EMERGENCY MEDICAL TREATMENT OF NERVE AGENT CASUALTIES

File: 970327_sep96_decls5_0002.txt
Page: 0002
Total Pages: 3

Subject = EMERGENCY MEDICAL TREATMENT OF NERVE AGENT CASUALTIES           

Folder Title = FOLDER 3- MANAGEMENT IN CHEMICAL-BIOLOGICAL WARFARE ENVIRONMENTS                                

Parent Organization = BUMED       

Unit  = VAR. BUMED  

Box ID = BX303824

File Cabinet = Week-56 

File Room = sep96_classified    













                                                  U N C L  A 6 S  1 F I E E)

                NARR/REF   A 15 LISAR POLICY  ON THFAImEl4T I)F CHEtA.ICAL'CASilALTIE.S.
                REF 8 LS   11SAmRICO ARERDHEN TECH MEMO 9@4-JAr CLINICAL NOTE$ ON
                CHEMICAL   CASUALIT CARE, REF C OUTLIIIES MEEDICAI. TliFATMENT OF
                CHEMICAL   NERVE A6El4T (NA) CASUALTIES FOR NAVAL PERSONNEL,//
                RMS/1. POLL INFU EXTRAE;TED PROM REFS A AND 6 WICH COMPLEMENT REF
                C CONCI:RNING MED;CAL'TRt@TMENT OF CHEMICAL NA CASUALIIES, "ERJUFST
                INFO f3E PHb@IIJLGATEi),TQ ALL CML)S VI/mED DEPT$ LIKELY 10 RI!CFIVE
                AND TREAT CHEMICAL CASUALTIES,
                2, A CREUIBLE THREAT EXISTS OF CHEMICAL ATTACK WITH NA IN THE           AREA
                OF REPSONSIBILTY FOR OPERATION DESERT SHIELD,                    I
                3, TO t4AXIMIZE SURVIVABILITY AND RETURN TO DUTY# MANAGE NA
                CASUALYIES AS FULt.c)VISI
                A, TRIAGE CASUALTIES:
                (1) IMmEDIATE3
                (A) SEVERE mlOsIs
                (8) CONVULSIONS
                CC) UtJC(JNSL:IOUSN@.SS
                PAC,E tl4 HUYIDSGG5504 uNCLAs
                (0) OBSIRUCTIVE AIRWAY SECREIIUNS
                (E) CYAIQUSIS
                (2) I)ELAYEU;
                (A) PRU@USE ORAL/PHARYNtiEAL SECRETION W/O SICNS/
                SY  TOMS OF AIRWAY OBSTRUCTION
                CB, MUSCLE TWITCHING/FASICULATIONS WITH DR.i-i/o @EAKNESS
                (3) MINIMAL:
                (A) SYriPTOMS RESOLVED W/O TREATMENT OR AFTER
                AOMINISTRA-TION OF ONE 2PMG ATROPIt4E AUTOINJECTUR AND ONE
                PRALXDUXIME CHIUHII)E: (2@PAM) AUTOINJECTORO
                (B) NASAL CUNGESTI(t4             I
                (C) SEVERE EYE PAIN,    BLURRED OR UX?4 VISION
                (D) $E?VERE RETROT)UL.BAR HEADACHE
                (E) NAUSEA
                (F) MILI) CHEST Tll;tirNES@'i
                (4) ExPt@L:TAt;Tt C"EMICAL AGENT EXPOSURE    IN A PATIENT.W/AN
              .EXPECTANT CONVEtITIOtIAL INJURY
              .C, TREAT IMMEI)IAT@s AS FUL@CIWS:
                (1) CASUALTY MAY REQtjlRh AT LEAST 20 @IG OF AIROPINE IN FIRS[
                THREE (3) tiOURSg ADMINISTER SEVEN (7) ATROPINE AUTOINJECTURS          IN
                PAGE 00 RtJWI)SGC;5bO4 UNCL.AS
                A FIVE TO THIRTY (5-30) MINUTE PERIU[)       AS NECESSARY, ADMlt4lSTER 014E
                2-PA(4 ALJ'FUINJEC-FUR q/FINST THREE (3) ATROPINE AUIOINJECTURS, WAIT
                ONE lif)L)14t THEN AUMINISTTR THHEE (3) MORE 2"PAr4     AUTT)INJECIORS AT
                HOURLY lf9TE@RVALS IF 2-PAM   API'EJRS EFFEr'.TIVE IN UECREASTNG MI)SCLitAR
                rASIC11LAI'IONS OR ff)CRE:ASE MUSCLE ST14ENGHti. IF A[JfOINJECrUtiS
                U@JAVALAULL IV BULK ATUPIt4F MAY BE LISLI), IN CYANOTIC PATIENTST
                IV ATHLIPINE,TIAY RESULT IN VENTRICULAR FT.t3RILLATIUN, IN Tlil$ CASER
                ATROPINE IM ANL) OXYGEN IS GIVEN IIEF(JHE ATROPINE IS GIVEN IV,
                '(2) liSL OF PRETREATBENT     ()RUG PYRIUIJST@GHINE 6RC)MIDE
                3:  IFICANTLY REUUCES S@CRE'TICJNS I(EOUCIt@t; THE LIKELIHC)DL) OF
                ORTATHIN(; CESSATION AND THE NEED FOR VEN     ITILATORY SUPPORT@ 'IF
                VENTILATION IS REQUIRED i THE 13REATlilNr,'RESISTANCE IS HIGH DUE
                TO BR(NCHUCONSTRICTION AND SaCRETIOIqBp AT)MINISTRATION OF ADOITIONA@


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Document 3 f:/Week-56/BX303824/FOLDER 3- MANAGEMENT IN CHEMICAL-BIOLOGICAL WARFARE ENVIRONMENTS/emergency medical treatment of nerve agent casualties:0324971041598
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-56
Box ID = BX303824
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = FOLDER 3- MANAGEMENT IN CHEMICAL-BIOLOGICAL WARFARE ENVIRONMENTS
Folder Seq # = 3
Subject = EMERGENCY MEDICAL TREATMENT OF NERVE AGENT CASUALTIES
Document Seq # = 11
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 = 24-MAR-1997