MMAARRKK 11 –– NNeerrvvee AAggeenntt AAnnttiiddoottee KKiitt LLeeaarrnniinngg OObbjjeeccttiivveess Identify the antidotes to be administered (cid:122) in event of nerve agent exposure Identify the conditions under which (cid:122) antidote auto-injectors should be used Demonstrate use of antidote auto- (cid:122) injectors Recognize adverse reactions to use of (cid:122) antidotes Cuyahoga County Plan • Implement Countywide Nerve Agent Exposure Protocol • Provide 15 Nerve Agent Antidote Kits (NAAK) for each frontline public safety EMS and Fire Truck in insulated carrying case • Provide 5 Valium Auto-Injectors (CANA) to each public safety ALS Unit • Equip 10 hospitals with EMS and Hospital CHEMPACKS of antidote and treatment drugs each capable of treating 1000 patients Nerve Agent Antidote Kit Training © Cuyahoga County Hazmat Committee, Nov. 2004 For Official Use Only –Not for Public Release Cuyahoga County Plan - Implementation • Drugs can be distributed when the following conditions have been met: – Drug license amended to add new drugs – Protocol approved and signed by your local medical control – Nerve agent exposure treatment protocol training is completed for all medics – Drugs picked up at designated location by paramedic, RN, MD or DO – Distribution forms signed Nerve Agent Antidote Kit Training © Cuyahoga County Hazmat Committee, Nov. 2004 For Official Use Only –Not for Public Release AAuuttoo--IInnjjeeccttoorrss Simple, compact injection systems Permit rapid injection of required antidotes (cid:122) Pre-measured, controlled dose (cid:122) Contain pre-measured doses of nerve agent (cid:122) antidotes atropine and 2-PAM chloride Enable rapid and accurate administration even if (cid:122) care giver or patient is clothed AAuuttoo--IInnjjeeccttoorrss Each Mark 1 Kit contains two auto-injectors: 2mg Atropine (cid:122) 600 mg Pralidoxime Chloride (2-PAM) (cid:122) AAuuttoo--IInnjjeeccttoorrss Each CANA Kit contains one auto-injector: 10 mg Valium (cid:122) CANA = Convulsant Antidote – Nerve Agent (cid:122)