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File: 110196_aacfa_09.txt
Page: 09
Total Pages: 18

                                                                        	                  INSTRUCTOR
      
         NOTE TO TRAINER: Later versions Of CANA will have flanges that .
         distinguish it from the Mark I.
      
         SEE FIGURE 1.
      
         C. Determine whether to give the injection in the casualty's thigh or
         buttocks. The outer middle of the thigh is the preferred injection
         site.
      
          1. Check the casualty's pockets for items that may interfere with
         the injector.
           2. Check the size of the casualty's thigh muscle.
      
                                    WARNING
      
                   If the casualty has a thin lateral thigh muscle,
                   injection must be administered in the upper outer
        	 quadrant of the buttocks.
        
        D. Use your dominant hand and grasp the autoinjector with the black needle end
        extending beyond the thumb and index finger.
      
        E. Use your other hand to pull the safety cap off the autoinjector
        base. When the safety cap is off, the autoinjector can be fired.
      
                                   . WARNING
      
                     DO NOT cover or hold the black (needle)
                     end with your hand or fingers.
      
        F. Position the black end of the CANA Autoinjector perpendicular
        against the injection site (the thigh or the buttocks as applicable).
      
        NOTE TO TRAINER: Explain to the students that the needle must be
        perpendicular to the injection site.
      
        SEE FIGURE 2.
      
                                    WARNING
      
                  DO NOT inject into areas close to the hip, knee
                  or thigh bone. For buttocks injections, inject the
                  antidote only into the upper outer portion of the
                  casualty's buttocks. This avoids hitting the nerve
                  that crosses the buttock. If this nerve is hit, it
                  can cause paralysis.
      

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