How to Identify Chemical Attacks by Symptom

This is an updated post on how to identify chemical attacks by the symptoms shown. We first reviewed this in 2017 and revisited it to add information and provide more examples for quick detection.

Chemical attacks are not commonplace in our world today, but they do happen. About 70 types of chemical weapons have been used in the past century, and they all fall into 5 categories. The symptoms can range from barely noticeable to very obvious, but most have the potential to be quickly lethal. Chemical weapons are classified as Weapons of Mass Destruction (WMDs), and many nations have held huge stockpiles in the past. The stockpiles have dwindled slowly since the Chemical Weapons Convention (CWC) in 1993, requiring many nations to destroy their WMDs.

While some of these ‘destroyed’ weapons may just no longer be declared, three important nations continue to hold large declared stockpiles: Russia, North Korea, and the US. Many of the chemical agents have overlapping symptoms, but a few are unique to their type. Professionals look for these unique symptoms to estimate which agent is present solely based on symptoms exhibited by casualties.


Nerve Agents

Nerve agents account for the majority of the stockpiles left in the world and are some of the most dangerous and deadly. They are very effective when weaponized and have the largest reach when used in cluster bombs. Nerve agents have been used by terror groups, such as in the Tokyo subway sarin attack. The agents can be absorbed through the skin and cause a rapid onset of symptoms based on exposure levels.

Initial exposure symptoms: tightness of the chest, runny nose, constricted pupils

Mild exposure symptoms: drooling, nausea, difficulty breathing

Severe exposure symptoms: vomiting, burning eyes and lungs, involuntary urination and defecation

Fatal exposure symptoms: convulsions, asphyxiation

The main identifying symptom for detecting nerve agent exposure is constricted pupils.


Blister Agents

Blister agents are nasty and usually loaded into mortars since they don’t have as large an effective radius as nerve agents. Their main symptom is obvious from the name of the agent, and they cause pain over a long period if not fatal. Some of the more common blister agents do not show symptoms until 2-4 hours after exposure.

Mild exposure symptoms: skin, eye, and mucous membrane irritation, respiratory distress

Severe exposure symptoms: large fluid-filled blisters, corneal damage, severe respiratory distress

The main identifying symptom for detecting blister agents is the large fluid-filled blisters.

WWI Soldier with Mustard Gas Blisters on his skin

Blood Agents

Blood agents are cyanide or arsenic-based and work only by being breathed or swallowed. They are much more effective indoors than outdoors since they disperse more quickly than the other agents listed. They are named blood agents because they stop cells from using oxygen, causing victims’ blood to be bright red.

Mild exposure symptoms: dizziness, weakness, nausea, headache, pink skin, smell of almonds or garlic

Severe exposure symptoms: gasping

Fatal exposure symptoms: convulsions, asphyxiation

The main identifying symptom of blood agents is the irritating smell of almonds or garlic.


Choking Agents

Choking agents cause the victim’s lungs to fill with fluid, which leads to drowning. Phosgene and Chlorine gas are the two well-known choking agents.

Mild exposure symptoms: blurred vision, vomiting, headache, burning throat

Severe exposure symptoms: deep burns on skin and eyes, tightness in the chest

Fatal exposure symptoms: respiratory failure, circulatory failure

The main identifying symptom of choking agents is coughing up bloody phlegm.


Riot Control Agents

Riot control agents are the chemical agents you are most likely to encounter. They are considered non-lethal, and you may even own one. Pepper spray and tear gas are both used by law enforcement, and pepper spray can be bought for personal protection. Deploying pepper spray at long distances is accomplished with paintball guns slightly modified to shoot pepper-filled balls. We’ve reviewed the best pepper spray for personal protection, and it is relatively inexpensive.

Mild exposure symptoms: burning sensation, forceful closure of eyes, coughing, nasal discharge

Severe exposure symptoms: severe coughing, vomiting, burns on the skin

The main identifying symptom of riot control agents is the forceful closure of the eyes.

This video shows the effects of tear gas on several recruits and explains why the US Army (and many other branches) expose trainees to tear gas during basic training.

Why Army Recruits Train Inside A Tear Gas Chamber In Boot Camp | Boot Camp | Business Insider

The Final Word

Almost all of the agents in each category are very destructive through inhalation. Avoiding chemical agents is nearly impossible without a protective mask. Many of them can also be effective through skin contact. Clothing can help some, but the clothing itself becomes contaminated when exposed. To learn more about the chances of a chemical attack, visit our Prepper Threat List section.

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How to Identify Chemical Weapon Attacks by Symptoms

Sean Gold

I'm Sean Gold, the founder of TruePrepper. I am also an engineer, Air Force veteran, emergency manager, husband, dad, and avid prepper. I developed emergency and disaster plans around the globe and responded to many attacks and accidents as a HAZMAT technician. Sharing practical preparedness is my passion.

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