CENTAF REAR GUIDELINES FOR PLANNING EVACUATION OF

File: aabhd_02.txt
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Total Pages: 2

PRIORITY
UNCLASSIFIED
BASE COMMUNICATIONS CENTER
390 COSQ/DONA

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THE DIAGNOSIS IS NOT CLEAR, CONSIDER UP TO A 3 DAY TRIAL OF
MANAGEMENT AT THE ATH SINCE IT IS NOT RECOMMENDED THAT COMBAT STRESS
PATIENTS BE EVACUATED REARWARD.
B. NOTE: UPON DISCHARGE, APPROPRIATE DUTY RESTRICTIONS SHOULD BE
ISSUED. MIOSIS AND ACCOMPANYING VISUAL DISTURBANCES MAY PERSIST
FOR WEEKS, EVEN WITH MILD EXPOSURES. ATROPINE, EVEN AFTER 2MG, WILL
AGGRAVATE THE TENDENCY FOR HEAT RELATED ILLINESS.
C. NOTE: MINIMAL SYMPTOMS AS DEFINED IN GUIDELINES FOR
MANAGEMENT OF NERVE AGENT CASUALTIES AT USCENTAF 2E FACILITIES ARE
NASAL CONGESTION, EYE PAIN, BLURRED OR
DIM VISION, RETROBULBAR HEADACHE, MILD CHEST TIGHTNESS, AND NAUSEA.
B. VESICANT AGENT CASUALTIES (E.G., MUSTARD)
(1) EYE EXPOSURE
A. SEVERE - CORNEAL OPACIFICATION WITH ULCERTION AND/OR
VASCULARIZATION WITH OR WITHOUT ISCHEMIC NECROSIS OF CONJUNCTIVAE.
EXPECT RETURN TO DUTY-SEVERAL MONTHS IF EVER.
B. MODERATE - CORNEAL ERDSION, SUPERFICIAL CORNEAL SCARRING AND/'OR
VASCULARIZATION, IRITIS. EXPECT RETURN TO DUTY 2 PLUS MONTHS.
C. MILD - ORANGE - PEEL ROUGHENING OF CORNEA, BLEPHAROSPASM, LID
EDEMA, MARKED CONJUNCTIVITIS EXPECT RETURN TO DUTY 2-5 WEEKS.
D. CONJUNCTIVITIS ONLY. EXPECT RETURN TO DUTY 1-2 WEEKS.
(2) SKIN EXPOSURE
A. SEVERE - GREATER THAN 10 PERCENT BODY SURFACE AREA OR INVOLVEMENT
OF FACE, NECK, AXILLA, OR GROIN MORE SEVERE THAN ERYTHEMA. EXPECT
TO EVACUATE OUT OF THEATER.
B. MODERATE - MULTIPLE PINPOINT VESICLES REGARDLESS OF BODY SURFACE
AREA INVOLVED. EXPECT RETURN TO DUTY IN 1-2 WEEKS.
C. MILD - ERYTHEMA ONLY. EXPECT RETURN TO DUTY AS FOR COMPARABLE
SUNBURN
(3) RESPIRATORY EXPOSURE
A. AIRWAY INJURY REQUIRING ADMISSION. EXPECT TO EVACUATE OUT OF
THEATER
B. MILD - HOARSENESS./SORE THROAT ONLY. EXPECT RETURN TO DUTY IN 12
HOURS
2 . REQUEST USCENTAF FWD/SG REVIEW AND RETRANSMIT THESE GUTDELINES
AS APPROPRIATE. [(b)(2)]

UNCLASSIFIED