MULTISERVICE TACTICS, TECHNIQUES, AND PROCEDURES FOR NUCLEAR, BIOLOGICAL, AND CHEMICAL (NBC) PROTECTION. Smallpox can spread from one person to another by the following routes: A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. Federal law establishes \rule{1cm}{1pt} schedules of classification for the control of dangerous drugs. There is no reliable test to immediately determine how effective decontamination is. Rinsing removes contaminants through dilution, physical attraction, and solubilization. (End), If Yes, (Arrow to box below) Transport to Medical Facility (End). 8. In some cases, effectiveness can be estimated by visual observation. What is the first step in self decontamination? Place in container with liner. Check hood seal by another Marine. Repeat as many times as necessary. 9. Use remote sampling, handling, and container-opening techniques (e.g., drum grapplers, pneumatic impact wrenches). Determine the decontamination equipment needed. The amount, location, and containment of contaminants. Describe how amino acids join to form a peptide bond . HZ is a weak acid. Extend both arms horizontally sideways with clenched fists facing up. The solvent must be chemically compatible with the equipment being cleaned. Julie S Snyder, Linda Lilley, Shelly Collins, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Flashcards - P1 | Neuroanatomia Funcional. Dry air near sea level has the following composition by volume: N2\mathrm{N_2}N2, 78.08 percent; O2\mathrm{O_2}O2, 20.94 percent; Ar\mathrm{Ar}Ar, 0.93 percent; CO2\mathrm{CO_2}CO2, 0.05 percent. Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____________________________. A patient who works at an insecticide manufacturing plant is admitted to the emergency room. Deposit equipment used on site (tools, sampling devices and containers, monitoring instruments, radios, clipboards, etc.) Methods of Decontamination Neutralization- Adding other chemicals to the contaminating agent to make that agent less toxic or non-toxic. 2. There are 4 main categories of physical and chemical means of decontamination: (1) heat; (2) liquid disinfection; (3) vapors and gases; and (4) radiation. EXCLUSION ZONE (Each station has a numbered hexagon and arrow pointing to next station in a line above the HOTLINE) A flow chart from Station 1: Segregated Equipment Drop, to Station 2: Boot Cover & Glove Wash, to Station 3: Boot Cover & Glove Rinse, to Station 4: Tape Removal, to Station 5: Boot Cover Removal, to Station 6: Outer Glove Removal (The arrow at Station 6 points downward across the HOTLINE into the CONTAMINATION REDUCTION ZONE. Emergency Preparedness and Response Course Study with Quizlet and memorize flashcards containing terms like You are certain that your patient, who is now convulsing from nerve agent exposure Decontamination methods may: The chemical and physical compatibility of the decontamination solutions or other decontamination materials must be determined before they are used. Remove clothing and place in lined container. Smallpox, because the rash is centrifugal on the patient. Surface contaminants may be easy to detect and remove; however, contaminants that have permeated a material are difficult or impossible to detect and remove. 3. When the decontamination line is no longer required, contaminated wash and rinse solutions and contaminated articles must be contained and disposed of as hazardous wastes in compliance with state and federal regulations. Infinite positively charged sheet 1 has uniform surface charge density 1=+4.0nC/m2\sigma _ { 1 } = + 4.0 \mathrm { nC } / \mathrm { m } ^ { 2 }1=+4.0nC/m2 and is located in the yz plane of a Cartesian coordinate system. Assume laminar flow. 2. 1. Biological weapons have unique characteristics when compared to chemical or nuclear and radiological weapons. If No, (Arrow to box below) Decontaminate as much as possible. While still wearing facepiece, remove backpack and place on table. For example, workers using a steam jet may need a different type of respiratory protection than other decontamination personnel because of the high moisture levels produced by steam jets. Treat all life-threatening injuries first. 5. Methods of Disinfection Many disinfectants are used alone or in combinations (e.g., hydrogen peroxide and peracetic acid) in the health-care setting. The decontamination of large numbers of casualties is currently most often . Victims caught in a fire have inhaled toxic smoke from furnishings and plastics that have released cyanide in the burning process. The potential for wastes to permeate, degrade, or penetrate materials used for personal protective clothing and equipment, vehicles, tools, buildings, and structures. The PRISM documentation comprises three volumes: Volume 1 Strategic Guidance, Second Edition Physical Removal Also, all spent solutions and wash water should be collected and disposed of properly. Remove outer boots and gloves. In industry, cyanide compounds are widely used during: A group of victims has been admitted to your triage unit. To the right of the HOTLINE, above the rectangle, two circles indicate the location of the Decon Solution and Water. Which form of plague is responsible? Saving and protecting life Saving of life is the first priority of all responding agencies. What is the best method of decontamination? Place laser and/or sunlight outserts in outsert pocket. Gloves and boots should be tucked under the sleeves and legs of outer clothing, and hoods (if not attached) should be worn outside the collar. No scabs are present. The chapter does not cover decontamination of radioactively contaminated personnel or equipment. 3. On the NATO CBRN gas marker, additional required information includes date-time group (DTG) of when the contamination was detected and _______? The fluid moves between the plates under the action of a pressure gradient, and the upper plate moves with a velocity UUU while the bottom plate is fixed. Type of decontamination that is carried out by a unit to reduce contamination equal to natural background or to the lowest level possible. Expand All Heat sterilization (wet or dry) Liquid disinfection Vapors and gases Radiation (ionizing or non-ionizing) Expand All Contact EH&S Biosafety . Physical methods involving high pressure and/or heat should be used only as necessary and with caution since they can spread contamination and cause burns. Water rinse, using pressurized or gravity flow. Which uses radioactive isotopes? Do not wear inner clothing off-site since there 'is a possibility that small amounts of contaminant might have been transferred in removing the fully-encapsulating suit. The instrument processing area should be physically divided into sections for 1) receiving, cleaning, and decontamination; 2) preparation and . Wash and rinse buckets for use in the decontamination of operator areas inside vehicles and equipment. important steps that you should take. Deposit equipment used on site (tools, sampling devices and containers, monitoring instruments, radios, clipboards, etc.) Lockers or closets for clean clothing and personal item storage. He has been feeling ill since his return from safari in Africa a few days ago. The effectiveness of any decontamination method should be assessed at the beginning of a program and periodically throughout the lifetime of the program. Wash solutions selected to wash off and reduce the hazards associated with the contaminants. methods for responders and contain the release of any substances. stand for? SCBA deposited on plastic sheets. Tighten the cheek straps. Practice protective measures of time, distance, and shielding. Shower as soon as possible. Shower if highly toxic skin-corrosive or skin-absorbable materials are known or suspected to be present. 11. Stop breathing and close your eyes, don protective mask, clear mask, check the seal of the mask, sound the alarm to alert others, and continue the mission What does C.B.R.N. If symptoms appear, use ATNAA. Check for NTAA injectors - position casualty on their side. The primary focus of atomic, biological and chemical (ABC) programs was to, train selected deployable Air Force personnel on ABC defense . He has been feeling ill since his return from safari in Africa a few days ago. Repeat as many times as necessary.. 15. 1. A patient presents to the emergency room all exhibiting the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. (Arrow to first decision diamond) Life-Saving Procedures Required? Two arrows continue from the second divided Decon rectangle to a circle marked with an X that has an upward pointing arrow, that turns back toward the dashed HOTLINE to an area labelled Redress: Boot Covers and Outer Gloves, and crosses the dashed HOTLINE. Physical Removal- This process involves the relocation of a contaminating agent from its current location to a less critical location. Properly don, clear, and check the field protective mask (FPM). new outer gloves and boot covers donned, and joints taped. 16. You suspect Lewisite. 6. 3.5 Many chemical agents have immediately observable medical effects2 and should be removed as rapidly as possible, even by resorting to emergency decontamination3 if necessary, to save life and prevent injury. Remove face piece. Repeat as many times as necessary. 18. Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. Removing clothing and washing with warm soapy water. Immediately mask the casualty. 5. 14. Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? A health physicist should be consulted if this situation arises. If necessary, administer the CANA. 1.41010B)1.21051.2 \times 10^{-5} If worker leaves exclusion zone to change air tank, this is the last step in the decontamination procedure. Removing clothing and washing with warm soapy water How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? Following a nuclear detonation, some of the casualties with survivable injuries are possibly contaminated with radiological material. High Yield Explosives is described as having materials that rapidly release large amounts of energy and produce a pressure shock wave during detonation. Stations should be separated physically to prevent cross contamination and should be arranged in order of decreasing contamination, preferably in a straight line. Consult specialists if necessary. While maneuvering to a new position, your field protective mask's seal is broken briefly exposing your eyes to the CWA. 6. What method is used to estimate a radiation dose by measuring the biological response to an absorbed dose of ionizing radiation? He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal? Both the inner and outer surfaces of protective clothing should be tested. The M256A2 Sampler Detector Kit CANNOT DETECT, Your M240 medium MG was contaminated with a non-persistent liquid nerve agent. The Station 8 numbered hexagon has two arrows, the first arrow points to Station 9: Tank Change and Redress - Boot Cover/Outer Gloves, which has an upward arrow that crosses the HOTLINE reentering the EXCLUSION ZONE, and the second arrow, continuing downward to Station 10: Safety Boot Removal, to Station 11: SCBA Backpack Removal, to Station 12: Splash Suit Removal, to Station 13: Inner Glove Wash, to Station 14: Inner Glove Rinse, to Station 15: Face Piece Removal, to Station 16: Inner Glove Removal, to Station 17: Inner Clothing Removal which has an arrow crossing downward past the CONTAMINATION CONTROL LINE, to Station 18: Field Wash (within the SUPPORT ZONE), which has an arrow across to Station 19: Redress, the final station. initial medical treatment after an incident but not involved with decontamination? For this reason, disposable PPE is recommended for use with infectious agents. ________ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves. Slowly passing a radiation detector (RADIAC) over the entire body. Scrub outer boots, outer gloves and chemical-resistant splash suit with decon solution or detergent and water. How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? Establish methods and procedures to minimize worker contact with contaminants during removal of personal protective clothing and equipment (PPE). What is the correct procedure for doffing the M50 Joint-Service General Purpose Mask (JSGPM)? An enemy attack aircraft dropped four bombs which upon bursting dispensed a non-persistent nerve agent vapor that drifted over your unit's defensive sector. Solidification. Avoid touching face with fingers. How is the victim of nerve agent exposure presenting with convulsions classified? Discolorations, stains, corrosive effects, visible dirt, or alterations in clothing fabric may indicate that contaminants have not been removed. (Continue to decision arrow below) Additional Emergency Care Required? The best method of decontamination is to Avoid contamination. 3. Often this term is used to describe incidents that involve one of these materials, ranging from an industrial accident to a terrorist attack. Which of these are fast-acting compounds that attack oxygen-dependent tissues known to be particularly sensitive to these compounds? What form of ionizing radiation can penetrate deeply into body tissue? The level of protection required will vary with the type of decontamination equipment used. (correct) Remove patients clothing, ensure agent does not contact skin during removal. They should only be used for decontamination in extreme cases where other cleaning agents will not remove the contaminant. What type of biological toxin is predominantly derived from the bean of the castor plant? A series of numbered hexagons point downward toward the CONTAMINATION CONTROL LINE.) Table 2 provides a general guide to the solubility of several contaminant categories in four types of solvents: water, dilute acids, dilute bases, and organic solvents. Shower if highly toxic. Used in life-threatening situations, the goal is to remove contaminant as quickly as possibl. The Mask Only command is given when Riot Control Agents (RCAs) are being employed, and no chemical-biological (CB) threat exists. What is the best method of decontamination cbrn quizlet? 2. The primary toxicity of pulmonary agents is to the _____ and follows _____ of smoke, particles, valors, or gases. What is the correct procedure for a Marine to transition to mission-oriented protective posture (MOPP) Level III who is already in MOPP Level II? 1. Does the method itself pose any health or safety hazards? Don FPM and check seal The CANA is given only as a buddy-aid treatment for which of the following reasons? c. 2-3 Long-Handled. Perform two decontamination cycles if feasible, with a whole body radiation survey after each cycle. Commonly done using brushes, scrapers, or sponges and water compatible solvent cleaning solutions. These should be at least large enough for a worker to place a booted foot in, and should have either no drain or a drain connected to a collection tank or appropriate treatment system. Decontaminating yourself will lower your exposure to harmful radioactive material. 1.4 Decontamination lines are site specific since they are dependent upon the types of contamination and the type of work activities on site. Grasp the head harness tab and pull the head harness over your head \\ Chemical Detector Paper/Kits. Rinse off decon solution water. Remove any liquid nerve agent. Hands and face are thoroughly washed. 1. Because of the potential hazards, decontamination using chemicals should be done only if recommended by an industrial hygienist or other qualified health professional. (b) Draw a diagram showing the locations of the two sheets, labeling the regions and drawing the field lines for each region. Smallpox can spread from one person to another by the following routes: For which virus is the mosquito not known as a possible vector? Match each chemical protective ensemble component to the correct MOPP level when it is first donned. 7. Cold water may also cause hypothermia. Elevated levels of contaminants in the final rinse solution may suggest that additional cleaning and rinsing are needed. The Mask Only command is not a mission-oriented protective posture (MOPP) Level, but it is part of the MOPP system. You can wash your hands, face, and parts of your body that were uncovered at a sink or faucet. The Primary Response Incident Scene Management (PRISM) series is comprised of three volumes that can help ensure that patients exposed to potentially hazardous chemicals receive the most effective treatment possible during the initial stages of an incident (after prompt decontamination). Close your eyes, stop breathing and hold your breath Vesicant (blister) agents include all of the following, EXCEPT: A patient who works at an insecticide manufacturing plant is admitted to the emergency room. What is the best decontamination method for biological agents? They are: Respiratory Protection & Chemical Protective Garments. Nuclear/Radiological Incident Task Force Make openings in the bags for sample ports and sensors that must contact site materials. Treat all life-threatening injuries first, Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____, _____ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves, What phase is characterized by improvement of symptoms but becomes shorter with increasing doses. Processed foods and temperature-abused foods are most commonly associated with ________ poisoning. Decontamination reduces the microbial contamination of materials or surfaces and is accomplished through the use of a chemical disinfectant. Disconnect hose from regulator valve and proceed to next station. Unmasking Procedures Without the M256-Series Chemical Detector Kit. Sheet 2 is 4 m to the right of sheet 1 along the +x axis. Wash inner gloves with decon solution. Determine the number and layout of decontamination stations. Surfactants augment physical cleaning methods by reducing adhesion forces between contaminants and the surface being cleaned, and by preventing redeposit of the contaminants. The exercise tested combinations of 3 methods: dry decontamination with absorbent bandages, shower system and "technical decontamination", in which specialized teams rubbed volunteers with water and detergents . Being in the correct MOPP Level appropriate to the CBRN risk hazard will protect you from becoming a casualty and allow you to complete the mission. Another series of arrows pointing downward go to another rectangle, the Remove SCBA final decon area. What is the correct procedure to decontaminate personal equipment using M100 SDS? M291 SDK - To decontaminate your skin completely, through physical removal, absorption, and neutralization of toxic agents without long-term effects. Worker's canister is exchanged. on plastic drop cloths or in different containers with plastic liners. Your unit has responded within minutes to a suspected CBRNE incident. A dashed line cutting vertically through this rectangle indicates the HOTLINE. Remove outer gloves and deposit in container with plastic liner. Scrub outer boot covers and gloves with decon solution or detergent/water. Don the mitt and pick up sorbent pack 7. 4. Wash chemical-resistant splash suit, SCBA, gloves and safety boots. What is the correct procedure to decontaminate personal equipment using M100 SDS? Immediately flush eyes with water. The decontamination site should NOT be located: Near waterways and drainage systems What is the best method of decontamination? External Decontamination: Removing radioactive materials on your skin, hair, or clothing. If an emergency due to a heat-related illness develops, protective clothing should be removed from the victim as soon as possible to reduce the heat stress. Which of the following is considered a pulmonary (choking) agent? Each category is discussed below.