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Enhanced Operations

Enhanced Operations. Overview. FEMA US&R WMD equipment cache Scott respiratory equipment Chemical Protective Clothing (CPC) Hands-on practice WMD PPE. Objective.

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Enhanced Operations

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  1. Enhanced Operations

  2. Overview • FEMA US&R WMD equipment cache • Scott respiratory equipment • Chemical Protective Clothing (CPC) • Hands-on practice WMD PPE

  3. Objective Upon completion of this module, students will be able to select, don, and work in the appropriate WMD PPE and execute emergency procedures

  4. 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

  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

  6. Ongoing Issues • 173 (52%) show partial improvement • Remain on medical leave or light duty • Some pending disability retirement

  7. Additional Ongoing Issues • Respiratory illness after WTC exposure • 358 firefighters on medical leave or light duty • 5 EMS remain on medical leave or light duty • 500 firefighters (4%) of 11,336 responders may qualify for disability

  8. MMWR Conclusions • Need for respiratory protection • Respiratory protection not NIOSH certified or fit tested • Training on respiratory protection • Discomfort • Heat stress

  9. Respiratory Protection • Facepiece with Kevlar head piece • Facepiece accommodates and will do all three functions • APR • PAPR • SCBA

  10. Protection Factors • APR = 50:1 • PAPR = 1,000:1 • SCBA = 10,000:1 1 is no respiratory protection in place

  11. APR • Fits into Scott Full Facepiece • Adapter allows NATO cartridge • Multi-Purpose Cartridge (MPC) Plus • Meets/exceeds NIOSH

  12. PAPR • Two - MPC Plus 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 • 30 units per TF

  14. Half-Facepiece Respirator • Good particulate protection • MPC Plus • Easy to change cartridge DON’T FORGET EYE PROTECTION!

  15. Communication System • Ten per TF • May encrypt

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

  17. Damage to CPC • Mechanical—cuts, tears, punctures • Thermal—no fire protection • Chemical—no ideal suit to protect against all chemicals Overalls protect CPC Overalls protect CPC

  18. Damage to CPC (cont) • Permeation, penetration, and degradation (TF may have to augment sizes with grant money)

  19. Personal Protective Equipment Level A

  20. Personal Protective Equipment Level B

  21. Personal Protective Equipment Level C

  22. Personal Protective Equipment Level D

  23. Personal Protective Equipment Boots

  24. Personal Protective Equipment Gloves

  25. Agent Specific PPE • Biological • Radiological • Nerve and Blister • Choking • Blood

  26. Nerve Agent Antidote • Good for nerve agent only • Use only on symptomatic and contaminated patients • Self or Buddy aid Atropine 2-PAM chloride CANA (diazepam)

  27. Injector • Sharp needle will penetrate CPC

  28. Atropine • Induce or exacerbate Angina Pectoris • Increased heart rate • Up to three injections to counter nerve agent • Evacuate individual

  29. 2 PAM Chloride • Reverses respiratory depression and muscle paralysis • Inject after each atropine injection

  30. CANA • Convulsant antidote for nerve agent • One CANA per individual • Should be used for buddy-aid only

  31. Side Effects • Dangerous hypertension • Irregular heartbeats

  32. Self Injection • Hold in hand • Do not place thumb on end • Atropine first, then 2 PAM Cl

  33. Holding and Injecting

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

  35. Site Location

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

  37. CANA • Given as buddy-aid • Only one per individual

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

  39. Potassium Iodide • Protection only for thyroid from radioiodines • Daily dose good for 24 hours

  40. Module 3 Activity, Hands-on CPC and Respiratory Protection

  41. Summary • Scott respirators • CPC • Mark 1 • Hands-on activity

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