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File: 970815_sep96_decls17_0001.txt
Page: 0001
Total Pages: 1

Subject = NERVE AGENT PYRIDGSTIGMINE PRETREATMENT TABLET SETS             

Parent Organization = XVIII CORPS 

Unit = 24TH ID     

Folder Title = GENERAL INFO GUIDANCE FOR 24TH ID DESERT SHIELD STORM                                           

Document Number =         16

Box ID = BX001450














                               INFORMATION PAPER

        SUBJECT: Nerve Agent Pyridastigmine Pretreatment Tablet Sets (NAPP)
        CPB Tablets)

        1. Purpose. To provide the command guidance on the distribution, use, and
        effects of pyridostigmine bromine pretreatment.

        2. Issue of NAPP.

          A) Part of each unit's contingency stockages is a 3161 order form kept on
        file with DMSO requesting a 2-weel, supply of NAPPs for each soldier plus
        percent overage.

          D) The 3161s are inspected and verified during each EDRE and during
        CIPS.

          C) All units picked up their NAPPs IAW the EDRE N-hour sequence.

          D) NAPPs have been issued down to the medical platoon level.     In the
        case of three hundred soldiers, NAPPs were issued to the soldier level.

        2. Use of NAPP.


          A) NAPP is NOT effective alone.

          8) NAPP enhances the survivability of nerve agent casualities when used
        in conjunction with the MARK 1.

          C) NAPP MUST be taken within 8 hours prior to nerve agent exposure to be
        effective.

          D) To be maximally effective I PP tablet should be taken every 8 hours
        on a continuous basis prior to nerve agent exposure.

          CORPS Commander's Gutidance.

          A) The CORPS commander has reserved the right to determine when soldiers
        should begin to take PB tablets.

          B) Soldiers should be issued a two week supply of NAPPs prior to
        deployment.

          C) Optimal time for distribution is whenever the command chosses to
        hand-out the individual chemical protective garment.

          D) Resupply stocks and reorder cards need to prepared so that demand for
        items will ensure sustainment quantities.

                                        LTC Hall/4282
                                        Division Surgeon

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