use if you become a nerve-agent casualty.
autoinjectors will be discussed later in this chapter.
Familiarize yourself with your equipment. Know how
it works before you need it.
The guiding principle in personnel decontam-
ination is to avoid spreading contamination to clean
areas and to manage casualties without aggravating
It will often be necessary to decide whether to
handle the surgical condition or the chemical hazard
first. If the situation and the condition of the casualty
permit, decontamination should be carried out first.
The longer the chemical remains on the body, the more
severe will be the danger of spreading the chemical to
other personnel and equipment.
The following order of priority for first aid and
decontaminating casualties is recommended:
1. Control of massive hemorrhage
2. First aid for life-threatening shock and wounds
3. Decontamination of exposed skin and eyes
4. Removal of contaminated clothing and
decontamination of body surfaces (if not in a
5. Adjustment of patients mask, if mask is
6. First aid in less severe shock and wounds
The basic steps in sorting and handling casualties
are indicated in figure 8-3. This plan should be
modified to fit specific needs.
ADDITIONAL MEDICAL AID.
IMPROVISED AREA OR
FACILITY FOR EMERGENCY
OPERATIONS ON CONTAMI-
NATED WOUNDED WHO ARE
FREE VENTILATION; SOME COVER.
REMOVE CONTAMINATED OUTER
CLOTHING, GEAR, AND BLANKETS.
SPEED IN UNDRESSING DESIRABLE.
CHANGE TO CLEAN LITTER, BLAN-
KETS. SKIN PENCIL AREAS OF
BEARERS MASKED AND PROTECTED.
MAY BE WARMED. UNDERCLOTHES
REMOVED AND PASSED FORWARD OR
PLACED IN FREQUENTLY EMPTIED
SACKS OR BINS. OINTMENT OR SOAP
AND WATER TO SKIN AREAS BELIEVED
EXPOSED. WASHING FACILITIES.
ATTENDANTS MASKED, PROTECTED.
ALL CASES AND
Figure 8-3.Basic steps in sorting and handling casualties.