If healthcare professionals learn from the Matsumoto attack, they can better recognize early parasympathetic nervous symptoms, including miosis, hypersecretion, and rhinorrhea as common symptoms of chemical terrorism due to nerve agents and institute appropriate treatment with antidotes. In large-scale disasters with many victims, treatment is often deferred in those with cardiopulmonary arrest (so-called “black tag”). However, at St Luke's Hospital, one in three persons with cardiopulmonary arrest and two patients with respiratory arrest made a full recovery and were discharged. This high rate of recovery and return to the community is unlike that seen in other types of disasters.
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