In some situations, the cleaning solutions used and wastes removed during decontamination may generate harmful vapors. Deposit in container with plastic liner. An aqueous solution of HZ is prepared by dissolving 0.020 mol of HZ in sufficient water to yield 1.0 L of solution. 9. Organic solvents include alcohols, ethers, ketones, aromatics, straight-chain alkanes, and common petroleum products. 4. In other cases, decontamination personnel may be sufficiently protected by wearing one level lower protection (e.g., wearing Level C protection while decontaminating workers who are wearing Level B). *WARNING: Some organic solvents can permeate and/or degrade the protective clothing. Enemy helicopter does a low-level pass and sprays your position. __________ occurs outside of the incident area when people come in contact with a contaminated person or object. Contamination of victims/casualties must be considered as part of the initial assessment and an effective method for rescue, decontamination and medical treatment must be provided. Which of the following is NOT considered a risk factor? Used in life-threatening situations, the goal is to remove contaminant as quickly as possibl. (A series of three arrows in the upper right, one arrow 20 degrees above and the other arrow 20 degrees below the central arrow, indicate wind direction toward the HOTLINE.) For example: In addition, Standard Operating Procedures should be established that maximize worker protection. Some contaminants adhere by forces other than electrostatic attraction. M100 Sorbent Decontamination System (SDS). The first step in decontamination is to establish Standard Operating Procedures that minimize contact with waste and thus the potential for contamination. Household detergents are among the most common surfactants. Physical Removal Deposit in container with plastic liner. 2. In addition to routine decontamination procedures, emergency decontamination procedures must be established. Eliminate leaks by making minor strap adjustments. 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. Practice protective measures of time, distance, and shielding. 18. When establishing a decontamination line, each aspect should be incorporated separately or combined with other aspects into a procedure with fewer steps (such as the Minimum Decontamination Procedures). Loose contaminants. 6. Which of the following cell types are least sensitive to ionizing radiation damage? The effects may take days or weeks to develop. Rinse off decon solution using copious amounts of water. The Consequence Management Coordination Unit (CMCU) is a national level incident support element responsible for strategic consequence management decision support to the FEMA Administrator, the FBI WMD Strategic Group (SG), and provides reach back support to the DEST. The door is open; many victims are lying on the floor. Treat all life-threatening injuries first. 4. These cleaning solutions normally utilize one or more of the following methods: Dissolving contaminants. 2. Stow operator cards and waterproofing bag. Each category is discussed below. Decontamination protects workers from hazardous substances that may contaminate and eventually permeate the protective clothing, respiratory equipment, tools, vehicles, and other equipment used on site; it protects all site personnel by minimizing the transfer of harmful materials into clean areas; it helps prevent mixing of incompatible chemicals; and it protects the community by preventing uncontrolled transportation of contaminants from the site. The presence of radiological contamination can be readily confirmed by which of the following methods? Lined box with absorbents for wiping or rinsing off gross contaminants and liquid contaminants. Station 7: Suit/Safety Boot Wash (within the CONTAMINATION REDUCTION ZONE), to Station 8: Suit/SCBA/Boot/Glove Rinse. Pour sorbent onto mitt, gently shake 5. 37.3/NTTP 3-11.26/AFTTP(I)3-2.60, CBRN Decontamination: Multiservice Tactics, Techniques, and Procedures for Chemical Biological Radiological and Nuclear Decontamination, April 2006. Snap barrel locks under the chin horizontal parallel plates as shown in Fig. Decontamination protocol for health personnel in response to a CBRN attack or chemical accident in the United Kingdom (3) . What toxin do you suspect and how do you treat it? Curtains, enclosures, or spray booths to contain splashes from pressurized sprays. Describe how amino acids join to form a peptide bond . Julie S Snyder, Linda Lilley, Shelly Collins, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Flashcards - P1 | Neuroanatomia Funcional. However, not all contaminants leave visible traces; many contaminants can permeate clothing and are not easily observed. On the NATO CBRN gas marker, additional required information includes date-time group (DTG) of when the contamination was detected and _______? Which of the following is NOT a physical requirement of those expected to wear PPE? The procedures given are for the maximum and minimum amount of decontamination used for each level of protection. A group of victims has been admitted to your triage unit. 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. Personal Protective Equipment (PPE) is generally divided into two categories. Administer the ATNAA. What form of ionizing radiation is the least penetrating? Table 2. Decontamination methods either (1) physically remove contaminants, (2) inactivate contaminants by chemical detoxification or disinfection/sterilization, or (3) remove contaminants by a combination of both physical and chemical means. Make openings in the bags for sample ports and sensors that must contact site materials. NBC Warning Signals. During hot weather operations. Hot weather rest station maybe set up within this area for personnel returning to site. The door is open; many victims are lying on the floor. Cold water may also cause hypothermia. ____ poisoning. Use tepid decontamination water. Based on the information would you suspect chickenpox or smallpox? For which virus is the mosquito not known as a possible vector? Remove or neutralize contamination. Correct definition of Mission-Oriented Protective Posture (MOPP), A flexible system of individual protective equipment (IPE) and clothing that provides the maximum CBRN protection with the lowest risk to achieve mission accomplishment. What type of viral infection do you suspect? The Station 8 numbered hexagon has two arrows, the first arrow points to Station 9: 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: Fully Encapsulating Suit with Hard Hat Removal, to Station 12: SCBA Backpack 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. 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 . Another pair of tough outer gloves is often worn over the sleeves. Hard hat is removed. 4. Suppose that you are standing on a skateboard near a wall and you push on the wall with a force of 30N30 \mathrm{~N}30N. Scrubbing/scraping. Do not wear inner clothing off-site since there is a possibility that small amounts of contaminants might have been transferred in removing the fully-encapsulating suit. 4. Patient reports fever started several days before blisters appeared. Which of the following is the last step done for both the waist carry and shoulder carry configuration for the M50 Joint-Service General Purpose (JSGPM)? Shower if highly toxic. Pour sorbent onto mitt, gently shake (Continue to decision diamond below) Further Medical Attention or Surveillance Required? Dressing stations for entry to the CRZ should be separate from redressing areas for exit from the CRZ. 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. 5 Levels of MOPP. Which of the below courses of action is most appropriate for the situation? 6. Any decontamination method that permeates, degrades, damages, or otherwise impairs the safe functioning of the PPE is incompatible with such PPE and should not be used. Another arrow from the circle marked with an X continues to a rectangle indicating the area to Remove Boots/Gloves and Outer Garments (For Disposal and Off Site Decontamination) with a circle below indicating the location of a 32 gallon can. 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? Patient presents with 5-day-old blisters/rash mostly on the arm, face and hands. 3. During hot weather operations, a cool down station may be set up within this area. Occupational Safety & Health Administration, Occupational Safety and Health Administration, Outreach Training Program (10- and 30-hour Cards), OSHA Training Institute Education Centers, Severe Storm and Flood Recovery Assistance. Boots, fully-encapsulating suit, inner gloves removed and deposited in separate containers lined with plastic. There is no reliable test to immediately determine how effective decontamination is. Rinse off decon solution from station 2 using copious amounts of water. If worker leaves exclusion zone to change air tank, this is the last step in the decontamination procedure. 1. Remove inner gloves and deposit in container with liner. Boots,chemical-resistant suit, inner gloves removed and deposited in separate containers lined with plastic. Various decontamination methods are listed in Table 1. Solidifying liquid or gel contaminants can enhance their physical removal. Fully encapsulated suit is removed with assistance of a helper and laid out on a dropcloth or hung up. You approach the scene of a terrorist incident that occurred 2 minutes prior in an enclosed room. Determine appropriate decontamination methods. The best universal liquid decontamination agent for chemical warfare agents (CWAs) is 0.5% hypochlorite solution. Emergency responders are taught how to recognize and mitigate attacks from such weapons. Workers with large areas of damaged skin should be kept from working on site until the skin heals. Remove mitt for decom kit 8. Repeat as many times as necessary. Unmasking Procedures Without the M256-Series Chemical Detector Kit. 7. If Yes, (Arrow to fourth box below) Can appropriate decontamination materials or process pose health or safety hazards? Deposit equipment used on site (tools, sampling devices and containers, monitoring instruments, radios, clipboards, etc.) SCBA backpack and facepiece is removed Avoid touching face with finger. The decontamination site should NOT be located. Don your mask before going into the room Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. Remove mitt for decom kit 2. Determine the number and layout of decontamination stations. Which of the following decontamination method is NOT recommended for removing vesicants from casualties? Decontamination reduces the microbial contamination of materials or surfaces and is accomplished through the use of a chemical disinfectant. Botulinum toxin, supportive care and antitoxin. Which of the below courses of action is most appropriate for the situation? 2. You can remove radioactive materials that are on the body of others or you can remove radioactive materials if they are on your body (self-decontamination). Repeat as many times as necessary. Repeat as often as necessary. It is prepared easily by diluting household bleach to one-tenth strength (ie, 9 parts water or saline to 1 part bleach). 5. Worker's air tank is exchanged, new outer gloves and boot covers donned, joints taped, and worker returns to duty. Remove and open canteen. important steps that you should take. Pulmonary (choking) agents primarily enter the victim by what means? These procedures were derived from the U.S. Environmental Protection Agency, Office of Emergency and Remedial Response's (OERR), "Interim Standard Operating Safety Guides (revised Sep. 82)". For each CBRN message type, there are three set identifiers - (M) mandatory, (C) conditional and (O). 7. Encase the source of contaminants, e.g., with plastic sheeting or overpacks. M100 SDS - To perform immediate decontamination of equipment, vehicles, and crew-served weapons. Hazardous Response Support Division, Washington. Give the periodic group number and number of valence electrons for this atom. 3. If No, (Arrow to box on left side below) Take additional measures to prevent contamination or find another decontamination method. Scrub outer boots, outer gloves and chemical-resistant splash suit with decon solution or detergent and water. If No, (Arrow to box below) Decontaminate as much as possible. The Mask Only command is given when Riot Control Agents (RCAs) are being employed, and no chemical-biological (CB) threat exists. Remove outer gloves and deposit in container with plastic liner. He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. The methods available for protecting workers during decontamination. Proper way to handle M8 Chemical Detector Paper that came into contact with contamination. Contaminants can be located either on the surface of personal protective equipment or permeated into the PPE material. 3. Don the mitt and pick up sorbent pack You suspect Lewisite. 1. While decontamination is performed to protect health and safety, it can pose hazards under certain circumstances. Perform assisted ventilation is necessary. Continuous rinsing with large volumes will remove even more contaminants than multiple rinsings with a lesser total volume. 1.2 Protective equipment must be worn by personnel when response activities involve known or suspected hazardous substances. Contact time. A health physicist should be consulted if this situation arises. Air Tanks or Masks and Cartridges Depending Upon Level, d. 2-3 Long-Handled, Soft-Bristled Scrub Brushes. A dashed line cutting vertically through this rectangle indicates the HOTLINE. c. 2-3 Long-Handled. The atmosphere pressure is 1.00 atm. Which of the following statements are correct regarding biological weapon characteristics? 3. In industry, cyanide compounds are widely used during: A group of victims has been admitted to your triage unit. Shower if highly toxic skin-corrosive or skin-absorbable materials are known or suspected to be present. radiological material. How is the victim of nerve agent exposure presenting with convulsions classified? Decontamination - the process of removing or neutralizing contaminants that have accumulated on personnel and equipment - is critical to health and safety at hazardous waste sites. Large galvanized tubs, stock tanks, or children's wading pools to hold wash and rinse solutions. In some cases, effectiveness can be estimated by visual observation. During a personal wipe down, which of the following is the best standard decontaminant for equipment exposed to a hazardous chemical agent? Which type of anthrax is responsible for the patient?s symptoms? 3. Scrub with long-handle scrub brush and decon solution. Rinse solutions selected to wash off and reduce the hazards associated with the contaminants. Skin may also be tested using wipe samples. Shower facilities for full body wash or, at a minimum, personal wash sinks (with drains connected to a collection tank or appropriate treatment system). 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. Remove any liquid nerve agent. DC. Segregation at the drop reduces the. Size of contaminant molecules and pore space. He has been feeling ill since his return from safari in Africa a few days ago. Open mask carrier flap and remove the mask Based on the information would you suspect chickenpox or smallpox? 13. 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. Avoid touching face with fingers. (Initial box on right side). All equipment used for decontamination must be decontaminated and/or disposed of properly. Operational reactive skin decontamination lotion (RSDL), allows you to completely decontaminate your skin through physical removal and _____? Often this term is used to describe incidents that involve one of these materials, ranging from an industrial accident to a terrorist attack. If Yes, (Arrow to second box below) Are the decontamination materials compatible with the hazardous substances present? The following advanced imaging techniques are discussed in the text: CT, angiography, PET, sonography, and MRI The MOPP chemical protective ensemble components are donned in a set order depending on the MOPP level. Is the decontamination method effective for the specific substances present? Which of the following statements is a correct statement regarding the Mask Only command? If No, (Arrow to box on left side below) Take additional measures to prevent contamination or find another decontamination method. Evaporation of volatile liquids can be enhanced by using steam jets. Intelligence reports indicate that the enemy is preparing to conduct a mounted attack through your sector in the next hour. For example, proper procedures for dressing prior to entering the Exclusion Zone will minimize the potential for contaminants to bypass the protective clothing and escape decontamination. As a result some support vehicles, crew-served weapons, barrier material, and ammunition were exposed to chemical-warfare hazards.