National Urban Search & Rescue Response System National Urban Search & Rescue Response System Operation in the Contaminated Environment Version 4 National Urban Search & Rescue Response System Enhanced Operations In The Contaminated Environment October 2012
Module 3: Personal Protective Equipment (PPE). Terminal Objective. Upon completion of this module, students will be able to discuss the importance of respiratory protection and recognize medical interventions for exposures. Enabling Objectives. 3-1 Students will be able to recognize - PowerPoint PPT Presentation
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National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemOperation in the Contaminated Environment
Version 4
National Urban Search & Rescue Response System Enhanced OperationsIn The Contaminated Environment October 2012
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Module 3: Personal Protective Equipment (PPE)
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Upon completion of this module, students will be Upon completion of this module, students will be able to discuss the importance of respiratory able to discuss the importance of respiratory protection and recognize medical interventions for protection and recognize medical interventions for exposures. exposures.
Mod 3-3
Terminal ObjectiveTerminal Objective
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
3-1 Students will be able to recognize 3-1 Students will be able to recognize
the importance of wearing the appropriate the importance of wearing the appropriate respiratory protection respiratory protection
3-2 Students will be able to identify levels of 3-2 Students will be able to identify levels of respiratory protection and Personal respiratory protection and Personal
Protective Protective Equipment Equipment 3-3 Identify medical interventions available for 3-3 Identify medical interventions available for
exposure to hazardous materials/CBRNE exposure to hazardous materials/CBRNE
Mod 3-4
Enabling Objectives
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Chemical Protective Clothing (CPC)Chemical Protective Clothing (CPC)
Hazmat related pharmaceuticalsHazmat related pharmaceuticals
Communications EquipmentCommunications Equipment
Mod 3-5
OverviewOverview
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
World Trade Center Related CoughWorld Trade Center Related Cough 332 Firefighters332 Firefighters One Emergency Medical Service WorkerOne Emergency Medical Service Worker
Mod 3-6
MMWR Report September 2002MMWR Report September 2002
Morbidity and Mortality Weekly ReportMorbidity and Mortality Weekly Report
Each had four or more weeks of medical leave
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-7
Centers for Disease Control and Prevention
Morbidity and Mortality Weekly Report
September 2002
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
5,000 rescue workers tested5,000 rescue workers tested ALL had lung impairmentsALL had lung impairments Average 10% impairmentAverage 10% impairment 30% – 40% persistent symptoms30% – 40% persistent symptoms 1,000 permanent respiratory disability1,000 permanent respiratory disability
Mod 3-8
2010 FDNY Medical Office Study 9/11 2010 FDNY Medical Office Study 9/11 EffectsEffects
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Indications and Dosing:Indications and Dosing: A single NAAK dose may be given for A single NAAK dose may be given for
mild symptomsmild symptoms 2 additional doses may be required for 2 additional doses may be required for
““SevereSevere”” or persistent symptoms or persistent symptoms
Mod 3-28
DuoDote Auto InjectorDuoDote Auto Injector
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Strange or confused behaviorStrange or confused behavior Severe difficulty breathing or copious airway Severe difficulty breathing or copious airway
secretionssecretions Severe muscular twitching and general Severe muscular twitching and general
weaknessweakness Urination or defecation (Involuntary)Urination or defecation (Involuntary) Convulsions or unconsciousnessConvulsions or unconsciousness
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Loss of visual acuity and confusionLoss of visual acuity and confusion Dry mouth and eyes, urinary retentionDry mouth and eyes, urinary retention Headache and abdominal painHeadache and abdominal pain Dangerous hypertension and Dangerous hypertension and
arrhythmiasarrhythmias Increased temperature and flushingIncreased temperature and flushing
……All can be severe in some casesAll can be severe in some cases
Mod 3-30
Side Effects of NAAKSide Effects of NAAK
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
One CANA per individualOne CANA per individual Should be used for buddy-aid onlyShould be used for buddy-aid only
Mod 3-31
Convulsant Antidote for Nerve Agent (CANA)Convulsant Antidote for Nerve Agent (CANA)““Diazepam Auto-InjectorDiazepam Auto-Injector””
, ,
Diazepam 10mg
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Inject in large muscle of thighInject in large muscle of thigh Area hand width below hip to hand Area hand width below hip to hand
width above kneewidth above knee Hold in place 10 secondsHold in place 10 seconds
Mod 3-32
Injection SiteInjection Site
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-33
Site LocationSite Location
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Thin persons inject in buttocksThin persons inject in buttocks Avoid nerve and boneAvoid nerve and bone
Mod 3-34
Alternate LocationAlternate Location
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Mishandling that may result in Mishandling that may result in accidentalaccidental self-injection self-injection
Another danger is Another danger is unnecessaryunnecessary self- self-injection. Do not use unless:injection. Do not use unless: You show signs and symptoms, You show signs and symptoms, You know you are exposed, or You know you are exposed, or You are directedYou are directed
Mod 3-35
MisuseMisuse
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Potassium Iodide for thyroid protection during some Potassium Iodide for thyroid protection during some nuclear emergenciesnuclear emergencies
Daily dose of one tablet given every 24 hours. Must Daily dose of one tablet given every 24 hours. Must be given prior to exposurebe given prior to exposure