factors influencing the integrated management of chemical terrorist incidents

Aims: chemical agents have gained the attention of terrorist groups due to their capacity to cause widespread harm and profound psychological impacts. over the past five decades, the number of chemical terrorist attacks has increased significantly. this study aimed to identify factors related to the integrated management of chemical terrorist incidents and propose solutions to enhance emergency response efforts.information & methods: this scoping review followed the guidelines outlined by arksey and o’malley. a systematic search was conducted using keywords, such as integrated management, chemical terrorism, hospital management, prehospital management, and disaster management in databases including pubmed, scopus, web of science, google scholar, sid, and magiran. the search adhered to the prisma guideline, and relevant studies published between 1994 and 2024 were selected. data extraction was carried out independently by two researchers.findings: fourteen articles were included in the final analysis. the effective management of chemical terrorist incidents must address both the scene and hospital settings and rely on a multiparty system. key components included the detection of chemical agents, use of personal protective equipment, zoning, triage, initial decontamination, primary patient assessment at the hospital, secondary decontamination, administration of antidotes (specific treatments), information management, and psychological support.conclusion: managing victims of chemical terrorist incidents requires preparation and coordination between prehospital and hospital systems.