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File: aabhc_01.txtSUBJECT: NATIONAL GUARD BUREAU (NGB) GUIDELINES FOR MANAGEMENT OF NERVE AGENT CASUAL TGIES AT CENTAF FACILITIES IMMEDIATE UNCLASS I F I ED BASE COMMUNICATIONS CENTER 390 COSQ/DONA PAGE 01 OF 02 20/0418Z STRATEGIC AIR COMMAND (UNIT TOTAL: 008) OPR: CG(02) CS(03) SG(03) INFO: FILE COPY(01) SENIOR CONTROLLER (TUBE) (01) ------------------------- 20/0425Z A2 14 (TOTAL COPIES: 010) OATUZYUW RHDJGAA0782 2630415-UUUU--RUCUAAA. ZNR UUUUU O 191702Z SEP 90 FM NGB ANDREWS AFB MD//CSS// TO AIG 7301//CC//SG. AIG 7311//CC//SG// RUCIRMA/109AEF MINNEAPOLIS ST PAUL IAP MN//CC// RUVRBMA/ 118AES NASHVILLE IAP TN//SG// RUVOBJA/ 137AEF WILL ROGERS WORLD APRT OKLAHOMA CITY OK//SG/SGNI// RUVABIA/ 139AEF STRATTON ANGB SCOTIA NY//DOCM// RUVABOA/ 142AEF MCCA NEW CASTLE DE//DOCM// RUWFPAA/146AES CHANNEL ISLANDS ANGB CA//SGA// RUVRBIA/ 156AEF CHARLOTTE DOUGLAS IAP NC//CC// RUVRPA/ 167AEF EWVRA SHEPPARD FLD MARTINSBURG WV//SGO// RUVRBGA/ 183AEF ALLEN C THOMPSON FLD MS//SG// RUVHBKA/ 187AEF CHEYENNE MUNI APRT WY//SGO// ACCT AF-ACXJRF ZEN 113TFW ANDREWS AFB MD//SG// ZEN NGS ANDREWS AFB MD//SGAX//SGP// INFO ZEN ANDREWS AFO MD//SGP// BT UNCLAS QQQQ UBJ: GUIDELINES FOR MANAGEMENT OF NERVE AGENT CASULTIES AT CENTAF 2E FACILITIES. . USCENTAF TAC LANGLEY AFB VA/BSD MSG 121601Z SEP 90 IS FORWARDED FOR YOUR INFORMATION. QUOTE: 1. THE FOLLOWING SUBJECT GUIDELINES HAVE BEEN JOINTLY DEVELOPED BY HO USAF/SGHR AND HO TACOPS/SGPA. A FLOW SHEET FOR QUICK REFERENCE IS ALSO BEING DEVELOPED. A. TRIAGE (1) IMMEDIATE (A) RESPIRATORY DISTRESS (B) CONVULSIONS (C) LOSS OF CONSCIOUSNESS (D) OBSTRUCTIVE AIRWAY SECRETIONS (E) CYANOSIS (2) DELAYED (A) PROFUSE ORAL/'PHARYNGEAL SECRETIONS WITHOUT SIGNS OR SYMPTOMS OF AIRWAY OBSTRUCTION. (B) MUSCLE TWITCHING/FASCICULATIONS WITH OR WITHOUT WEAKNESS. (C) PATIENTS WITH LESS THAN IMMEDIATE SYMPTOMS WHO HAVE BEEN PREVIOUSLY ADMINISTERED ALL THREE ATROPINE AUTOINJECTORS. (3) MINIMAL (A) SYMPTOMS RESOLVED ON 1 OR 2 ATROPINE AUTOINJECTORS (B) NASAL CONGESTION (C) EYE PAIN, BLURRED, OR DIM VISION (D) RETROBULBAR HEADACHE (E) NAUSEA (F) MILD CHEST TIGHTNESS (G) EXPECTANT (A) CHEMICAL AGENT EXPOSURE IN A PATIENT WITH EXPECTANT CONVENTIONAL INJURY B. TREATMENT (1) IMMEDIATE (A) INSURE ALL AUTOINJECTORS (3 ATROPINE- 3 PRALIDOXIME) HAVE ALREADY BEEN GIVEN (B) INSURE DIAZEPAM 2 ML (10 MG) OR 1 AUTOINJECTOR HAS BEEN GIVEN. (C) ATROPINE 1 ML (2 MG) IM EVERY 2-4 MIN (D) IF CONVULSING, DIAZEPAM (VALIUM) 2 ML (10 MG) DEEP IM (E) AIRWAY (CONTINUED ATROPINE ADMINISTRATION IS CRITICAL TO AIRWAY MANAGE MENT) (F) SUCTION (G) ASSISTED VENTILATION (MAY ONLY BE REQUIRED FOR A SHORT TIME) UNCLASSIFIED
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