e. Remove the 2-PAM Chloride Autoinjector.
(1) Carefully place the used atropine autoinjector between the little finger
and ring finger of the hand holding the clip. Point the needle away from your hand. If
you are not careful, the needle may puncture or tear your protective gloves.
(2) Grasp the body of remaining autoinjector in the clip (the 2-PAM chloride
autoinjector) with the thumb and two fingers of your free hand).
(3) Pull the autoinjector out of the clip in a smooth motion. Do not touch or
cover the black (needle) end of the autoinjector. This may cause the needle to function
f. Administer 2-PAM Chloride.
Form a fist around the autoinjector. Avoid touching the black end of the
(2) Place the black (needle) end of the autoinjector against the injection site
(same muscle into which you injected the atropine) so that the autoinjector is
perpendicular to the muscle.
(3) Apply firm, even pressure to the autoinjector until the needle functions
and injects into the casualty's muscle.
Hold the autoinjector in place for at least 10 seconds.
(5) Remove the needle from the muscle by pulling the autoinjector away
from the body in a smooth, straight motion.
Drop the clip without dropping the used autoinjectors.
(7) Carefully lay the used autoinjectors on the casualty's chest (if he is lying
on his back) or on his back (if he is lying on his stomach). Point the needles toward his
g. Administer Second and Third Mark I Kits. Repeat the procedure
immediately using the second and third sets of autoinjectors.
ADMINISTER CONVULSANT AGENT ANTIDOTE FOR NERVE AGENT
Take out the casualty's CANA autoinjector (figure 2-8). Administer the
casualty's own CANA autoinjector when the casualty has received three Mark I kits, or
is convulsing. If the casualty has not been given all three Mark I kits, administer the
remaining kits. The CANA is not for use as self-aid.