Contact our office:

(503) 765-7615
logistics@crisis-medicine.com

Login
Crisis Medicine
  • Training
    • TCCC and TECC Concepts
    • Training for Law Enforcement
    • Training for Fire & EMS
    • Training for Private Citizens
    • Training for EDC
    • Training For Faith Communities
    • Training For Teachers
  • Courses
    • ONLINE TCCC & TECC Courses
    • In-Person Training Calendar
    • Preview Course
    • Course Overview By Skills
    • Student Reviews
  • Company
    • About Crisis Medicine
    • Agency Pricing
    • Contact
    • CM in the Media
    • Disclosures – None
    • Lessons Learned in Blood
    • Frequently Asked Questions
  • Learn
    • New
    • Quick Tips
    • MARCH
      • (S) Security & Awareness
      • (M) Massive Hemorrhage
      • (A) Airway
      • (R) Respiration
      • (C) Circulation
      • (H) Hypothermia Prevention
    • Everything Else
    • Equipment
    • Improvised
    • K9 TECC/TCCC
    • Air Travel Emergencies
    • Tactical CBRN
      • Tactical-CBRN Journal Watch
    • Planning Your IFAK
  • Store

Tactical CBRN

Novichok: An Emerging Nerve Agent Threat

  • Posted by Mike Shertz MD/18D
  • Categories Tactical CBRN

🕖 Reading Time, 5 minutes

On March 4, 2018, in Salisbury, England, former Russian Military Intelligence officer Sergei Skirpal and his daughter were found slumped on a public bench.1 After being evaluated at the hospital, it was determined that they were victims of nerve agent poisoning. A total of six victims were evaluated. Detective Sergeant Nick Bailey, who helped the Skirpals, was also hospitalized.2 One individual died.

Eventually, a chemical weapon was located on Skirpal’s front door handle.2  The agent was a 4th generation or “A” series nerve agent, more commonly known as a Novichok agent, which means “newcomer” in Russian.

The home of Skripal

The “A” series or Novichok agents were the byproduct of a classified USSR/Russian program named FOLIANT, which ran from the 1970s to the 1990s.1 Much of what we know about the agents it created comes from Dr. Mirzayanov, an exiled Russian dissident who previously spent 26 years working for the State Scientific Research Institute for Organic Chemistry and Technology in Moscow.1

“A” series or Novichok agents are binary nerve agents. This means two safer chemicals are mixed to make the final active agent. This is common when chemical weapons are placed in munitions. The delivery device will contain two different chemicals which combine in flight.

There are many advantages to binary agents. They are safer to handle, more stable, easier to dispose of, and the individual chemicals may not be specifically listed as prohibited substances in chemical weapons treaties providing deniability to their production.

“A” series or Novichok agents use the more traditional “G series” (sarin, soman, etc.) nerve agents as a chemical backbone. Although over 100 were synthesized, few were weaponized. One, agent A-232, is felt to be ten times more toxic than Soman. Another, agent A-230, was found to be 5 to 8 times more toxic than VX, which was previously deemed to be the most toxic nerve agent. Most of these new agents are liquids, but two of the new agents are the first nerve agents that are solid at room temperature.3

These agents do seem to be persistent, and the one used in Salisbury has been found in a total of nine sites, including three in the city center. Specialist decontamination lasted for months.2

Clinically, these agents present similarly to more traditional nerve agents and organophosphates. Treatment. as best we can tell so far, also seems similar.

The Soviet Union weaponized several of these agents, though they were never mass-produced. It is believed that several tons of “experimental quantities” were synthesized. Because of the secrecy surrounding the FOLIANT program, very little is known about the actual chemical structure of these agents. Although many have proposed various structures in scientific journals, it is difficult to confirm correct or possibly “fake structures,” which might be intentionally leaked by Russian counterintelligence services.3

The frightening issue here is that a highly purified state-of-the-art novel nerve agent was used unsuccessfully in a targeted assignation in the UK just a few years ago. More recently, in 2020, Russian opposition activist Alexei Navalny was similarly unsuccessfully poisoned with a Novichok agent. Obviously, the threat posed by these kinds of agents is immense.

The Maltings, Salisbury. The white cover is over the bench where the Skripals were found on Sunday following a poison attack.

Interestedd in more information about CBRN? Read about our comprehensive Tactical-CBRN course and learn both about the agents, as well as how to manage the casualty in front of you.

Tactical-CBRNOnline Course

  • You might also check out the article on Why is CBRN Relevant Now
  • A discussion of the Tokyo Nerve Agent MCI 
  • The article on interesting facts Chem-Rad-Bio-Nuc by the Numbers
  • Soviet-era planning for CBRN USSR Civil Defense CBRN Kits “Aptechka”
  • And why the medical literature relies on certain species for CBRN testing

 

References:

1Chai PR, Hayes BD, Erickson TB, Boyer EW. Novichok agents: a historical, current, and toxicological perspective. Toxicol Commun. 2018;2(1):45-48

2Vale JA, Marrs TC OBE, Maynard RL CBE. Novichok: a murderous nerve agent attack in the UK. Clin Toxicol (Phila). 2018 Nov;56(11):1093-1097.

3Franca TCC, Kitagawa DAS, Cavalcante SFA, da Silva JAV, Nepovimova E, Kuca K. Novichoks: The Dangerous Fourth Generation of Chemical Weapons. Int J Mol Sci. 2019 March 11th;20(5):1222.

Mike Shertz MD/18D

Dr. Mike Shertz is the Owner and Lead Instructor at Crisis Medicine. Dr. Shertz is a dual-boarded Emergency Medicine and EMS physician, having spent over 30 years gaining the experience and insight to create and provide his comprehensive, science-informed, training to better prepare everyday citizens, law enforcement, EMS, and the military to manage casualties and wounded in high-risk environments. Drawing on his prior experience as an Army Special Forces medic (18D), two decades as an armed, embedded tactical medic on a regional SWAT team, and as a Fire Service and EMS medical director.

Using a combination of current and historical events, Dr. Shertz’s lectures include relevant, illustrative photos, as well as hands-on demonstrations to demystify the how, why, when to use each emergency medical procedure you need to become a Force Multiplier for Good.

Previous post

Mayhem in the Nutcracker Suite

Next post

Strategic National Stockpile: CHEMPACK

You may also like

Early treatment is key for radiation-exposed patients. A picture of a danger radiation area rusted sign and a vial of Romiplostim, the newest approved counter measure drug.
Critical Window: Why Early Treatment and Countermeasures is Key for Radiation-Exposed Patients
An WW2 poster with a cartoon of a gas mask with the phrase "smells like garlic... Strong vesicant"
Understanding Sulfur Mustard: History, Impact, and Modern Contexts
Gel To Treat A Hydrofluoric Acid
Can you make your own gel to treat a Hydrofluoric Acid Exposure?

Featured Courses

Tactical Casualty Care – ONLINE

Tactical Casualty Care – ONLINE

$150.00
Advanced TC2 – ONLINE

Advanced TC2 – ONLINE

$395.00
Complete TC2  -ONLINE

Complete TC2 -ONLINE

$595.00
Improvised TECC/TCCC

Improvised TECC/TCCC

$125.00
K9 Tactical Casualty Care for Humans  – ONLINE

K9 Tactical Casualty Care for Humans – ONLINE

$75.00
Tactical CBRN Casualty Care – ONLINE

Tactical CBRN Casualty Care – ONLINE

$225.00
First Receivers – No Notice MCI Events – ONLINE

First Receivers – No Notice MCI Events – ONLINE

$175.00
Air Travel Emergencies – ONLINE

Air Travel Emergencies – ONLINE

$175.00
Sign up for updates
Our privacy policy can be found at https://www.crisis-medicine.com/privacy-policy/
Loading
Learn MoreTactical Casualty Care course

Search

The short version of the Crisis Medicine logo showing a C and M with an arrow in between the two

DUNS: 093140133

CAGE: 8U3A3

Company

  • About Us
  • Disclosures – None
  • Contributors
  • Contact

Courses

  • Online
  • In-Person
  • Content Warning
  • FAQs

Fine Print

  • Terms
  • Privacy Policy
  • Scope of Practice
  • FAQs

Resources

  • N. Amer. Rescue
  • TacMed Solutions
  • Chinook Medical
  • Skedco
  • Wound Cube

©2025 Crisis Medicine, all rights reserved.

  • Privacy
  • Terms
  • Sitemap

Login with your site account

Lost your password?