ATTACK ACTIONS HANDOUT

File: aaape_04.txt
Page: 04
Total Pages: 8
NERVE AGENT PRETREATMENT .AND ANTIDOTES:

      -PRETREATMENT;

        -- PYRIDOSTIGMINE  BROMIDE  TABLETS (P-TABS)

        -- TAKEN EVERY EIGHT HOURS, WHEN DIRECTED BY THE
            COMMANDER, UNTIL DIRECTED TO STOP OR YOU RUN OUT

       -ANTIDOTES;

        --ATROPINE, PRALIDOXIME CHLORIDE  (2-PAM), AND AN
            ANTICONVULSANT (CANA)

        -- TAKE ATROPINE/2-PAM IMMEDIATELY UPON RECOGNITION
            OF NERVE AGENT POISONING SYMPTOMS ( DIMNESS OF
            VISION,  TIGHTNESS IN THE CHEST, MUSCULAR, TWITCHING)

            ---TO USE,  REMOVE THE SAFETY CAP PROM THE REAR
                OF ONE ATROPINE AND ONE 2-PAM AUTOINJECTOR,
                PRESS THE NEEDLE END OF EACH AUTOINJECTOR
                FIRMLY  AGAINST  THE MUSCULAR PORTION OF THE
                THIGH OR UPPER BUTTOCKS.   HOLD THE
                AUTOINJECTOR IN PLACE FOR ABOUT 10 SECONDS.

             --A SECOND AND THIRD SET OF INJECTIONS MUST BE
                ADMINISTERED AT 10 TO 15 MINUTE INTERVALS IF
                SYMPTOMS PERSIST (PARTIAL CLEARING OF VISION,
                REDUCED MUSCULAR TWITCHING, AND A DRYNESS IN
                THE MOUTH INDICATE THE ANTIDOTES ARE TAKING
                AFFECT, DO NOT ADMINISTER FURTHER INJECTIONS)

             --PIN USED AUTOINJECTORS TO THE POCKET FLAP OF
               THE CHEMICAL PROTECTIVE ENSEMBLE AND
               TRANSPORT THE CASUALTY TO THE NEAREST
               CASUALTY COLLECTION POINT ASAP

             --IN SEVERE CASES OF NERVE AGENT POISONING
               (CASUALTY IS INCAPACITATED BY THE NERVE 
               AGENT'S  EFFECTS)  ADMINISTER THE CANA
               AUTOINJECTOR AS YOU WOULD THE ATROPINE/2-PAM,
               THEN ADMINISTER  ALL THE CASUALTY'S REMAINING
               ATROPINE/2-PAM AUTOINJECTORS