Summary of Changes
1) Updated Naloxone dosing
2) Updated atropine/scopolamine SOP
3) Updated sequence of action for nerve agent exposure
The following is a review of the medical management of specific chemical agents in the continuum of care from point of injury (POI) through Role 3. More detailed information is available in the Field Management of Chemical and Biological Casualties Handbook.1 Rapid reference cards are included for each category of agent. Discussion of the recommendations included in the rapid reference cards are in the text below. Additionally, the below flow chart can be referenced to rapidly triage for chemical warfare agents based on clinical presentation. Diagnostic testing and/or treatment decisions will be made based on resource availability and the tactical situation at each phase of care. Tactical combat casualty care guidelines should be incorporated into the care of the chemically exposed casualty using (MARCHE)2 as described in the JTS Chemical, Biological, Radiological and Nuclear Injury Response Part I: Initial Response Clinical Practice Guideline. 2
