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Module 3: Personal Protective Equipment (PPE)

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

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Module 3: Personal Protective Equipment (PPE)

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  1. Module 3: Personal Protective Equipment (PPE)

  2. Terminal Objective Upon completion of this module, students will be able to discuss the importance of respiratory protection and recognize medical interventions for exposures.

  3. Enabling Objectives 3-1 Students will be able to recognize the importance of wearing the appropriate respiratory protection 3-2 Students will be able to identify levels of respiratory protection and Personal Protective Equipment 3-3 Identify medical interventions available for exposure to hazardous materials/CBRNE

  4. Overview • FEMA US&R CBRNE equipment cache • Scott respiratory equipment • Chemical Protective Clothing (CPC) • Hazmat related pharmaceuticals • Communications Equipment

  5. MMWR Report September 2002 • World Trade Center Related Cough • 332 Firefighters • One Emergency Medical Service Worker Each had four or more weeks of medical leave Morbidity and Mortality Weekly Report

  6. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report September 2002

  7. 2010 FDNY Medical Office Study 9/11 Effects 5,000 rescue workers tested ALL had lung impairments Average 10% impairment 30% – 40% persistent symptoms 1,000 permanent respiratory disability

  8. Respiratory Protection • OSHA 29 CFR 1910.134 compliant • Facepiece with Kevlar head piece • Facepiece allows for: • Air Purifying Respirator (APR) • Powered Air Purifying Respirator (PAPR) • Self Contained Breathing Apparatus (SCBA) Scott AV3000 Sure Seal facepiece

  9. Protection Factors N95 Particulate Mask = 10:1 APR Half-Face = 10:1 APR Full-Face = 50:1 PAPR = 1,000:1 SCBA = 10,000:1 A Factor of 1:1 = No respiratory protection in place Limiting Factors for Each PPE Must be Understood

  10. Half-facepiece Respirator Good particulate protection High Efficiency Particulate Air (HEPA) Cartridges Only Easy to change cartridge Eye Protection Required

  11. APR Fits into Scott Full facepiece CBRN Adapter (200423-01) allows NATO threaded cartridge NIOSH Approved CBRNE Cartridge Meets/exceeds NIOSH Adapter (805622-01) allows the use of 2 quarter turn cartridges

  12. PAPR • Two - MPC40PF canisters • Slight positive pressure • 10 hour battery life • Batteries in cache are for deployment • Can be used off shelf without charging

  13. SCBA • 60 minutes carbon cylinder • Each Task Force • 30 SCBAs • 8 Spare Cylinders • Each HEPP • 30 spare cylinders • 14 harness assemblies

  14. Communication System Ten per TF

  15. Hazards of Working in CPC Physiological (heat stress) Reduced mobility Limited vision (poor peripheral vision) Reduced dexterity May promote claustrophobia

  16. Damage to CPC • Mechanical—cuts, tears, punctures • Thermal—no fire protection • Chemical—no ideal suit to protect against all chemicals • Permeation, penetration, and degradation

  17. Damage Protection for CPC Selection • Application • Behaviors • Conditions Overalls can be used to protect CPC from mechanical damage

  18. Personal Protective Equipment Level A CPC Meets 1994 Class 1 Hazmat Equipment Push Package (HEPP) Only

  19. Personal Protective Equipment Multi Threat Suit Blauer OR Lion Apparel NFPA 1994 Class 2

  20. Personal Protective Equipment Level B Requires SCBA

  21. Personal Protective Equipment Level C

  22. Personal Protective Equipment Level D

  23. Personal Protective Equipment AirBoss Overboot Tingley Boots

  24. Personal Protective Equipment Gloves Nitrile Leather Viton Cotton

  25. Hazmat related pharmaceuticals

  26. Nerve Agent Antidote Kit (NAAK)“DuoDote Auto-Injector” Treatment for symptoms of some insecticide and nerve agent exposures Self aid or Buddy aid Includes Atropine 2.1mg and 2-PAM Chloride 600mg

  27. DuoDote Auto Injector Indications and Dosing: A single NAAK dose may be given for mild symptoms 2 additional doses may be required for “Severe” or persistent symptoms

  28. “Severe” Nerve Agent Symptoms Strange or confused behavior Severe difficulty breathing or copious airway secretions Severe muscular twitching and general weakness Urination or defecation (Involuntary) Convulsions or unconsciousness

  29. Side Effects of NAAK Loss of visual acuity and confusion Dry mouth and eyes, urinary retention Headache and abdominal pain Dangerous hypertension and arrhythmias Increased temperature and flushing …All can be severe in some cases

  30. Convulsant Antidote for Nerve Agent (CANA)“Diazepam Auto-Injector”, One CANA per individual Should be used for buddy-aid only Diazepam 10mg

  31. Injection Site Inject in large muscle of thigh Area hand width below hip to hand width above knee Hold in place 10 seconds

  32. Site Location

  33. Alternate Location Thin persons inject in buttocks Avoid nerve and bone

  34. Misuse • Mishandling that may result in accidental self-injection • Another danger is unnecessary self-injection. Do not use unless: • You show signs and symptoms, • You know you are exposed, or • You are directed

  35. Radioactive Iodide Prophylaxis Potassium Iodide for thyroid protection during some nuclear emergencies Daily dose of one tablet given every 24 hours. Must be given prior to exposure

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

  37. Summary • FEMA US&R CBRNE equipment cache • Scott respiratory equipment • Chemical Protective Clothing (CPC) • Hazmat related pharmaceuticals • Communications Equipment

  38. Review and Examination

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