Post on 31-Mar-2015
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Module 3: Module 3: US&R WMD US&R WMD Personal Personal Protective Protective EquipmentEquipment
Mod 3-1Version 3
Enhanced OperationsEnhanced Operations
Mod 3-2Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
OverviewOverview FEMA US&R WMD equipment cacheFEMA US&R WMD equipment cache
Scott respiratory equipmentScott respiratory equipment Chemical Protective Clothing (CPC)Chemical Protective Clothing (CPC)
Hands-on practice WMD PPEHands-on practice WMD PPE
Mod 3-3Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
ObjectiveObjective
Upon completion of this module, Upon completion of this module, students will be able to select, don, and students will be able to select, don, and work in the appropriate WMD PPE and work in the appropriate WMD PPE and execute emergency procedures execute emergency procedures
Mod 3-4Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction Centers for Disease Control and Prevention
Morbidity and Mortality Weekly Report
September 2002
Centers for Disease Control and Prevention
Morbidity and Mortality Weekly Report
September 2002
Mod 3-5Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
MMWR Report September 2002MMWR Report September 2002 World Trade Center Related CoughWorld Trade Center Related Cough
332 Firefighters332 Firefighters One Emergency Medical Service WorkerOne Emergency Medical Service Worker
Each had four or more weeks of medical Each had four or more weeks of medical leaveleave
Mod 3-6Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Ongoing IssuesOngoing Issues 173 (52%) show partial improvement173 (52%) show partial improvement
Remain on medical leave or light dutyRemain on medical leave or light duty Some pending disability retirementSome pending disability retirement
Mod 3-7Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Additional Ongoing IssuesAdditional Ongoing Issues Respiratory illness after WTC exposureRespiratory illness after WTC exposure
358 firefighters on medical leave or light 358 firefighters on medical leave or light dutyduty
5 EMS remain on medical leave or light 5 EMS remain on medical leave or light dutyduty
500 firefighters (4%) of 11,336 500 firefighters (4%) of 11,336 responders may qualify for disabilityresponders may qualify for disability
Mod 3-8Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
MMWR ConclusionsMMWR Conclusions Need for respiratory protectionNeed for respiratory protection Respiratory protection not NIOSH Respiratory protection not NIOSH
certified or fit testedcertified or fit tested Training on respiratory protection Training on respiratory protection
DiscomfortDiscomfort Heat stressHeat stress
Mod 3-9Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Respiratory ProtectionRespiratory Protection Facepiece with Kevlar head pieceFacepiece with Kevlar head piece Facepiece accommodates and will do Facepiece accommodates and will do
all three functionsall three functions APRAPR PAPRPAPR SCBASCBA
Mod 3-10Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Protection FactorsProtection Factors APRAPR = = 50:1 50:1 PAPRPAPR = = 1,000:1 1,000:1 SCBASCBA = = 10,000:110,000:1
1 is no respiratory protection in place1 is no respiratory protection in place
Mod 3-11Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
APRAPR Fits into Scott Full Fits into Scott Full
FacepieceFacepiece Adapter allows NATO Adapter allows NATO
cartridgecartridge Multi-Purpose Cartridge Multi-Purpose Cartridge
(MPC) Plus(MPC) Plus Meets/exceeds NIOSHMeets/exceeds NIOSH
Mod 3-12Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
PAPRPAPR
Two - MPC Plus canistersTwo - MPC Plus canisters Slight positive pressureSlight positive pressure 10 hour battery life10 hour battery life
Batteries in cache are for Batteries in cache are for deploymentdeployment
Can be used off shelf Can be used off shelf without chargingwithout charging
Mod 3-13Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
SCBASCBA 60 minutes carbon cylinder60 minutes carbon cylinder 30 units per TF30 units per TF
Mod 3-14Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Half-Facepiece RespiratorHalf-Facepiece Respirator Good particulate protectionGood particulate protection MPC PlusMPC Plus Easy to change cartridgeEasy to change cartridge
DON’T FORGETDON’T FORGET
EYE PROTECTION!EYE PROTECTION!
Mod 3-15Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Communication SystemCommunication System Ten per TFTen per TF May encryptMay encrypt
Mod 3-16Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Hazards of Working in CPCHazards of Working in CPC Physiological (heat stress)Physiological (heat stress) Reduced mobilityReduced mobility Limited vision (poor peripheral vision)Limited vision (poor peripheral vision) Reduced dexterityReduced dexterity May promote claustrophobiaMay promote claustrophobia
Mod 3-17Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Damage to CPCDamage to CPC Mechanical—cuts, Mechanical—cuts,
tears, punctures tears, punctures Thermal—no fire Thermal—no fire
protection protection Chemical—no ideal Chemical—no ideal
suit to protect suit to protect against all chemicals against all chemicals Overalls protect CPC
Overalls protect CPC
Mod 3-18Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Damage to CPC Damage to CPC (cont)(cont)
Permeation, penetration, and Permeation, penetration, and degradation degradation
(TF may have to augment sizes with (TF may have to augment sizes with grant money)grant money)
Mod 3-19Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Personal Protective EquipmentPersonal Protective Equipment
Level ALevel A
Mod 3-20Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Personal Protective EquipmentPersonal Protective Equipment
Level BLevel B
Mod 3-21Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Personal Protective EquipmentPersonal Protective Equipment
Level CLevel C
Mod 3-22Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Personal Protective EquipmentPersonal Protective Equipment
Level DLevel D
Mod 3-23Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Personal Protective EquipmentPersonal Protective Equipment
BootsBoots
Mod 3-24Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Personal Protective EquipmentPersonal Protective Equipment
GlovesGloves
Mod 3-25Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Agent Specific PPEAgent Specific PPE BiologicalBiological RadiologicalRadiological Nerve and BlisterNerve and Blister ChokingChoking BloodBlood
Mod 3-26Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Nerve Agent AntidoteNerve Agent Antidote Good for nerve agent onlyGood for nerve agent only Use only on symptomatic and Use only on symptomatic and
contaminated patientscontaminated patients Self or Buddy aidSelf or Buddy aid
Atropine
2-PAM chloride
CANA (diazepam)
Mod 3-27Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
InjectorInjector Sharp needle will penetrate CPCSharp needle will penetrate CPC
Mod 3-28Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
AtropineAtropine Induce or exacerbate Angina PectorisInduce or exacerbate Angina Pectoris Increased heart rateIncreased heart rate Up to three injections to counter nerve Up to three injections to counter nerve
agentagent Evacuate individualEvacuate individual
Mod 3-29Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
2 PAM Chloride2 PAM Chloride Reverses respiratory depression and Reverses respiratory depression and
muscle paralysismuscle paralysis Inject after each atropine injectionInject after each atropine injection
Mod 3-30Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
CANACANA Convulsant antidote for nerve agentConvulsant antidote for nerve agent One CANA per individualOne CANA per individual Should be used for buddy-aid onlyShould be used for buddy-aid only
Mod 3-31Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Side EffectsSide Effects Dangerous hypertensionDangerous hypertension Irregular heartbeatsIrregular heartbeats
Mod 3-32Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Self InjectionSelf Injection Hold in handHold in hand Do not place thumb on endDo not place thumb on end Atropine first, then 2 PAM ClAtropine first, then 2 PAM Cl
Mod 3-33Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Holding and InjectingHolding and Injecting
Mod 3-34Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Injection SiteInjection Site 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 3-35Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Site LocationSite Location
Mod 3-36Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Alternate LocationAlternate Location Thin persons inject in buttocksThin persons inject in buttocks Avoid nerve and boneAvoid nerve and bone
Mod 3-37Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
CANACANA Given as buddy-aidGiven as buddy-aid Only one per individualOnly one per individual
Mod 3-38Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
MisuseMisuse Mishandling that may result in Mishandling that may result in accidentalaccidental
self-injectionself-injection Second greatest danger is Second greatest danger is unnecessaryunnecessary
self-injectionself-injection Do not use unless 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 3-39Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Potassium IodidePotassium Iodide Protection only for thyroid from Protection only for thyroid from
radioiodinesradioiodines Daily dose good for 24 hoursDaily dose good for 24 hours
Mod 3-40Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
Module 3 Activity, Module 3 Activity, Hands-on CPC Hands-on CPC and Respiratory Protectionand Respiratory Protection
Mod 3-41Version 3
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response System
Weapons of Mass Destruction
SummarySummary Scott respiratorsScott respirators CPCCPC Mark 1Mark 1 Hands-on activityHands-on activity