Transcript US&R WMD Enhanced Operations

National Urban Search & Rescue Response System
Operation in the Contaminated Environment
National Urban Search & Rescue Response
System Enhanced Operations
In The Contaminated Environment
October 2012
Version 4
National Urban Search & Rescue Response System
Enhanced Operations in the Contaminated Environment
Module 3: Personal
Protective Equipment
(PPE)
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National Urban Search & Rescue Response System
Enhanced Operations in the Contaminated Environment
Terminal Objective
Upon completion of this module, students will be
able to discuss the importance of respiratory
protection and recognize medical interventions for
exposures.
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National Urban Search & Rescue Response System
Enhanced Operations in the Contaminated Environment
Enabling Objectives
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3-1 Students will be able to recognize
the importance of wearing the appropriate
respiratory protection
3-2 Students will be able to identify levels of
respiratory protection and Personal Protective
Equipment
3-3 Identify medical interventions available for
exposure to hazardous materials/CBRNE
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National Urban Search & Rescue Response System
Enhanced Operations in the Contaminated Environment
Overview
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FEMA US&R CBRNE equipment cache
 Scott respiratory equipment
 Chemical Protective Clothing (CPC)
 Hazmat related pharmaceuticals
 Communications Equipment
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MMWR Report September 2002
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World Trade Center Related Cough
 332 Firefighters
 One Emergency Medical Service Worker
Each had four or more weeks of medical leave
Morbidity and Mortality Weekly Report
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National Urban Search & Rescue Response System
Enhanced Operations in the Contaminated Environment
Centers for Disease Control and
Prevention
Morbidity and Mortality Weekly
Report
September 2002
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National Urban Search & Rescue Response System
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2010 FDNY Medical Office Study 9/11
Effects
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5,000 rescue workers tested
ALL had lung impairments
Average 10% impairment
30% – 40% persistent symptoms
1,000 permanent respiratory disability
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Respiratory Protection
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OSHA 29 CFR 1910.134
compliant
Facepiece with Kevlar
head piece
Facepiece allows for:
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Air Purifying Respirator (APR)
Powered Air Purifying Respirator (PAPR)
Self Contained Breathing Apparatus (SCBA)
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Scott AV3000 Sure Seal facepiece
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Protection Factors
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N95 Particulate Mask = 10:1
APR Half-Face = 10:1
APR Full-Face = 50:1
PAPR = 1,000:1
SCBA = 10,000:1
A Factor of 1:1 = No respiratory protection in place
Limiting Factors for Each PPE Must be
Understood
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Half-facepiece Respirator
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Good particulate protection
 High Efficiency Particulate Air (HEPA)
Cartridges Only
 Easy to change cartridge
Eye Protection Required
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APR
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Fits into Scott Full facepiece
CBRN Adapter (200423-01)
allows NATO threaded
cartridge
NIOSH Approved CBRNE
Cartridge
Meets/exceeds NIOSH
Adapter (805622-01) allows the
use of 2 quarter turn cartridges
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PAPR
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Two - MPC40PF canisters
Slight positive pressure
10 hour battery life
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Batteries in cache are for
deployment
Can be used off shelf without
charging
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Enhanced Operations in the Contaminated Environment
SCBA
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60 minutes carbon cylinder
Each Task Force
 30 SCBAs
 8 Spare Cylinders
Each HEPP
 30 spare cylinders
 14 harness assemblies
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Communication System
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Ten per TF
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Enhanced Operations in the Contaminated Environment
Hazards of Working in CPC
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Physiological (heat stress)
Reduced mobility
Limited vision (poor peripheral vision)
Reduced dexterity
May promote claustrophobia
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Enhanced Operations in the Contaminated Environment
Damage to CPC
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Mechanical—cuts, tears, punctures
 Thermal—no fire protection
 Chemical—no ideal suit to protect
against all chemicals
 Permeation, penetration, and
degradation
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Damage Protection for CPC
Selection
 Application
 Behaviors
 Conditions
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Overalls can be used to
protect CPC from
mechanical damage
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Personal Protective Equipment
Level A CPC
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Meets 1994 Class 1
Hazmat Equipment
Push Package
(HEPP) Only
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Personal Protective Equipment
NFPA 1994 Class 2
Multi Threat Suit
 Blauer
OR
 Lion Apparel
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Personal Protective Equipment
Level B
Requires SCBA
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Enhanced Operations in the Contaminated Environment
Personal Protective Equipment
Level C
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Enhanced Operations in the Contaminated Environment
Personal Protective Equipment
Level D
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Personal Protective Equipment
AirBoss Overboot
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Tingley Boots
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Enhanced Operations in the Contaminated Environment
Personal Protective Equipment
Gloves
Nitrile
Leather
Viton
Cotton
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Hazmat related pharmaceuticals
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Nerve Agent Antidote Kit (NAAK)
“DuoDote Auto-Injector”
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Treatment for symptoms of some insecticide and
nerve agent exposures
Self aid or Buddy aid
Includes Atropine 2.1mg and 2-PAM Chloride 600mg
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DuoDote Auto Injector
Indications and Dosing:
 A single NAAK dose may be given for
mild symptoms
 2 additional doses may be required for
“Severe” or persistent symptoms
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“Severe” Nerve Agent Symptoms
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Strange or confused behavior
Severe difficulty breathing or copious airway
secretions
Severe muscular twitching and general
weakness
Urination or defecation (Involuntary)
Convulsions or unconsciousness
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Side Effects of NAAK
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Loss of visual acuity and confusion
 Dry mouth and eyes, urinary retention
 Headache and abdominal pain
 Dangerous hypertension and
arrhythmias
 Increased temperature and flushing
…All can be severe in some cases
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Convulsant Antidote for Nerve Agent (CANA)
“Diazepam Auto-Injector”
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One CANA per individual
 Should be used for buddy-aid only
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Diazepam 10mg
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Injection Site
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Inject in large muscle of thigh
 Area hand width below hip to hand
width above knee
 Hold in place 10 seconds
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Site Location
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Alternate Location
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Thin persons inject in buttocks
 Avoid nerve and bone
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Misuse
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Mishandling that may result in
accidental self-injection
 Another danger is unnecessary selfinjection. Do not use unless:
 You show signs and symptoms,
 You know you are exposed, or
 You are directed
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Radioactive Iodide Prophylaxis
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Potassium Iodide for thyroid protection during some
nuclear emergencies
Daily dose of one tablet given every 24 hours. Must
be given prior to exposure
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Enhanced Operations in the Contaminated Environment
Module 3 Activity, Hands-on
PPE/CPC and Respiratory Protection
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Enhanced Operations in the Contaminated Environment
Summary

FEMA US&R CBRNE equipment cache
 Scott respiratory equipment
 Chemical Protective Clothing (CPC)
 Hazmat related pharmaceuticals
 Communications Equipment
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Review and Examination
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