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Nerve Agent Administration
Objective: To demonstrate ability to correctly administer nerve agent antidote

27 October 2018 - 15:30 | Version 2 | | | ,

Skill
CPI
Determines scene is safe  
Introduces self, obtains permission to help/treat.   
Script
"Hi, my name is … and I'm with the ski patrol. Is it alright if I examine you and see what we can do to help you out?"
Initiates Standard Precautions   
Related
Removing Contaminated Gloves
Minimizes further exposure  
Identifies substance  
If nerve gas is suspected, obtains nerve gas antidote kit.  
Observes patient for excessive salivation (pneumonic SLUDGE - DUMBELS)   
Details
SLUDGE
DUMBELS
Related
SLUDGE, DUMBELS
Evaluate patient mental status.  
Clears/maintains airway and manages secretions.  
If SEVERE signs/symptoms exists– Administers 3 atropine & 3 2-PAM CL injections in rapid succession.  
Maintains airway, uses BVM or suction if needed. Monitor vitals  
Re-evaluates patient, monitor vitals.  
Arranges for rapid transport  

Chapter: 35
Page: 1131

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