Document Page: First | Prev | Next | All | Image | This Release | Search
File: 110596_sep96_decls2_0001.txt
Subject: EMERG MED TRTMNT OF NERVE AGENT CASUALTIES 23 AUG 90
Unit: NAVCENTEUR
Parent Organization: CNO
Box ID: BX300076
Folder Title: MEDICAL VARIOUS MESSAGES FOLDER 1 CNA 2765 2OF2 ALL
Document Number: 19
Folder SEQ #: 1
IMMEDIATE UNCLASSIFIED INCOMING
IMMEDIATE (El NAUSEA
ff) MILD CHEST TIGHTNESS
0 2315092 AUG 38 PSN 824GIRE21 (4) EXPECTANT: CHEMICAL AGENT EXPOSURE IN A PATIENT W/AN
EXPECTANT CONVENTIONAL INJURY
fM BUMit WASHINGTON Dti/02t/l C. TREAT IMMEDIATES AS FOLLOWS:
(1) CASUALTY MAY REQUIRE AT LEAST 20 MG OF ATROPINE IN FIRST
TO CINCLANTFLT NORFOLK VA//N91EI/ CINCPACFLT PEARL HARBOR fll//45// THREE (3) HOURS. ADMINISTER SEVEN (1) ATROPINE AUTOINJECTORS IN
CINCUSNAVEUR LONDON UK//N47// CMC WASHINGTON DC//MED// A FIVE TO THIRTY (5-30) MINUTE PERIOD AS NECESSARY. ADMINISTER ONE
COMUSNAUCENT LOGGRU 2-PAM AUTOINJECTOR WIFIRST THREE (3) ATROPINE AUTOINJECTORS, WAIT
ONE HOUR, THEN ADMINISTER THREE (3) MORE 2-PAM AUTOINJECTORS AT
INFO DA WASHINGTON DC//SGPS-PSP/DASG-HCO-D// HOURLY INTERVALS IF 2-PAM APPEJRS EFFECTIVE IN DECREASING MUSCULAR
HQ USA[ BDILI%G AFB OctiSC// FASICULATIONS OR IKCREASE MUSCLE STRENGHH. IF AUTOIKIEGIORS
CORUSAMRICD ABERDEEN PROVING GROUND MD//SGRD-OV-ZA// UNAVALABLE IV BULK ATOPINE MAY BE USED. IN CYANOTIC PATIENTS,
IV ATROPINE MAY RESULT IN VENTRICULAR FIBRILLATION. IN THIS CASE,
UNCLAS//NB3403// ATROPINE IN AND OXYGEN IS GIVEN BEFORE ATROPINE IS GIVEN IV.
(2) USE OF PRETREATMENT DRUG PYRIDOSTIGMINE BROMIDE
SUBI., EMERGENCY "" CAI I SUALTIES SIGNIFICANTLY REDUCES SECRETIONS REDUCING THE LIKELIHOOD OF
OPER/DESERT SHI ELDI/ BREATHING CESSATION AND THE NEED FOR VENTILATORY SUPPORT. IF
KSCIB/GEKADMINIOUNED/I VENTILATION IS REQUIRED , THE BREATHING RESISTANCE IS HIGH DUE
REF/A/RMG/Hg USAF/20210OZAUG9#/NDTAL// TO BRONCHOCONSTRICTION AND SECRETIONS. ADMINISTRATION OF ADDITIONAL
REF/B/DOC/USAMRICD/14AUG90/NOTAL// ATROPINE WILL DECREASE THIS PROBLEM. HEART RATE ABOVE 120 BEATS
REF/C/DOC/NAVMED P-5041/-// PER MINUTE INDICATE ADEQUATE ATROPINIZATION.
NARPIRET A IS USAF POLICY ON TREATMENT OF CHEMICAL TASUAIIIES. 13) INJE&I 10 MG OF DIAIEPAM VALIUM BY SIRINLE DEEP INTO THE
REF B IS USAMRICO ABERDEEN TECH MEMO 90-IA, CLINICAL NOTES ON MID-ANTEROLATERAL MUSCLE OF THIS THICK. IF CASUALTY IS CONVULSING,
REATMENT OF DOUBLE THE DOSE.
CHEMICAL NERVE AGENT (NA) CASUALTIES FOR NAVAL PERSONNEL.// (4) GIVE ADDITIONAL DIAZEPAM AS NEEDED UNTIL CONVULSION ARE
RMS/1. FOLL INFO EXTRACTED FROM REFS A AND 8 WICH COMPLEMENT REF CONTROLLED.
C CONCERNING MEDICAL TRETMENT OF CHEMICAL MA CASUALTIES. REQUEST 0. DELAYED OR MINIMAL CASUALTIES. IF VVMEDIATE SYMPTOM OCCUR,
INFO BE PROMULGATED TO ALL CMDS WINED DEPTS LIKELY TO RECEIVE RETRIAGE AND TREAT AS IMMEDIATES. ATROPINE SHOULD NOT BE GIVEN TO
AND TREAT CREHICAI CASUALTIES. TREAT %IOSIS ALONE OR TO REVERSE MIOSIS. ONLY INDICATIOR FOR
TREATMENT OF MIOSIS IS SEVERE PAIN. THERAPLY IS LOCAL APPLICATION
2. A CREDIBLE THREAT EXISTS OF CHEMICAL ATTACK WITH NA IN THE AREA OF ATROPINE/HONATROPINE EYE OINTMENT. THIS TREATMENT MAY CAUSE
OF REPSONSIBILTY FOR OPERATION DESERT SHIELD. MARKED VISUAL IMPAIRMENT, E.G., NEAR VISION, LASTING UP TO 24
HOURS.
3. TO MAXIMIZE SURVIVABILITY AND RETURN TO DUTY, MANAGE NA E. AT INITIAL ECHELON OF MEDICAL CARE, EXPENDED AUTDINJECTORS
CASUALTIES AS FOLLOWS: AND SYRINGES SHOULD BE ATTACHED TO THE CHEMICAL PROTECTIVE
A. TRIAGE CASUALTIEST OVERGARMENT JACKET.
(1) IMMEDIATE:
N TO DUTY. DEPENDS ON OPERATIONAL SITUATION, TYPE OF TASK
(HI CONVULSIONS AND SEVERITY OF EXPOSURE. AFTER MILD E)U)OSURE (DELAYED/MINIMAL),
IC) UNCDWSCIOUSNESS CAUSALIY VIIH @IOSIS AND MILD )ENTAL EFFECTS COULD FIRE A WEAPON IF
(D) OBSTRUCTIVE AIRWAY SECRETIONS
(El CYAROSIS
(2) DELAYED:
(A) PROFUSE ORAL/PHARYNGEAL SECRETION W/O SIGNS/ DLVR:ADDITIOKAL COPY(OL) ... INFO
SYMPTOMS OF AIRWAY OBSTRUCTION N47 (1) ... ACT FOR CINCUSNAVIUR LONDON(42) 00198/17/OBS6
LB) MUSCLE TWITCHINGIFASICULATIONS WITH OR W/O WEAKNESS N3 (1) 018 11) 016 (3) 014 (1) 013 (1) 012 (1) 01 (1) 093 (1) 001 (9)
(31 NINI@ALI BI(M @AG@ll %&(II %14(11 %61(11 961(ll %6(11 NS(IL K41(11 %47(2@
(A) SYMPTOMS RESOLVED W/O TREATMENT OR AFTER N41 (1) N39 (1) N312 (1) H31 (2) R24 (1) N21 (1) N2 (1) MI (3)
ADMINISTRATION OF ONE 2-MG ATROPINE AUTOINJECTOR AND ONE LRC (1) IWO (2) FWD (1) DOB (1) COPS (1) GOO (1) BS (0)
PRALIDOXIME CHLORIDE (2-PAM) AUTOINJECTOR. RTD:OOO-OOUICDPIES:0042
(B) NASAL CONGESTION
(CT SEVERE EYE PATH, BLURRED OR DIM VISION 824610/235 01 OF 02 ANDS2392 235/17:23Z 159OZ A
CSR:AU1803069 235/17:23Z BURED WASHINGT
UNCLASSIFIED
Document Page: First | Prev | Next | All | Image | This Release | Search
Document 2 f:/Week-39/BX300076/MEDICAL VARIOUS MESSAGES FOLDER 1 CNA 2765 2OF2 ALL/emerg med trtmnt of nerve agent casualties 23 a:11049609121616
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-39
Box ID = BX300076
Unit = NAVCENTEUR
Parent Organization = CNO
Folder Title = MEDICAL VARIOUS MESSAGES FOLDER 1 CNA 2765 2OF2 ALL
Folder Seq # = 1
Subject = EMERG MED TRTMNT OF NERVE AGENT CASUALTIES 23 A
Document Seq # = 19
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 = 04-NOV-1996