Module 3: Personal Protective Equipment (PPE)

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)


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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


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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


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FEMA US&R CBRNE equipment cacheFEMA US&R CBRNE equipment cache Scott respiratory equipmentScott respiratory equipment

Chemical Protective Clothing (CPC)Chemical Protective Clothing (CPC)

Hazmat related pharmaceuticalsHazmat related pharmaceuticals

Communications EquipmentCommunications Equipment

Mod 3-5

OverviewOverview


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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


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Centers for Disease Control and Prevention

Morbidity and Mortality Weekly Report

September 2002


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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


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OSHA 29 CFR 1910.134 OSHA 29 CFR 1910.134 compliantcompliant

Facepiece with Kevlar Facepiece with Kevlar head piecehead piece

Facepiece allows for:Facepiece allows for: Air Purifying Respirator (APR)Air Purifying Respirator (APR) Powered Air Purifying Respirator (PAPR) Powered Air Purifying Respirator (PAPR) Self Contained Breathing Apparatus (SCBA)Self Contained Breathing Apparatus (SCBA)

Mod 3-9

Respiratory Protection Respiratory Protection

Scott AV3000 Sure Seal facepiece


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N95 Particulate Mask = 10:1N95 Particulate Mask = 10:1 APR Half-FaceAPR Half-Face = 10:1 = 10:1 APR Full-Face = 50:1APR Full-Face = 50:1 PAPRPAPR = 1,000:1 = 1,000:1

SCBASCBA = 10,000:1 = 10,000:1

A Factor of 1:1 = No respiratory protection in placeA Factor of 1:1 = No respiratory protection in place

Mod 3-10

Protection FactorsProtection Factors

Limiting Factors for Each PPE Must be Understood

Limiting Factors for Each PPE Must be Understood


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Good particulate protectionGood particulate protection High Efficiency Particulate Air (HEPA) High Efficiency Particulate Air (HEPA)

Cartridges OnlyCartridges Only Easy to change cartridgeEasy to change cartridge

Eye Protection RequiredEye Protection Required

Mod 3-11

Half-facepiece RespiratorHalf-facepiece Respirator


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Fits into Scott Full facepieceFits into Scott Full facepiece CBRN Adapter (200423-01) CBRN Adapter (200423-01)

allows NATO threaded allows NATO threaded cartridgecartridge

NIOSH Approved CBRNE NIOSH Approved CBRNE CartridgeCartridge

Meets/exceeds NIOSHMeets/exceeds NIOSH Adapter (805622-01) allows the Adapter (805622-01) allows the

use of 2 quarter turn cartridgesuse of 2 quarter turn cartridges

Mod 3-12

APRAPR


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Two - MPC40PF canistersTwo - MPC40PF 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 without Can be used off shelf without chargingcharging

Mod 3-13

PAPRPAPR


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60 minutes carbon cylinder60 minutes carbon cylinder Each Task ForceEach Task Force

30 SCBAs30 SCBAs 8 Spare Cylinders8 Spare Cylinders

Each HEPPEach HEPP 30 spare cylinders30 spare cylinders 14 harness assemblies14 harness assemblies

Mod 3-14

SCBASCBA


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Ten per TFTen per TF

Mod 3-15

Communication SystemCommunication System


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Physiological (heat stress)Physiological (heat stress) Reduced mobilityReduced mobility Limited vision (poor peripheral vision) Limited vision (poor peripheral vision) Reduced dexterityReduced dexterity May promote claustrophobia May promote claustrophobia

Mod 3-16

Hazards of Working in CPCHazards of Working in CPC


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Mechanical—cuts, tears, punctures Mechanical—cuts, tears, punctures Thermal—no fire protection Thermal—no fire protection Chemical—no ideal suit to protect Chemical—no ideal suit to protect

against all chemicals against all chemicals Permeation, penetration, and Permeation, penetration, and

degradation degradation

Mod 3-17

Damage to CPCDamage to CPC


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SelectionSelection ApplicationApplication BehaviorsBehaviors ConditionsConditions

Mod 3-18

Damage Protection for CPCDamage Protection for CPC

Overalls can be used to protect CPC from

mechanical damage


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Level A CPC Level A CPC Meets 1994 Class 1Meets 1994 Class 1 Hazmat Equipment Hazmat Equipment

Push PackagePush Package

(HEPP) Only(HEPP) Only

Mod 3-19

Personal Protective Equipment Personal Protective Equipment


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Multi Threat SuitMulti Threat Suit Blauer Blauer

OROR Lion ApparelLion Apparel

Mod 3-20


NFPA 1994 Class 2


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Level BLevel B

Requires SCBARequires SCBA

Mod 3-21



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Level CLevel C

Mod 3-22



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Level DLevel D

Mod 3-23





AirBoss Overboot Tingley Boots


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GlovesGloves

Mod 3-25


Nitrile

Cotton

LeatherViton


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Treatment for symptoms of some insecticide and Treatment for symptoms of some insecticide and nerve agent exposuresnerve agent exposures

Self aid or Buddy aidSelf aid or Buddy aid

Mod 3-27

Nerve Agent Antidote Kit (NAAK)Nerve Agent Antidote Kit (NAAK)““DuoDote Auto-InjectorDuoDote Auto-Injector””

Includes Atropine 2.1mg and 2-PAM Chloride 600mg


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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


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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

Mod 3-29

““SevereSevere”” Nerve Agent Symptoms Nerve Agent Symptoms


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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


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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


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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



Site LocationSite Location


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Thin persons inject in buttocksThin persons inject in buttocks Avoid nerve and boneAvoid nerve and bone

Mod 3-34

Alternate LocationAlternate Location


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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


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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

Mod 3-36

Radioactive Iodide ProphylaxisRadioactive Iodide Prophylaxis



Module 3 Activity, Hands-on Module 3 Activity, Hands-on PPE/CPC and Respiratory ProtectionPPE/CPC and Respiratory Protection



SummarySummary FEMA US&R CBRNE equipment cacheFEMA US&R CBRNE equipment cache

Scott respiratory equipmentScott respiratory equipment

Chemical Protective Clothing (CPC)Chemical Protective Clothing (CPC)


Communications EquipmentCommunications Equipment


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Review and Examination

Module 3: Personal Protective Equipment (PPE)

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Transcript of Module 3: Personal Protective Equipment (PPE)