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File: 123096_sep96_decls7_0006.txt
Subject: PREVENTION AND TREATMENT OF NERVE AGENT POISONING
Unit: VAR. BUMED
Parent Organization: BUMED
Box ID: BX303902
Folder Title: PREVENTION AND TREATMENT OF NERVE AGENT POISONING
Document Number: 1
Folder Seq #: 14
UNCLASSIFIED
FM..8-285/NAVMED P-5041/AFM 160-11
NOTE no effect on the nicotinic symptoms. If the casualty
Use the casualty's own antidote auto-in- has abs'orbed little or-no nerve agent. the adminis-
jectors when providing aid. Do not use tration of a single dose of 2 mg of atropine by any
your injectors on a casualty. If you do. you route produces symptoms of mild atropinization
may not have antidote available when (tachycardia. dry mouth) in most individuals and
needed for self-aid. repetition of this dose within I or 2 hours produces
moderate symptoms of atropinization in almost all
2-12. Effects of Atropine individuals. In contrast. a casualty with moderate
symptomsof nerve agent poisoning will not develop
The effect of atropine adminisLratiom.Gn m",and symp@f a@gr-ni=fon-after administration of
moderate cases of nerve agent poisoning may help 2 mg of atropine. A casualty with severe symptoms
confirm the diagnosis. Atropine injection alleviates of nerve agent poisoning may tolerate-indeed may
most of the musearinic manifestations. It has little require-considerably more than 4 mg of atropine
effect on the central nervous system symptoms and (as much as 50 mg in 24 hours).
- Section IV. TREATMENT IN THE FIELD
(MEDICAL TREATMENT FACILITY)
e Nerve Agent (1) Mild symptoms should have been treated by
. Antidotes administeringatleastone6OO-mgIM injectionof2
Ifacasualtyisstillexperiencingsigns/symptomsof PAM Cl.
nerve agent poison 'ing (para 2-5) after receiving (2) Moderatesymptomsshould havebeen treat-
self-aid, buddy aid, or treatment by the Combat ed by administering one or more 600-mg IM injec-
tion of 2 PAM'CL.
Lifesaver, aidman. or medical personnel in the
field. additional injections of the nerve agent anti- (3) Severe symptoms should have b6en treated
dote(s) will b- by administering three 600-mg IM injections of 2
e administered at the field medical
PAM Cl. Repeat the dose at least every-hotir if
treatment facilit-y as follows: resl5iration has not improved. Generally, no int
a, Atropine.
(1) NIildsymplomsshould betreated by zidmin- creased oxiriie benefit isobtained after3 injections
istering2 mgof theatropineevery 15 minutes-until of 2 PAM Cl..
signs of atropinization (dry mouth and skin, with 2-14. Adminiitration of Follow-on Mod-
cleared pulmonary secretions) arlf a&hievid.'Ma'n- icai Treatment
tain atropinization until muscarinic signs dis-
a Thefollowingadditional medical treattnentfnay be
@ppe r.
(2) Moderate symptoms should be treated by admirristeredinacollectiveprotectivesheiteroran
stering 2 mg of the'atropine every 10 to 15 uncontaminated environxnent, depending on the
minutes until atropinizatiorlis achieved. Maintain needs.of.the patient. MWifi @'cw of, t@e- proce-
a,@@ion byfnlecting2mgof,it?opine as6ften dures may be used in v-contamin@ted environment
and long as needed. 'n s-piteof theadditional exposure that would occur.
C3) Severe symptoms should be treated by since the alternative of not performing these proce-
administering 2 mg of atropine as frequently as dures would result in death.
required urrtii atropinization is achieved. Maintain a. Adminiitratio7? of Additional Atropine. For-
atr7opiriization by injecting 2 mg of atropine every patients who are in severe respiratory distress
I 0 to 30 m i n utes as long as needed. whe n fou nd or are con-vu Is i ng, a I I th ree sets of t hei r
Mark I auto-injectorsshould have been given intra-
NOTE muscularly in rapid succession. (Convulsions should
Smoking should be prohibited until the be treated with diazepam-, as described in c below.)
symptoms of nerve agent poisoning have.. lirelief d@notoccb'r and bronchial secretions and
subsfd-ed. salivation do not decrease, administer atropine as
b. 2 PAM Cl. Specifically as an adjunct to stro- often as needed, depending on the transient effects
pine, 2 PAM Cl may be used to increase the effec- of the atropine. In severe nervd agent poisoning, the
l effectof each injectionof atropine may be transient.
nerve agents. An important facetof the activity of 2 lastl:ng only 5 to 15 minutes. Therefore, these
PAM Cl in such therapy is the reduction of the patientsmustbeobserved ascloselyaspossibleand
timesduringwhichassistedventilation isrequired. atropinerepeatedatappropriateintervalstorelieve
2-14
UNCLASSIFIED
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Document 11 f:/Week-44/BX303902/PREVENTION AND TREATMENT OF NERVE AGENT POISONING/prevention and treatment of nerve agent poisonin:1217960956196
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-44
Box ID = BX303902
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = PREVENTION AND TREATMENT OF NERVE AGENT POISONING
Folder Seq # = 14
Subject = PREVENTION AND TREATMENT OF NERVE AGENT POISONIN
Document Seq # = 1
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 = 17-DEC-1996