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EMERGENCY MEDICAL TREATMENT AT USAF CASUALTY COLLECTION POINTS

OF OPERATION DE S E RT SHIELD CSUALTIES EXPOSED TO NERVE AGENCTS

CONTINUED

	--  If the casualty is still in SEVERE RESPIRATORY DISTRESS and DEATH
	    due to AIRWAY OBSTRUCTION is judged to be IMMINENT.
	
	    ---  INJECT 4 ADDITIONAL ATROPENS IMMEDIATELY

	   ---  If the airway appears to be OBBSTRUCTED or the casualty STOPS
	         BREATHING, remove the mask, clear the mouth and airway, provide
           	         an artificial AIRWAY (e.g. oral or nasal airway), and replace
           	         the casualty's mask 

        	   ---  Inject one ATROPEN EVERY 5 MINUTES until breathing is adequate, and
        	         airway secretions are controlled. Try to get the heart rate above
        	         120 beats per minute.

     	   ---  Give additional DLAZEPAM as needed UNTIL CONVULSIONS ARE CONTROLLED

- 	For MINIMAL CASUALTlES, IF SYMPTOMS RECUR OR WORSEN, TREAT AS
     	DESCRIBED FOR SEVERE SYMPTOMS.



NOTES:

   1) Symptoms can worsen or recur unpredictably for hours to days after
      nerve agent exposure.

   2) MEDICATIONS should be obtained from AIR TRANSPORTABLE HOSPITAL (ATH)
       SUPPLY and taken by the CCP Triage Team to the CCP:

      - ATROPEN autoinjectors (2mg Atropine each)

      - DIAZEPAM (Valium) pre-filled syringes, 5 mg/cc, 2cc, 10 mg per
        syringe.

      - COMBOPEN aitoinjectors (600 mg Pralidoxime each)
.



Lr Col Falkenheimer/SGHR/79054/   [(B)(2)]   /15 Aug 90

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