Task

Identify the buddy-aid procedures for treating a nerve agent casualty.

Conditions

Given an area where chemical agents have been used, you are wearing protective overgarments and mask, or they are immediately available. you encounter a casualty who is breathing and lying down. The casualty is partially dressed in protective clothing and is wearing the protective mask carrier.

Standard

Take appropriate action to react to the chemical hazard and treat the casualty for nerve agent poisoning following the correct sequence. Administer three sets of nerve agent antidote autoinjectors followed by the convulsion antidote for nerve agents (CANA).

Student Equipment

Protective mask (MOPP level 2 as appropriate).

Training set of nerve agent autoinjectors.

M291 Decontamination kit.

Scenario

you must use nerve agent antidote injection training aids to train and evaluate this task. Actual autoinjectors will not be used. Have the soldier being tested and the simulated casualty dress in mission-Oriented Protective Posture (MOPP) level 2. Have the casualty lie on the ground wearing the mask carrier containing a mask and the training nerve agent autoinjectors. Tell the soldier to state, in any order, the severe symptoms of nerve agent poisoning (the soldier must state eight of the nine symptoms to be scored a Go.) To evaluate step 2, ask what the soldier would do before treating another soldier. Tell the soldier to treat the casualty for nerve agent poisoning. After the soldier completes step 12, ask what he or she should do. Score steps 13 and 14 based upon the soldier’s responses.

 

 

Performance Measures

Results

1. Identify severe symptoms of nerve agent poisoning

Go

No-go

2. Take Immediate steps to protect yourself and to warn others.

Go

No-go

3. Leave the casualty in the position found unless they must be repositioned to put on the protective mask or to administer the antidote in the buttocks.

Go

No-go

4. Mask the casualty, if necessary.

Go

No-go

5. Prepare to administer one atropine injection.

Go

No-go

6. Administer the atropine injection.

Go

No-go

7. Prepare to administer one 2 PAM CL injection.

Go

No-go

8. Administer the 2 PAM CL injection.

Go

No-go

9. Repeat steps 5 through 8 until the casualty has received a total of three sets of antidote injections.

Go

No-go

10. Prepare to administer the CANA injection.

Go

No-go

11. Administer the CANA injection following the same procedure used for the atropine and 2 PAM CL injections.

Go

No-go

12. Secure the used injectors.

Go

No-go

13. Decontaminate the casualty’s skin if necessary.

Go

No-go

14. Seek medical aid.

Go

No-go

15. Perform steps 1 through 14 in the correct sequence.

Go

No-go

16. OVERALL EVALUATION

Go

No-go

Score the student GO if all performance measures are go. Score the student NO GO if any performance measure is no-go. If the student scores a NO GO, show the student what was done wrong and how to do it correctly.