USAMRICD TECH MEMO 90 1 CLINICAL NOTES ON CHEM CASUALTY CARE

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Subject: USAMRICD TECH MEMO 90 1 CLINICAL NOTES ON CHEM CASUALTY CARE    

Unit: OTSG        

Parent Organization: HSC         

Box  ID: BX003205

Folder Title: CLINICAL NOTES ON CHEMICAL CASUALTY CARE                                                        

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           AUG 16 '90 11:43                                              P.17


          TJ@@CD Technical Memorandum 90-1
                           Some recommend soaking with Dakins solution
                           (2* hypochlorite). it may detoxify agent in skin
                           (unlikely) and act as disinfectant
                           Liberal application (1-2 mm thick covering) of
                           topical antibiotic.  Silver sulphadiazine is one
                           most used
                           Topical ateriods have been used for severe
                           irritation, itching, or inflammatory reaction
                           Liberal use of systemic analgesics, antipruritics
                    2.  Eyes
                           a. Saline irrigation
                           b. vaseline on lids to prevent sticking
                           C. Local anesthetic might be used once or twice
                              only, but prolonged use might damage cornoa
                           d. Antibiotic ophthalmic preparation, e.g.,
                           chloramphenicol
                           e. Atropine-like ophthalmic preparation to cause
                           mydriasis
                           f. ophthalmologist should be involved in care
                              early
                    3. Pulmonary
                           a. Tnhalation of moist air; mucolytics (e.g., N-
                           acetylcysteine)
                           b. Mechanical ventilation, PEEP (positive end
                           expiratory pressure); oxygen if severe
                           c. cough suppressants, e.g., codeine
                           d. Antibiotics only with documented infection and
                           organism
                           e. Bronchodilators, or steroids, may be useful if
                           bronchospasm is significant, e.g., in latent
                           asthmatics
    General
                           a. Fluid balance must be monitored, although not
                           as critical as with conventional burns
                           b. Nutritional support; iv supplements and
                           vitamins in severely ill casualty
                           c. close monitoring of WBC, RBC, platlets
                           d. Systemic antibiotics only for definite
                           infection and positive culture
                           e. Liberal use of analgesics, antipruritics
                           f. sulfur donors, e.g., thiosulfate, have been
                           suggested for use to bind mustard in blood.
                             erimental data are impressive (LD50 changes by
                           factor of 3-10) provided they are given shortly
                           after exposure, e.g., 15-20 minutes (the half
                           time of mustard in the blood is quite short).
                           Ineffective in reducing skin, pulmonary, eye
                           lesions

Document 22 f:/Week-36/BX003205/CLINICAL NOTES ON CHEMICAL CASUALTY CARE/usamricd tech memo 90 1 clinical notes on chem c:12249609312728
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003205
Unit = OTSG
Parent Organization = HSC
Folder Title = CLINICAL NOTES ON CHEMICAL CASUALTY CARE
Folder Seq # = 31
Subject = USAMRICD TECH MEMO 90 1 CLINICAL NOTES ON CHEM C
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 = 24-DEC-1996