Page 98 - 2022 Ranger Medic Handbook

Chemical Agent Treatment Guide
AGENT SIGNS & SYMPTOMS MANAGEMENT DECONTAMINATION
Nerve Mild: miosis, rhinorrhea, ATNAA RSDL, M291, soap & water,
slight difficulty breathing, CANA water in large amounts, 0.5%
sweating nausea, vomiting ABCDD hypochlorite
GA, GB, GD,
Severe: LOC, apnea,
SECTION 2 GF, VX convulsions, copious
secretions, flaccid paralysis
Erythema, blisters,
Vesicants
water in large amounts, 0.5%
symptomatic management
conjunctivitis, cough Immediate decontamination, RSDL, M291, soap & water,
Mustard-HD, H hypochlorite
Lewisite-L
Phosgene
Oxime-CX
Pulmonary Eye & airway irritation, ABCDD, oxygen with or Vapor: fresh air
delayed onset SOB or chest without positive airway Liquid: water irrigation
C, CG tightness, pulmonary edema pressure, rest
Cyanide Seizures, respiratory, and ABCDD, inhaled amyl nitrite, Usually not needed
cardiac arrest IV sodium nitrite, sodium
AC, CK thiosulfate, hydroxocobalamin
Riot Burning and pain on mucous Usually none, effects are Water, alkaline soap
membranes, skin & eyes; self-limiting
CS, CN respiratory discomfort
Acronyms: ABCDD: airway, breathing, circulation, drugs, decontamination; ATNAA: antidote treatment nerve agent autoinjector; CANA:
convulsant antidote for nerve agent; LOC: loss of consciousness; RSDL: reactive skin decontamination lotion; SOB: shortness of breath.

84 SECTION 2 PRIMARY TRAUMA PROTOCOLS