 95 rescuers and the duty doctor from the doctor car , 8 had mild symptoms of poisoning. All the rescue activity took place without gas masks or decontamination procedures, In this case of unex pected mass exposure to sarin gas, the emergency rescue system for a l arge disaster in Matsumoto city, which bad been established for a conf lagration or a local earthquake, was effective. (Am J Emerg Med 1997;1 5:527-528. Copyright (C) 1997 by W.B. Saunders Company).