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Subject: ANNEX 1 MANAGMNT AND TREATMENT OF CONTAMINATED CASUALITIES      

Unit: ARCENT      

Parent Organization: CENTCOM     

Box ID: BX000481

Folder Title: COMMAND REPORTS  244TH MEDICAL GROUP COMMAND REPORT                                             

Document Number:         35

Folder SEQ  #:         13



       APPENDIX     1   (CONTAMINATED- CASUALTY         CONTROL AREA) TO ANNEX I
       (MANAGEMENT     AND TREATMENT OF CONTAMINATED CASUALTIES) TO 244TH
       MEDICAL GROUP DESERT SHIELD OPERATIONS ORDER 001 (U)

                                     UNCLASSIFIED
       1. (U) ORGANIZATION.            The following is a guideline from FM 8-9
       on the organization      of the Contaminated Casualty Control Area (CCCA)
       in a NTF.
            a. (U) Sorting      Point (chemical triage).          Staffed by a Triage
       officer who directs      the casualty to one of three locations depending
       on the nature of the casualty.               This prevents the spread of
       contamination and receive rapidly the particular type of treatment
       the casualty needs. Upon arrival at the triage point, the ambulance
       personnel can provide information as to whether the casualty is
       contaminated or not.          The Triage officer then decides whether the
       chemical casualty has a surgical or medical condition which requires
       priority     over     decontamination.      The general principle "better
       blistered and living than decontaminated and dead" must be followed.
       The three locations to which a casualty may be directed initially,
       are A (Contaminated Casualties), B (Contaminated Emergencies) and C
       (Clean Casualties).         These three locations, as well as D, are
       described below.
            b. (U) Contaminated Areas.            The contaminated areas of the MTF
       are designated as A and B. Each of these locations must have a good
       flow of nontoxic air and must be downwind from the clean area.
                 (1) (U) Location        A    (Contaminated     Casualties).       If a
       casualty is contaminated with a chemical agent but is not in need of
       immediate medical or surgical treatment, he is first received in
       location A.      Here all contaminated blankets, clothing, and equipment
rom    the casualty and placed in a dump marked
       "contaminated'. for contaminated material must not be taken beyond
       this    point.        The casualty's skin is decontaminated with an
       appropriate decontaminating powder, solution or ointment, or soap and
       water.      Washing facilities are desirable so that a soap and water
       bath can be given if needed. After decontamination of the casualty,
       it is desirable to change him to a clean litter and blanket if
       required.
                 (2) (U) Location B. (Contaminated Emergencies).                  When a
       casualty     requires immediate medical or surgical treatment more
       urgently     than     decontamination,     he is taken directly to this
       location.      After emergency treatment measures are performed, he is
       then    decontaminated      (all    contaminated blankets, clothing, and
       equipment are removed from          the patient and placed in a dump marked
       "contaminated"; contaminated        material must not be taken from this
       point) and moved to location C or D as appropriate. If the patient
       requires additional medical treatment, it should be administered in
       location C before he is removed to location D.









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                                         UNCLASSIFIED

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Document 5 f:/Week-32/BX000481/COMMAND REPORTS 244TH MEDICAL GROUP COMMAND REPORT/annex 1 managmnt and treatment of contaminated c:1011961540165
Control Fields 17
File Room = aug96_declassified
File Cabinet = Week-32
Box ID = BX000481
Unit = ARCENT
Parent Organization = CENTCOM
Folder Title = COMMAND REPORTS 244TH MEDICAL GROUP COMMAND REPORT
Folder Seq # = 13
Subject = ANNEX 1 MANAGMNT AND TREATMENT OF CONTAMINATED C
Document Seq # = 35
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 11-OCT-1996