Utah Department of Public Safety

Fourth Generation Agents: Medical Management Guidelines


New resources are available from the U.S. government to help emergency responders and healthcare workers develop specific guidance and training to protect themselves and save lives during incidents involving fourth generation nerve agents, also known as Novichoks or A-series nerve agents.

These guidelines were developed as part of ongoing preparedness for all hazards and are intended to support fire, EMS, and hospital staff in the medical management of patients if an incident occurs involving a fourth generation agent (FGA, also known as A-series or Novichok nerve agents), such as the one used in the United Kingdom in 2018.

Additional resources are available on the Chemical Hazards Emergency Medical Management (CHEMM) website.