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HomeMy WebLinkAboutFallout Shelter Medical Kit Instructions 1962 q/ DEPARTMENT OF DEFENSE OFFICE OF CIVIL DEFENSE Region 5 Denton, Texas January 31, 1963 REGION 5 FIELD BULLETIN NO. 63 -6 TO State and Local Civil Defense Directors, Region 5 SUBJECT: Medical Shelter Supplies Subject to Freezing It has been determined that the Kaolin. - Pectin, Eugenal, and Eye, Ear and Nose Drops in Medical Kits are subject to freezing. Advice received from the U. S. Public Health Service indicates that the contents are generally not damaged unless the container is broken. There have been some reports of breakage from freezing of the Kaolin- Pectin and the Eye, Ear and Nose Drops. Information has also been received from the manufacturer of the commode chemicals which are packed in the Sanitation Kits that these chemicals will jell at below freezing temperature; however, the plastic containers are not likely to break even as a result of solid freezing. An inspection is presently being made of both Medical and Sanitation Kits to determine extent of damage. You will be advi;ed of the results of this survey. Meanwhile, both Medical and Sanitation Kits should be protected from exposure to temperatures below 32` F. BILL PARKER Regional Director FALLOUT SHELTER MEDICAL KIT INSTRUCTIONS 2 _T . op w 2 CD fQ S TATES QS ATf, JULY 1962 • TO SHELTER MANAGERS • FOR USE OF BASIC MEDICAL SUPPLIES • FOR SPECIAL MEDICINES • To be used in conjunction with FAMILY GUIDE EMERGENCY HEALTH CARE DEPT. OF DEFENSE DEPT. OF HEALTH, OFFICE OF CIVIL DEFENSE EDUCATION & WELFARE PUBLIC HEALTH SERVICE INSTRUCTIONS TO SHELTER MANAGERS Basic medical and first -aid supplies are listed on pages 59 and 60 of the "Family Guide — Emergency Health Care" enclosed in each medical kit. General broad terms are used in listing these supplies. Enclosed in each medical kit are "Treatment Procedure Instruc- tions Concerning Basic Supplies." It lists the items, names the exact products stockpiled by the Federal Government, and the use of the items in treating various symptoms. In addition to the basic medical and first -aid supplies listed in the "Family Guide ", there are special medicines available. They are: Penicillin G— Sulfadiazine— Phenobarbital These medicines will be used for the following purposes: 1. To save life. 2. To prevent the spread of disease to other shelter occupants. 3. To prevent and control emotional problems. 4. To treat symptoms of disease, to shorten its duration and prevent complications. Ideally, the responsibility for using these medicines should be reserved for a medical doctor or an osteopathic physician. However, if you do not have a physician among the shelter occupants, persons actively practicing an allied health profession may be given the re- sponsibility. Choice of person should be made according to the following, and in the order listed: 1. Dentists 2. Veterinarians 3. Registered Nurses 4. Phar- macists 5. Licensed Practical nurses 6. Trained Medical Corpsmen 7. Podiatrists 8. And also students of medicine, osteopathy, dentistry, veterinary medicine, nursing and pharmacy. If none of the above persons are shelter occupants, the special medicines should NOT be, used. Use of these medicines in treating sickness by persons other than those listed is dangerous and could bring about additional health problems. Instructions for use of these special medicines are enclosed as guidance for the allied health professional who might be called upon to assume this responsibility. 2 INSTRUCTIONS FOR USE OF BASIC MEDICAL SUPPLIES The basic supplies are listed on pages 59 and 60 of the "Family Guide — Emergency Health Care ". 1. Antiseptic solution —Soap, Surgical, with 2% Hexachlorophene is in this kit. Washing with this bar of soap in the ordinary manner can be used as a substitute for the use of antiseptic solution. 2. Aspirin tablets (5 grain) — Acetylsalicylic Acid tablets are in this kit. Directions for use appear throughout the "Family Guide ". 3. Baking soda— Sodium Bicarbonate Powder is in this kit. Uses: a. Sore throat —as a gargle -1 teaspoonful of baking soda and 1 teaspoonful of salt (sodium chloride) to a pint of water (hot water, if possible). b. Stomach upsets -1 teaspoonful to a glass of water. c. As antidote for poisons —see "Family Guide ". d. Skin rashes and insect bites —see "Family Guide ". e. For fluid replacement in the treatment of shock, extensive burns and radiation sickness —see "Family Guide ". 4. Cough Mixture —Not included in this kit. 5. Diarrhea medication — Kaolin and Pectin Mixture is in this kit for the treatment of diarrhea. Dose: 4 teaspoonsful (' /z ounce) of mixture after each bowel movement until diarrhea is controlled, but not to exceed 2 doses an hour. 6. Ear drops —Eye, Ear and Nose Drops are, in this kit. It is a tri- purpose medicine. Dose: Eye, 1 drop Ear, 2 -4 drops (warm, if possible) Nose, 4 -6 drops in each nostril. 7. Laxative — Cascara sagrada extract tablets (4 grain) is in this kit. Dose: Adults, 1 - tablets at bedtime. Children: 6 -12 years -1 tablet at bedtime. 2 -6 years -1/2 tablet at bedtime. Under 2 years —Do not give. 3 8. Motion sickness tablets —Not included in this kit. 9. Nose drops (water soluble) —See instruction 6, "Ear Drops" for directions. 10. Petroleum jelly — Petrolatum, White, is in this kit. Uses : a. Lubrication of rectal tubes and rectal thermometers. b. For care of dry, itchy skin. 11. Rubbing alcohol — Isopropyl alcohol is in this kit. Uses: a. Cleaning thermometers and sterilization — dilute 3 parts of alco- hol with 1 part of water. b. Reducing fever and alcohol rubs — dilute 1 part of alcohol with 2 parts of water. 32. Smelling salts —Not included in this kit. 13. Table salt — Sodium Chloride is in this kit. Uses: a. Sore throat —See Baking Soda. b. Heat illness, eye irrigations, poisoning, mouth care in radiation sickness —see "Family Guide ". 14. Toothache remedy — Eugenol is in this kit. Uses: See "Family Guide ". 4 INSTRUCTIONS FOR SPECIAL MEDICINES Restriction on Use of Special Medicines Responsibility for use of this medicine should be reserved for a medical doctor or an osteopathic physician. If you do not have a physician among the shelter occupants, persons actively practicing an allied health profession may be given this responsibility. Choice of person should be made according to the following, and in the order listed. 1. Dentists 2. Veterinarians 3. Registered nurses 4. Phar- macists 5. Licensed practical nurses 6. Trained medical corpsmen '7. Podiatrists 8. Students of medicine, osteop• athy, dentistry, veterinary medicine, nursing and pharmacy. If none of the above persons are shelter occupants, this medicine should NOT be used. Use of this medicine in treating sickness by persons other than those listed is dangerous and could bring about additional health problems. Penicillin G Tablets— (250,000 units per tablet) Precautions: Before giving penicillin, READ THE LABEL and ask the person the following: Does the person have any known allergies? What are they? If he has several, do not give the medicine. Does he have a known allergy or reaction to penicillin: If, so, do not give it. Instead, substitute sulfadiazine. Instructions for Use Initial treatment of sickness is described in the "Family Guide." If the person does not show signs of getting better with the initial treatment, then the special medicines available, of which penicillin is is one, should be considered. Ask the person about previous illnesses, their frequency, if they were treated by sulfa drugs or penicillin and the duration of the illness. If the person has a history of frequent infection (illnesses) start treating him with sulfadiazine or penicillin. Choose the medi- cine with which he was previously treated. Penicillin may be given to a person who has two or more of the following symptoms in addition to fever: 1. Fever — temperature of 103 °F or higher. 2. Chills —a persistent chilly sensation particularly when fol- lowed by fever. 5 3. Pain in chest particularly with coughing or breathing. 4. Cough —a persistent cough, a cough with mucus or a cough with blood tinged or rusty colored mucus (sputum). S. Rapid breathing— respirations that are 20 per minute or above. 6. Rapid pulse —a pulse rate of 90 per minute or above. 7. Cyanosis —skin color has a bluish tinge on lips and finger nails. 8. Severe sore throat — difficulty in swallowing and breathing. Dose: Adults, 2 tablets for the first dose —then 1 tablet every six hours until the person is fever -free for 48 consecutive hours. Children: 6 -12 years -1 tablet for the first dose —then 1/2 tablet every six hours until the person is fever -free for 48 consecutive hours. Under 6 years -1/2 tablet for the first dose —then 1/4 tablet every six hours until the person is fever -free for 48 consecu- tive hours. Discontinue The medicines should be discontinued and consideration given to administering sulfadiazine if one or more of the following symptoms appear: Nausea Vomiting Urticaria (hives) Rash Hema- turia (blood in urine) Fever (if the temperature increases or does not begin to subside after the drug has been taken for 24 hours.) In most conditions, the medicine can be discontinued in 7 -10 days. Sulfadiazine Tablets —gr. 7' Precautions: Before giving sulfadiazine, READ THE LABEL and ask the person the following: Does the person have any known allergies? What are they? If he has several, do not give the medicine. Does he have any known allergy or reaction to sulfadiazine? If so, do not give it. Instead, substitute penicillin. Instructions for use Initial treatment of sickness is described in the "Family Guide ". If the person does not show signs of getting better with the initial treatment, then the special medicines available, of which sulfadiazine is one, should be considered. Ask the person about previous illnesses, their frequency, if they were treated by sulfa drugs or penicillin and the duration of the ill- ness. If the person has a history of frequent infections (illnesses) start treating him with sulfadiazine or penicillin. Choose the medi- cine with which he was previously treated. 6 Sulfadiazine may be given to a person who has two or more of the following symptoms in addition to fever. 1. Fever — temperature of 103°E or higher. 2. Chills —a persistent chilly sensation particularly when followed by fever. 3. Pain in chest particularly with coughing or breathing. 4. Cough —a persistent cough, a cough with mucus or a cough with blood tinged or rusty colored mucus (sputum). S. Rapid breathing— respirations that are 20 per minute or above. 6. Rapid pulse —a pulse rate of 90 per minute or above. 7. Cyanosis —skin color has a bluish tinge on lips and finger nails. 8. Severe sore throat — difficulty in swallowing and breathing. Dose: Adults, 6 tablets for t first dose —then 2 tablets every four hours until the person is fever - free for 48 consecutive hours. Children: 9 -12 years-4 tablets for first dose —then 1 tablet every three hours until the person is fever -free for 48 consecutive hours. 6 -9 years -3 tablets for first dose —then 1 tablet every four hours until the person is fever -free for 48 consecutive hours. 2-6 years-2 tablets for first dose —then 1 tablet every six hours until the person is fever -free for 48 consecutive hours. Under 2 years -1 tablet for first dose —then 1/2 tablet every six hours until the person is fever -free for 48 consecutive hours. Discontinue The medicine should be discontinued and consideration given to administering penicillin if one or more of the following symptoms appear: Nausea Vomiting Urticaria (hives) Rash Hema- turia (blood in urine) Fever (if the temperature increases or does not begin to subside after the drug has been taken for 24 hours.) In most conditions, the medicine can be discontinued in 7 -10 days. Phenobarbital - 1/2 grain tablets Precautions: Before giving phenobarbital, READ THE LABEL and ask the person if he has one of the following diseases. If he has, and it is an advanced stage or has severe involvement, do not give the medicine. Do not give this medicine to persons with the following: 1. Advanced heart and kidney disease. 2. Cardiac (heart) failure. 7 3. Diabetes. 4. Severe Anemia. 5. Impaired liver function or serious liver diseases. Instructions for use Phenobarbital should only be used when conservative methods have failed. It can be used with caution for the relief of symptoms of many kinds of illness. It can also be used for persons whose tensions present an emotional problem affecting other shelter occupants. Dose: Adults —As treatment for the following: 1. Emotionally disturbed persons -1 tablet given three or four times a day -4 hours apart. 2. For sleep -3 tablets (pills) given 1/2 hour before bedtime. If person has had this medicine during the day, give only 1 tablet at bedtime. 3. Severe coughs accompanying a cold —give 1/2 tablet every 3 hours. Aspirin may be given at the same time for relief of fever and discomfort. 4. Pain -1 tablet every 4 hours. 1 or 2 aspirin tablets may be given at the same time. 5. Abdominal Cramps -1 tablet four times a day —given every 4 hours. Sodium bicarbonate (baking soda) -1/2 teaspoonful may be given with it. 6. Convulsions — Persons with a history of convulsions, who do not have their special medicine with them, may be given 1 tablet four times a day. 7. Severe Nausea -1/2 tablet every 4 hours four times a day. Children: 6 -12 years -1/2 the recommended adult dose may be given. Under 6 years —Do not give except for severe coughing spells - 1/4 tablet every 6 hours. Discontinue 1. When symptoms disappear. 2. Except when the .person has a history of convulsions, do not give the medicine for more than 5 consecutive days. 3. Excitability or increased nervousness after taking the drug. 4. Rash or any skin eruption. 5. Appearance of any unusual symptoms shortly after taking the medicine. 8