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PRIORITY

                                         UNCLASSIFIED    
                         BASE COMMUNICATIONS CENTER
                                          390 COSQ/DONA
    
PAGE 02 OF 02 RUEABOL 0791                                                                                       18/0300Z

ABOVE 120 BEATS PER MINUTE
    
CONVULSIONS ARE CONTROLLED
    
            2B6. FOR DELAYED OR MINIMAL CASUALTIES, IF IMMEDIATE
SYMPTOMS OCCUR, RETRIAGE AND TREAT AS IMMEDIATES
           2C. NOTES:
                 2C1.  SYMPTOMS CAN WORSEN OR RECUR UNPREDICTABLY FOR HOURS
TO DAYS AFTER SEVERE NERVE AGENT EXPOSURE.
                2C2.  MEDICATIONS SHOULD BE OBTAINED FROM AIR TRANSPORTABLE
HOSPITAL (ATH)SUPPLY AND TAKEN BY THE CCP TRIAGE TEAM TO THE CCP:
                2 C2.1  ATROPINE
                             2C2.1.1  AUTOINJECTORS (2MG ATROPINE EACH) ARE NOT
ON THE STANDARD ATH TABLE OF ALLOWANCES (TA), BUT ARE BEING SHIPPED
TO THE THEATER FOR DISTRIBUTION TO EACH ATH
               2C2.1.2   UNTIL AVAILABLE, USE ATH SYRINGES AND BULK
ATROPINE SUPPLIES (38 25ML VIALS OF ATROPINE 2MG CC)
               2C2.1.3   EITHER PREFILL SYRINGES PRIOR TO AN
EXPECTED ATTACK OR, IF NECESSARY, DRAW UP ATROPINE DOSES AT THE CCP;
IN SEVERELY EXPOSED CASUALTIES (IMMEDIATES) SUFFICIENT ATROPINE IS
ESSENTIAL TO SURVIVAL AND THE BENEFITS OF TREATMENT FAR OUTWEIGH THE
RISKS OF DRAWING UP THE INJECTION IN A CONTAMINATED ENVIRONMENT

10 MG PER SYRINGE; 750 PRE-FILLED SYRINGES ARE ON THE ATH TA.
              2C2. 3  PRALIDOXIME [BLACK] AUTOINJECTORS (600 MG
PRALIDOXIME EACH) - USE THE CASUALTY' S PERSONAL AUTOINJECTORS
3. FOR QUICK REFERENCE, USE THE FOLLOWING CHECKLIST WHICH
SUMMARIZES THE ABOVE GUIDANCE:
    3A.  TRIAGE CATEGORIES
            3A.1   IMMEDIATE
            3A. 2  DELAYED
            3A. 3  MINIMAL
            3 A.4  EXPECTANT
    3B.   IF THE TACTICAL  SITUATION ALLOWS,
            3B. 1  MASK ALL CASUALTIES
           3B. 2   TREAT IMMEDIATES
           3B2. 1  ASSURE 7 ML (14 MG)ATROPINE     (OR  7    ATROPINE
[GREEN] AUTOINJECTORS) AND 3 PRALIDOXIME [BLACK] AUTOINJECTORS  HAVE
BEEN ADMINISTERED.
          3B2. 2   INJECT 10 MG (2 ML) DIAZEPAM (VALIUM)     OR 1
DIAZEPAM AUTOINJECTOR; DOUBLE DOSE IF ACTIVELY CONVULSING
          3B2. 3   IF OBSTRUCTED OR NOT BREATHING,
          3B2.3.2   INSERT ORAL OR NASAL AIRWAY
          3B2. 3. 3 REPLACE MASK
          3B2. 4  ATROPINE (2 MG) EVERY 5 MINUTES AS REQUIRED.
          3B2.5   DIAZEPAM AS NEEDED UNTIL CONVULSION ARE
CONTROLLED    
          3B2. 6  ATTACH EXPENDED AUTOINJECTORS AND SYRINGES TO
MOPP JACKET
          3B. 3   FOR MINIMAL CASUALTIES,   IF SYMPTOMS RECUR  OR WORSEN
TREAT AS SEVERE.  
 HQ USAF/SGHR POINT OF CONTACT IS [(b)(6)]   
    [(b)(2)]
 LTGEN MILLER SENDS
 BT
 # 0791
NNNN
    



                                                            UNCLASSIFIED 

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