CLINICAL IDENTIFICATION AND MGMT OF BW CASUALTIES

File: 092496_sep96_decls2_0007.txt
Page: 0007
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








                                                   SE6RE:F                UNCLASSIFIED

                   THE PATIENT AS A SOURCE OF CONTAMINATION


                   4.   Bot.ulinum is a toxin and therefore is unlikely to present a hazard to the

                   medical personnel treating the patients. This is not the case with anthrax

                   spores, once in the body, they shed their outer coating and the bacteria start
                   to divide. As a result all body fluids and especially blood in the later stages

                   of the disease, are a possible source of infection to medical staff. These

                   fluids should be disinfected with a 10% solution of Hypochlorite bleach.

                   Standard precautions, such as the wearing of gloves and mask must be followed.

                   It is unlikely that the pulmonary system of these patients will be a significant

                   source of anthrax.. The ventilator is not expected to become contaminated since

                   the patient's expired gases do not come into contact with it.


                   FACTORS TO BE CONSIDERED


                   S.   Patients may have been taking pyridostigmine and this will prolong the

                   action of depolarising muscle relaxant such as suxamethonium.


                   6.   Stress ulcers and autonomic system dysfunction will occur as a result of

                   the disease process.


                   RESUSCITATORS


                   7.   The following resuscitators are available:


                        a.   Ground Role Resuscitator (GRR). The GRR is capable of providing,
                        filtered air, ventilation for 10 patients from compressed air. Eight of

                        the patients are connected directly to the air compressor, a further two

                        are connected via a Brompton as-sistor-controller ventilator. The air is






        UNCLASSIFIED
                   ROW 144 (WOSC)JA

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