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File: 100896_sep96_decls27_0003.txt
Subject: USE OF DIAZEPAN FORWARD OF THE BATALLION AID STATION IN SWA
Unit: OTSG
Parent Organization: HSC
Box ID: BX003201
Folder Title: USE OF DIAZEPAM FORWARD OF THE BATALLION AID STATION IN OPERATION DESERT SHIELD
Document Number: 1
Folder SEQ #: 2
";RTED TO ... THINK VIDEO....
LLENCE IN :TELECCNFERENCING'
.,MUNICATIONS' UNCLASSIFIED --CALL 697-8840--
OPERATIONS
SUPPORT DIRECTORATE
PRIORITY ZYUW RHCGAM00338 2300513 AV 797-3316 OR COM 404 362-3316. BT
P 161815Z AUG 90
FM CORFORSCOM FT MCPHERSON GA //FCMD-PM//
TO AlG 9879 AIG 9169
CDRUSATHREE FT MCPHERSON GA //AFRO-MD//
INFO OA WASHINGTON DC //SGPS-PSPIDASG-HCO-DIOAAR-MA//
CNGB WASHINGTON DC //NGB-ARS//
CORUSAHSC FT SAN HOUSTON TX //HSCL-P/HSCL-C/HSOPI/
U5CINCCENT MACOILL AFB FL //CCSG/I
COMDT AHS FT SAM HOUSTON TX /IHSHA-DCD/HSHA-DTD//
CDRUSAMRICD ABERDEEN PROVING GROUND MD//SGRD-UV-ZA//
CORUSAMMA FT DETRICK MD //SGMMA-RKM//
HQ SURGEN BOLLING AFB DC /ISGHR//
BUMED WASHINGTON DC //MED-OZC,/
U,ICLAS
PASS TO ALL FORSCOM AC AND RC UNIT SURGEONS AND MEDICAL UNIT COBS
OPER/DESERT SHIELD//
KSGIDISYS.RRM/FORSCOM FCMD-PM//
AMPN/SUBJ: USE OF DIAZEPAM IN TREATMENT OF NERVE AGENT CASUALTIES//
REF/AITEL/FCMD-PM114AUGgOt/
REF/B/DGC/FM 8-ZB5/ZBFE890/1
AMPN/REF A, FONECON COORO BETWEEN FCND-PM (MAJ ARDAY) AND SGPS-PSP
(MAJ MACINTOSH). REF 8, SUBJ: TREATMENT OF CHEMICAL AGENT
CASUALTIES AND CONVENTIONAL MILITARY CHEMICAL INJURIES.//
GEON GENERAL
(OTSG) HAVE INDICATED A NEED FOR CLARIFICATIONS TO CURRENT GUIDANCE
ON THE ISSUANCE AND USE OF DIAZEPAM, IN THE TREATMENT OF MODERATELY
TO SEVERELY INTOXICATED NERVE AGENT CASUALTIES.
2. REF B, SECTION IV, PARA 2-14 C. DISCUSSES THE USE OF DIAZEPAM
AT THE FIELD MEDICAL TREATMENT FACILITY FOR THE MANAGEMENT OF
CONVULSIONS. CASUALTIES WHO ARE POISONED SEVERELY ENOUGH USUALLY
GO ON TO DEVELOP SEIZURES, UNCONSCIOUSNESS, AND GENERALIZED
MUSCULAR WEAKNESS OR FLACCID PARALYSIS, EVEN AFTER ADMINISTRATION
OF THREE MARK I AUTO-INJECTORS. SEIZURES SFIOULD BE ANTICIPATED IN
ALL MODERATELY TO SEVERELY INTOXICATED CASUALTIES. SUCH PATIENTS
SHOULD RECEIVE 10 14G OF DIA2EPAN RAPIDLY, PREFERABLY BEFORE THE
ONSET OF SEIZURE ACTIVITY. DIAZEPAM MINIMIZES NERVE AGENT INDUCED
BRAIN INJURY AND PRO140TES RAPID RECOVERY. IF SEIZURES OCCUR,
DIAZEPAN ADMINISTRATION SHOULD BE REPEATED UNTIL THE SEIZURES ARE
CONTROLLED.
3. NO GUIDANCE HAS PREVIOUSLY BEEN PROVIDED TO THE FIELD ON THE
USE OF DIAZEPAM AS PART OF CARE RENDERED FORWARD OF THE BATTALION
AID STATION "AS). FOR THE PURPOSES OF OPERATION DESERT SHIELD,
OTSG HAS RECOMMENDED THAT DIAZEPAM BE EMPLOYED AS FAR FORWARD AS
THE COMBAT LIFESAVER AND COMPANY AIDMAN, TO PREVENT THE OCCURRENCE
OF NERVE AGENT INDUCED SEIZURE ACTIVITY IN SEVERELY INTOXICATED
CASUALTIES. COMBAT LIFESAVERS AND AIDMEN SHOIJLD BE INSTRUCTED TO
ADMINISTER ONE 10 14G (2 CC) DIAZEPAM SYRETTE IN (INTRAMUSCULARLY)
TO:
A. SEVERELY INTOXICATED NERVE AGENT CASUALTIES WHO HAVE
REQUIRED THREE MARK I AUTO-INJECTORS ADMINISTERED IN RAPID
SUCCESSION AS PART OF BUDDY AID.
B. ANY NERVE AGENT CASUALTY WHO IS SEIZING.
4. THE NEED FOR MORE THAN THREE MARK I AUTO-INJECTORS OR MORE THAN
ONE DIAZEPAN INJECTION SHOULD BE ASSESSED BY THE CCMPANY AIDNAN OR
ELONS OF MEDICAL CARE (BAS MEDICAL OFFICER 09 ABOVE).
5. UNIT LEVEL MEDICAL PERSONNEL AND COMBAT LIFESAVERS WILL NEED TO
BE TRAINED IN THESE PROCEDURES UNDER SUPERVISION OF THE APPROPRIATE
MEDICAL AUTHORITY.
6. AN INITIAL BASIS OF ISSUE OF ONE 10 MG DIAZEPAM SYRETTE (NSM
6505-00-137-5891) PER COMBAT LIFESAVER KIT AND THREE SYRETTES PER
COMPANY AIDMAN IS RECOMMENDED. THE ACTUAL ISSUANCE OF DIAZEPAM
BELOW SAS LEVEL MUST BE AUTHORIZED BY ONE OF THE FOLLOWING: CORPS,
DIVISION, BRIGADE. OR BATTALION SURGEONS, ONCE CCMPANY AIDMEN AND
COMBAT LIFESAVERS HAVE BEEN TRAINED IN THE ADMINISTRATION OF THIS
MEDICATION.
7. OMSOS AND MEDSOMS WILL REQIJISITION SUFFICIENT QUANTITIES OF
DIAZEPAM SYRETTES TO SUPPORT SUBORDINATE UNIT SUPPLY REQUIREMENTS.
B. POC AT OTSG IS MAJ ROGER MACINTOSH, MC, MEDICAL SURETY PROGRAM
CONSULTANT, AV 289-0125 OR CON 703 756-0125. POC AT FORSCO4
SURGEON 15 MAJ DAVID ARDAY, MC, PREVENTIVE MEDICINE OFFICER,
ACTION DASG(41 (U,A,F)
INFO DAAR(3) AOC CRISIS l(l) DAMO(4) SASA(L)
SCB REVIEW(L)
MCN=90229/07864 TOR-90229/0513Z TAD=90229/0516Z CDSN-MAN258
PAGE I OF 1
UNCLASSIFIED 161815Z AUG 90
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Document 3 f:/Week-36/BX003201/USE OF DIAZEPAM FORWARD OF THE BATALLION AID STATION IN OPERATION DESERT SHIELD/use of diazepan forward of the batallion aid sta:10049613285914
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003201
Unit = OTSG
Parent Organization = HSC
Folder Title = USE OF DIAZEPAM FORWARD OF THE BATALLION AID STATION IN OPERATION DESERT SHIELD
Folder Seq # = 2
Subject = USE OF DIAZEPAN FORWARD OF THE BATALLION AID STA
Document Seq # = 1
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-OCT-1996