Virtual Naval Hospital: Treatment of Biological Warfare Agent Casualties

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[Brian Kopp DPM]

Virtual Naval Hospital: Treatment of Biological Warfare Agent Casualties: Table of Contents

Treatment of Biological Warfare Agent Casualties

Headquarters Departments of
The Army, The Navy and The Air Force
and Commandant, Marine Corps

Washington, DC
17 July 2000

FM 8-284
NAVMED P-5042
AFMAN (I) 44-156
MCRP 4-11.1C

Field Manual No. 8-284
NAVMED P-5042
Air Force Manual (Interface) No. 44-156
Marine Corps MCRP 4-11.1C

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Table of Contents

PDF Version of this Manual

Preface

Chapter 1 - Introduction

1-1.   The Threat of Biological Warfare Agents Against United States Forces and Civilian Populations

1-2.   Modes of Delivery

1-3.   Employment of Biological Warfare Agents

1-4.   Classification of Biological Warfare Agents

1-5.   Portals of Entry

1-6.   Environmental Detection

1-7.   Diagnosis

1-8.   Specimen Collection

1-9.   Specimen Labeling

1-10.   Specimen Handling and Shipment

1-11.   Chain of Custody Responsibilities

1-12.   Identification Methods for Biological Warfare Agents

1-13.   Therapy

1-14.   Case Reporting and Epidemiological Assessment

1-15.   Prevention

1-16.   Protective Equipment

1-17.   First Aid

1-18.   Protective Measures and Handling of Casualties

1-19.   Patient Decontamination

1-20.   Infection Control

1-21.   Medical Evacuation

1-22.   Aeromedical Isolation Team

Chapter 2 - Bacterial Agents

Section I - Introduction

2-1.   General

Section II - Anthrax

2-2.   General

2-3.   Biological Warfare Agent Delivery

2-4.   Environmental Detection

2-5.   Prevention

2-6.   Biological Warfare Clinical Presentation

2-7.   Diagnosis

2-8.   Treatment

2-9.   Control of Patients, Contacts, and Treatment Areas

2-10.   Medical Evacuation

Section III - Brucellosis

2-11.   General

2-12.   Biological Warfare Agent Delivery

2-13.   Environmental Detection

2-14.   Prevention

2-15.   Biological Warfare Clinical Presentation

2-16.   Diagnosis

2-17.   Treatment

2-18.   Control of Patients, Contacts, and Treatment Areas

2-19.   Medical Evacuation

Section IV - Melioidosis

2-20.   General

2-21.   Biological Warfare Agent Delivery

2-22.   Environmental Detection

2-23.   Prevention

2-24.   Biological Warfare Clinical Presentation

2-25.   Diagnosis

2-26.   Treatment

2-27.   Control of Patients, Contacts, and Treatment Areas

2-28.   Medical Evacuation

Section V - Glanders

2-29.   General

2-30.   Biological Warfare Agent Delivery

2-31.   Environmental Detection

2-32.   Prevention

2-33.   Biological Warfare Clinical Presentation

2-34.   Diagnosis

2-35.   Treatment

2-36.   Control of Patients, Contacts, and Treatment Areas

2-37.   Medical Evacuation

Section VI - Plague

2-38.   General

2-39.   Biological Warfare Agent Delivery

2-40.   Environmental Detection

2-41.   Prevention

2-42.   Biological Warfare Clinical Presentation

2-43.   Diagnosis

2-44.   Treatment

2-45.   Control of Patients, Contacts, and Treatment Areas

2-46.   Medical Evacuation

Section VII - Q Fever

2-47.   General

2-48.   Biological Warfare Agent Delivery

2-49.   Environmental Detection

2-50.   Prevention

2-51.   Biological Warfare Clinical Presentation

2-52.   Diagnosis

2-53.   Decontamination

2-54.   Treatment

2-55.   Control of Patients, Contacts, and Treatment Areas

2-56.   Medical Evacuation

Section VIII - Tularemia

2-57.   General

2-58.   Biological Warfare Agent Delivery

2-59.   Environmental Detection

2-60.   Prevention

2-61.   Biological Warfare Clinical Presentation

2-62.   Diagnosis

2-63.   Treatment

2-64.   Control of Patients, Contacts, and Treatment Areas

2-65.   Medical Evacuation

Chapter 3 - Viral Agents

Section I - Introduction

3-1.   General

Section II - Smallpox

3-2.   General

3-3.   Biological Warfare Agent Delivery

3-4.   Environmental Detection

3-5.   Prevention

3-6.   Biological Warfare Clinical Presentation

3-7.   Diagnosis

3-8.   Treatment

3-9.   Control of Patients, Contacts, and Treatment Areas

3-10.   Medical Evacuation

Section III - Venezuelan Equine Encephalitis

3-11.   General

3-12.   Biological Warfare Agent Delivery

3-13.   Environmental Detection

3-14.   Prevention

3-15.   Biological Warfare Clinical Presentation

3-16.   Diagnosis

3-17.   Treatment

3-18.   Control of Patients, Contacts, and Treatment Areas

3-19.   Medical Evacuation

Section IV - Viral Hemorrhagic Fevers

3-20.   General

3-21.   Biological Warfare Agent Delivery

3-22.   Environmental Detection

3-23.   Prevention

3-24.   Biological Warfare Clinical Presentation

3-25.   Diagnosis

3-26.   Treatment

3-27.   Control of Patients, Contacts, and Treatment Areas

3-28.   Medical Evacuation

Chapter 4 - Toxins

Section I - Introduction

4-1.   General

Section II - Clostridium Botulinum Toxin

4-2.   General

4-3.   Biological Warfare Agent Delivery

4-4.   Environmental Detection

4-5.   Prevention

4-6.   Biological Warfare Clinical Presentation

4-7.   Diagnosis

4-8.   Treatment

4-9.   Control of Patients, Contacts, and Treatment Areas

4-10.   Medical Evacuation

Section III - Clostridium Perfringens Toxin

4-11.   General

4-12.   Biological Warfare Agent Delivery

4-13.   Environmental Detection

4-14.   Prevention

4-15.   Biological Warfare Clinical Presentation

4-16.   Diagnosis

4-17.   Treatment

4-18.   Control of Patients, Contacts, and Treatment Areas

4-19.   Medical Evacuation

Section IV - Ricin

4-20.   General

4-21.   Biological Warfare Agent Delivery

4-22.   Environmental Detection

4-23.   Prevention

4-24.   Biological Warfare Clinical Presentation

4-25.   Diagnosis

4-26.   Treatment

4-27.   Control of Patients, Contacts, and Treatment Areas

4-28.   Medical Evacuation

Section V - Saxitoxin

4-29.   General

4-30.   Biological Warfare Agent Delivery

4-31.   Environmental Detection

4-32.   Prevention

4-33.   Biological Warfare Clinical Presentation

4-34.   Diagnosis

4-35.   Treatment

4-36.   Control of Patients, Contacts, and Treatment Areas

4-37.   Medical Evacuation

Section VI - Staphylococcal Enterotoxin B

4-38.   General

4-39.   Biological Warfare Agent Delivery

4-40.   Environmental Detection

4-41.   Prevention

4-42.   Biological Warfare Clinical Presentation

4-43.   Diagnosis

4-44.   Treatment

4-45.   Control of Patients, Contacts, and Treatment Areas

4-46.   Medical Evacuation

Section VII - Trichothecene Mycotoxins

4-47.   General

4-48.   Biological Warfare Agent Delivery

4-49.   Environmental Detection

4-50.   Prevention

4-51.   Biological Warfare Clinical Presentation

4-52.   Diagnosis

4-53.   Treatment

4-54.   Control of Patients, Contacts, and Treatment Areas

4-55.   Medical Evacuation

Appendix A - Recognition of a Biological Warfare Agent Casualty

A-1.   General

A-2.   Types of Casualties

A-3.   Recognize Biological Casualties

Appendix B - Medical Management and Treatment in Biological Warfare Operations

Section I - US Army Medical Treatment Facilities

B-1.   General

B-2.   Objectives of Health Service Support in Biological Warfare Operations

B-3.   Planning for the Management and Treatment of Biologically Contaminated Casualties

B-4.   Emergency Medical Treatment of Biologically Contaminated Casualties

B-5.   Patient Decontamination Methods

B-6.   Logistics

B-7.   Training

B-8.   Casualty Evacuation

Section II - US Air Force Medical Treatment Facilities

B-9.   General

B-10.   Detection of Biological Agents

B-11.   Identification

B-12.   Decontamination

Section III - Navy Medical Treatment Facilities

B-13.   General

Glossary

Section I - Abbreviations and Acronyms

Section II - Definitions

References

Index

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