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File: 970101_sep96_decls27_0018.txt
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
Document Number: 1
Folder Seq #: 31
PAJG 16 190 11:44 r.10
U3AMRXCD Technical Memorandum 90-1
g. Activated charcoal has been given orally for
oral ingestion or for enterohepatic
recirculation. Effectiveness unknown.
h. Remoperfusion has been used. ineffective.
G. Battlefield data
1. In WWI locations of mustard burns were
Eyes 86%
Respiratory 75%
Skin 80-90.%
incidence of lethality about 3%; zustard produced
hundreds of thousands of casualties, but only a
small percent died
2. In 233 Iranian patients, reported lesions in troops
wearing protective clothing (type unknown) and no
Taark were
Respiratory 95%
'Eyes 92%
Skin 83%
CNS 83%
GI 681;
Data on lethality not reliable. Probably
under 5%
a. Respiratory patients had acute
traoheobronchitis (83%), dyspnea (77%)
b. Eye complaints were itching/burning (84%'),
photophobia (77*), objective conjunctivitis
(Miosis was sometimes noted.)
c. Skin: erythema (48t-)
d. CNS: anxiety (27%), restlessness (13%)
(muscle weakness and polyneuropathy also
reported)
e. GI* nausea (47%), vomiting (43%)
H. other considerations
Return to duty,. When seen on the battlefield, zost
mustard casualties will require evacuation
for hospital care. Some, with arythema or Very
small vesication, might be returned to duty after
first aid care providing that these burns are not
in critical areas on the body, e.g., even a small
blister on the finger might be incapacitating for
military tasks. In general, return to duty will
be from a day to never (a casualty with large body
burns, pulmonary lesions will require months of
hospitalization)
2. Triage: Those with small areas of ory@oma or very
small areas of vesication in non-critical parts of
the body can be treated in the aid station, and
will be triaged as minimal. Those Taoro severely
injured will require evacuation, but the timing is
not as critical as it might be for other types of
17
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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