CENTAF REAR GUIDELINES FOR PLANNING EVACUATION OF

File: aabhd_01.txt
Page: 01
Total Pages: 2

SUBJECT: CENTAF REAR GUIDELINES FOR PLANNING EVACUATION OF
CHEMICAL CASUALTIES

PRIORITY

UNCLASS I F I ED
BASE COMMUNICATIONS CENTER
390 COSQ/DONA

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STRATEGIC AIR COMMAND (UNIT TOTAL 003)
INFO: SG(O3)

INFO: XDP(01)
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PAAUZYUW RHDIAAA4956 2650723-UUUU--RUCUAAA.
ZNR UUUUU
P 220725Z SEP 90
FM USCENTAF REAR LANGLEY AFS VA//.BSD//
TO RHIUFAA/USCENTAF//CC/ SG// .
AIG 8097//.CC/'SG/SGP//
INFO RHDIAAA/USCENTAF REAR LANGLEY AFB VA// BS-SG//
RUEABOL /HQ USAF BOLLING AFB DC// SGHR /SGPA/SGPC//
RUEAHQA/ HQ USAF//XOOTM//
RUCJBBA/USCENCOM REAR MACDILL AFB FL// CCSG//
RUEADWD/DA WASHINGTON DC/ SG/ PS-PSP// DASD-HCD-D//
RULNEAA/ CDRUSAMRICD ABERDEEN PROVING GROUND MD// SGRD-UV-ZA//
RULSBUA./BUMED WASHINGTON DC// MED-02C//
RULNAPG/CDR CRDEC ABERDEEN PROVING GROUND MD// SMCCR-OPR//
RUEAHOA./HQ USAF WASHINGTON DC// CSS//
RUEORDF/DIRAFMIC FT DETRICH MD//AFMIC-ZA//
RUCUAAA/ HQ SAC OFFUTT AFB NE//SGPA//.
RHCUAAA/ HQ MAC SCOTT AFB IL//SGPA//
RUHVPAC/HO PACAF HICKAM AFB HI//SGPA//
RHFQAAA/HO USAFE RAMSTEIN AFB GE//SGPA//
RUVKBRK/USAFSAM BROOKS AFB TX// ED/VNC//
RUCLBMB/33 TFW EGLIN AFB FL//CC/SG//
RUVHILL./388 TFW HILL AFB UT//CC/SG//
RUCLERA/7ACCS KEESLER AFB MS//CC/SG//
RUVOABA/552 AWACW TINKER AFB OK//CC/SG//
RHDLIKA/57FIS KEFLAVIK IC//CC/SG//
RUWTENA/3790 MSTW SHEPPARD AFB TX//MSR//
RUVRAFA/HO AFRES ROBINS AFB GA// SGP//
RHDJGAA/ANGSC ANDREWS AFB MD//SGP//
ACCT AF-ACXJRF
BT
UNCLAS
SUBJ: USCENTAF GUIDELINES FOR PLANNING EVACUATION OF CHEMICAL
CASUALTIES
1. SUBJECT GUIDELINES WERE DEVELOPED JOINTLY BY HQ USAF/SGHR AND HQ
TACOPS,SGPA IN CONSULTATION WITH US ARMY EXPERTS. THEY PROVIDE AN
ESTIMATE OF RETURN TO DUTY TIMES FOR CASUALTIES WITH NERVE AGENT OR
VESSICANT EXPOSURE I N ORDER TO MAKE EVACUATION PLANS. AFM 160 - I I,
TREATMENT OF CHEMICAL AGENT CASUALTIES AND CONVENTIONAL MILITARY
CHEMICAL INJURIES, SHOULD PROVIDE BACKGROUND INFORMATION FOR
DECISIONS ABOUT CASUALTIES EXPOSED TO OTHER AGENTS. THESE GUIDELINES
SHOULD BE USED IN CONJUNCTION WITH THE CURRENT USCENTCOM THEATER
EVACUATION POLICY.

A. NERVE AGENT CASUALTIES
(1) CLINICALLY STABLE FOR AEROVAC IF:
A. 24 HOURS SINCE LAST ATROPINE AND
B. MOVING AIR WELL AND
C OBEYING COMMANDS
(2) SEVERE EXPOSURE
A. REQUIRED 6MG OF ATROPINE OR MORE IN THE FIRST HOUR OR
B. CONVULSIONS OR
C. NERVE AGENT INDUCED LOSS OF CONSCIOUSNESS
D. EXPECT RETURN TO DUTY IN 4-6 WEEKS
(3) MODERATE EXPOSURE
A. REQUIRED 4MG OF ATROPINE OR
B. 2MG OF ATROPINE AND MORE THAN MINIMAL SYMPTOMS ON ARRIVAL AT
THE ATH
C. EXPECT RETURN TO DUTY IN 24 PLUS HOURS
(4) MILD EXPOSURE
A. 0-2MG ATROPINE AND MINIMAL SYMPTOMS ONLY
B. EXPECT RETURN TO DUTY IMMEDIATELY
(5) A. NOTE: NERVE AGENTS MAY CAUSE VARIOUS PSYCHOLOGICAL EFFECTS
WEEKS AFTER EXPOSURE. THEY INCLUDE INABILITY TO CONCENTRATE
FORGETFULNESS, MOOD FLUCTUATIONS, ANXIETY, DEPRESSION, INSOMNIA
ETC., WHICH MUST BE DIFFERENTIATED FROM COMBAT STRESS DISORDER. IF

UNCLASSIFIED