CLINICAL IDENTIFICATION AND MGMT OF BW CASUALTIES

File: 092496_sep96_decls2_0002.txt
Page: 0002
Total Pages: 9

Subject: CLINICAL IDENTIFICATION AND MGMT OF BW CASUALTIES               

Unit: OTSG        

Parent Organization: HSC         

Box ID: BX003204

Folder Title: CLINICAL IDENTIFICATION AND MANAGEMENT OF BW CASUALTIES                                         

Document Number:          1

Folder SEQ  #:         23







                                                                          UNCLASSIFIED
                                                     SE6RE:F

                    positive diagnosis.   This is unlikely to be helpful in the individual patient

                    but will give information on the sensitivity of the organism and also verifica-

                    tion of,its use Which has political implications.


                    5.   Treatment. A favourable outcome is likely only if treatment is started

                    soon after exposure and preferable before symptoms develop. Delays while the

                    diagnosis is verified by laboratory means are not acceptable. Doxycycline is

                    the preferred initial treatment. Each soldier should carry 10 capsules of 100

                    mgms each (I foil pack strip). If an attack is judged to have occurred either

                    on the evidence of SAK or the occurrence of cases a self administration of 1

                    capsule every 12 hours should be commenced. The decision to start treatment

                    should be taken at local cc,,oand level.   The duration of treatment is to be five

                    days unless a medical decision to extend the regime is taken. Ciprofloxacin

                    tablets 500 rrgms SD is an alternative treatment if Doxycyline is not available.

                    Symptomatic subjects are to be evacuated and should receive intravenous

                    Ciprofloxacin at Dressing Station or Field Hospital. The dose is 200 mgms in

                    100 ml given In 30-60 minutes twice a day by intravenous Infusion. Hartman's

                    Solution is compatible with Ciprafloxacin as Is Dextrose and either could be

                    used to keep the drip open.


                    6.   Risks of Cross Infection. The risks of cross infection are slight. Care



                    should suffice.


                    7.   Post Mortem. The Post Mortem examination of probable Anthrax victims is

                    hazardous and should not be undertaken.








                                                           B-2 of 5
                    ROW 142 (WDSB)JA                                    Yq UNCLASSIFIED

Document 9 f:/Week-36/BX003204/CLINICAL IDENTIFICATION AND MANAGEMENT OF BW CASUALTIES/clinical identification and mgmt of bw casualtie:0920961557092
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003204
Unit = OTSG
Parent Organization = HSC
Folder Title = CLINICAL IDENTIFICATION AND MANAGEMENT OF BW CASUALTIES
Folder Seq # = 23
Subject = CLINICAL IDENTIFICATION AND MGMT OF BW CASUALTIE
Document Seq # = 2
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 = 20-SEP-1996