CLINICAL IDENTIFICATION AND MGMT OF BW CASUALTIES

File: 092496_sep96_decls2_0008.txt
Page: 0008
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






                                                       SEeRE;f              UNCLASSIFIED

                            oxygen enriched by introducing oxygen, from oxygen concentrators, scaled to

                            80% of outlets, into the patients endrotracheal tube.


                            b.   Self Inflating Bag. Two types of bag are available, Ambu and

                            Laerdahl. with SID canisters attached.


                       TREATMENT


                       8.   The following is the management and treatment regime for casualties

                       i.nfected with anthrax or BTX:


                            a.   Pulmonary Resuscitation. Pulmonary resuscitation of patients affected

                            by BW agents Must begin as soon as signs of respiratory failure are

                            observed. A clear airway must be established and ventilation provided by

                            using a self inflating bag with SID canister attached or the GRR.


                            b.   Intubation. The patient will need to be intubated as soon as possi

                            either by the oral or nasal route using a cuffed plastic endotracheal tL

                            It is recommended that thracheasto.,ny is performed within 48 hours of intu-

                            bation as these patients will not make a rapid recovery.


                            C.   Humidification. Ventilated patients will require humidification.

                            This can be achieved by in line humidifiers or improvised by using a con-

                            denser humidifier (artifical nose). Alternatively normal saline can be

                            dripped slowly into the catheter mount.


                            d.   Suction. It is essential that the airway Is kept aspirated and this

                            will be easier and more effectively achieved if early tracheostomy is

                            perf onred.






                                                            c
                                                       SEGRF::F              NCLASSIFIED
                       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