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COMSOCCENT//
USCENTAF F~D HOS E~EM~NT//
ST

uNc~A8s,;~IE~

      ROUT~NE
5135SZ OCT 9~

UNCLAS
OPE~/DESERT 8~!E~D~/
MSG~D/SYS,~RM/USCENTCOM CcJ~x,/
AMPN/SUBJI USC~NTCOM pOL~CV~ON U.S. FORCES VS~ OF D~A~~PAM//
RMKS/10   D~AZEPAM, SOON TO ~E P:ELbE~ Aa CA~AC~ONvU~SANT ANT!OoTE
FOR NERVE AGENT). IS CRIT~CA~ IN PREVENTI~G O~ REDUCING CONVU~SIONS
AND RESULTANT 9RAIN DAMAGE IN NERVE AGENT CASuA~TIES.    ~O~kVER, THERE
IS JUSTIFIABLE CONCERN tHAT~~DIAZEPAM CALSO ~NO~~N AS~VALIuM) ~AS THE
POTENTIAL FOR ABUSE1
PAGE ~2 RUHGSGG73S~ UNCLA-S
2.   DIAZEPAM MUST BE IS8U~D TO THE INDIVIDUALv AND READILY
AVAILABLE ~HEN NEEDED~ OR IT WI-LL BE OF LIT~L~ USE ~N PREVENTING
PERANENT BRAIN DAMAGE.    THE BENEFITS OF IN~IVIDUAL ISSUE ~AR
OuT~EIGH THE RISKS.   THE $I~E EFFECTS FROM ADM~INISTERiNG CANA
WITHOUT BEING EXPOSED TO NERVE AGENT ARE MIN~IMAL'; (IMPAIRED VISUAL
CCJ3-JOC
TRACKING AND 0-ECISION MAKIN~ ABILITY FOR TWU ~O FIVE HOURS).
THERE IS NO RISK OF PROLONGED INCAPACITATION. U,R ADDICTION ~ITH A
SINGLE UNAUTHORIZED INJECT'I(JN1
3.   SINCE CANA CONTAINS A~Ct)'NTROLLED SUBSTANC~, ALBEIT NOvvHERE IN
THE SAME CATEGORY AS A NA~CUTIC, COMPONENT ~OMMANDERS WILL ENSURE
ACCOUNTABILITY FOR IT WHEN ~SSUED1   THIS ~IL:,L SE' ACCOMPLISHED
THROUGH LOG BOOKS OR FORMS' ~IMILAR TO THOSE U~ED TO~ISSUE WEAPONS
OR ORGANIZATIONAL CL0THIN~ AND EQUIPMENT." ~URTHERMORE,
INDIVIDUALS MUST ATTEND A~CCASS FOR ADMINISTERING ~IRST AID TO A
NERVE AGENT CASUALTY sEFO~E~~BEING ISSUED THE CANA.
~.   THE INSTRUCTION WILL BE AN UPDATE OF tHE ~AS~IC FIRST~AID FOR
A NERVE AGENT CASUALTY THAT WILL INCORPORATE CANA INTO THE
PROCEDURES FOR BUDDY-AID.   vtHEN AN INDIVIDU~L~HA"S BEEN EXPOSED TO
SUFFICIENT NERVE AGENT SO THAT HE CAN NO LOSG~R~HELP HIMSELF, HE
PAGE e3 RUHGSGG73S6 UNCLA~
REQUIRES BUDDY~AIO1   SEVERE NERVE AGENT CASUALTIES WHO CANNOT
INJECT THEMSELVES ARE GIV~N THEIR THREE ANT~D~TE SETS CATROPINE
AND 2 PAM CHLORIDE) IN RA~I~ SUCCESSION BY `A b'UDDY~  WHEN A
CASUALTY~S THIRD SET IS A~M;NIsTERED BY ~IS BUDDY, THE B~DDY WILL
THEN ADMINISTER THE CANA.
5.   THE CLASS WILL ALSO EMPHASIZE THE INDIV~DUALSf RE-SPONSISILITY
TO SAFEGUARD THEIR CANA AvT0INJECTOR.   THE *~N~TR"UCT?ON WILL
STRESS THE FACT THAT THEIR ~ANA IS THERE TO `BE ADMINISTERED TO
THEM, BY A BUDDY, TO PREVEN~ SERIOUS BRAIN ~AMAGE AND CONVULSIONS
ASSOCIATED ~ITH NERVE AGENT~POISONING1   SHOOLL)' THEY BE NEGLIGENT,
AND ALLOW THEIR CANA TO B~ ~TOLEN OR USED W~THOU'T NERVE AGENT
EXPOSURE, THEN IT SIMPLY WILL NOT BE AVAILA~L~ WHEN THEY REALLY
NEED ITI   THE RESpONSIBIL'~TY IS THEIRS ALON~.
6.   WITH ATROPINE AND 2~PAM"CHLORIDE ALONE, TIlE INDIVIDUAL MAY
SURVIVE NER-VE AGENT EXPOSUR~, BU~~ WILL RISK L~VING OUT THE REST
OF THEIR LIVES ~ITH SEVER~ ~RAIN DAMAGE.  `L~A~E~S W~LL ENSURE
THIS MESSAGE IS CLEAR1   TH'E'CONSEQUEN-cES OF NERVE AGENT POISONING
WITHOUT THE ANTI~CONVULSANT THERAPY OF DIAZ~PAM ARE~SERIOUS

U N C L A S S *~ ~ ; E £)              ROUTINE
                                t5~35SZ OCT 9~

P~A~E   2 OF  3

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