Treatment of patients suffering from pulmonary agent exposure should focus on? While still wearing facepiece, remove backpack and place on table. 2. 11. Physical Removal 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. The Station 8 numbered hexagon has two arrows, the first arrow points to Station 9: Tank 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: Splash Suit Removal, to to Station 12: Inner Glove Wash, to Station 13: Inner Glove Rinse, to Station 14: Face Piece Removal, to Station 15: Inner Glove Removal, to Station 16: Inner Clothing Removal which has an arrow crossing downward past the CONTAMINATION CONTROL LINE, to Station 17: Field Wash (within the SUPPORT ZONE), which has an arrow across to Station 18: Redress, the final station. The brucellae are highly infectious via the aerosol route and brucellosis is associated with a high mortality rate. Contact time. After contact with a substance and M9 Chemical Detector Tape, what should be assumed to have occurred if spots or streaks of pink, red-brown, red-purple, or any shade of red are present on the exposed tape? What toxin do you suspect and how do you treat it? In industry, cyanide compounds are widely used during: A group of victims has been admitted to your triage unit. Remove face piece. Emergency Preparedness and Response Course Study with Quizlet and memorize flashcards containing terms like You are certain that your patient, who is now convulsing from nerve agent exposure Volatile liquid contaminants can be removed from protective clothing or equipment by evaporation followed by a water rinse. Open sorbent pack 4. 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. He has been feeling ill since his return from safari in Africa a few days ago. Is the decontamination method effective for the specific substances present? Various decontamination methods are listed in Table 1. FM 3-11.4. SCBA deposited on plastic sheets. 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. Decontamination workers who initially come in contact with personnel and equipment leaving the Exclusion Zone will require more protection from contaminants than decontamination workers who are assigned to the last station in the decontamination line. 6. He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. What form of ionizing radiation can penetrate deeply into body tissue? A patient who works at an insecticide manufacturing plant is admitted to the emergency room. Volatile liquids. Pressurized sprayers for washing and rinsing, particularly hard-to-reach areas. How does cyanide cause cell death in the body? cool down stations maybe set up within this area. Worker returns to duty. If symptoms persist, seek assistance. Physical removal methods for gross contaminants include scraping, brushing, and wiping. Treat all life-threatening injuries first, Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____, _____ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves, What phase is characterized by improvement of symptoms but becomes shorter with increasing doses. Avoid cold water which tends to close skin pores, trapping radioactive contamination. During hot weather operations, a cool down station may be set up within this area. Patients with concurrent surgical injuries and radiation exposure should either be operated on expeditiously or _____________________________. The sequence of stations is called the decontamination line. Raise the mask to your face and place your chin firm in the chin cup Chest x-rays reveal a widened mediastinum and the patient?s white blood cell count is elevated. 2. The door is open; many victims are lying . Open sorbent pack Don your mask before going into the room Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. Perform two decontamination cycles if feasible, with a whole body radiation survey after each cycle. Hold breath, close eyes, don FPM, and pass alarm. Scrub with long-handle scrub brush and decon solution. Segregation at the drop reduces the probability of cross-contamination. 1. Snap barrel locks under the chin Expand All Heat sterilization (wet or dry) Liquid disinfection Vapors and gases Radiation (ionizing or non-ionizing) Expand All Contact EH&S Biosafety . How is the victim of a pulmonary agent exposure presenting with respiratory distress less than 4 hours after exposure classified? 9.9102E)6.91096.9 \times 10^{-9}6.9109. Another series of arrows pointing downward go to another rectangle, the Remove SCBA final decon area. 7. ________ damage brings death very quickly so that the consequences of exposure to other systems do not have time to express themselves. Close slide fastener and secure hook-and-pile tape __________ occurs outside of the incident area when people come in contact with a contaminated person or object. What Improvement to the M50 field protective mask (FPM) indicates that the M61 filters are no longer serviceable? 4. Each category is discussed below. The potential for wastes to permeate, degrade, or penetrate materials used for personal protective clothing and equipment, vehicles, tools, buildings, and structures. 2. The procedures given are for the maximum and minimum amount of decontamination used for each level of protection. Processed foods and temperature-abused foods are most commonly associated with These are available commercially as wash additives or anti-static sprays. What CBRNE agent inhibits the enzyme AChE allowing Ach to accumulate affecting the way cells transmit signals to the body? The door is open; many victims are lying on the floor. Federal law establishes \rule{1cm}{1pt} schedules of classification for the control of dangerous drugs. Wash solutions selected to wash off and reduce the hazards associated with the contaminants. What is the correct procedure for doffing the M50 Joint-Service General Purpose Mask (JSGPM)? If an emergency due to a heat-related illness develops, protective clothing should be removed from the victim as soon as possible to reduce the heat stress. Some detergents can be used with organic solvents to improve the dissolving and dispersal of contaminants into the solvent. on plastic drop cloths or in different containers with plastic liners. Human decontamination is the process of removing hazardous materials from the human body, including chemicals, radioactive substances, and infectious material. Stow clear outsert and clear outsert pouch. Following a nuclear detonation, some of the casualties with survivable injuries are possibly contaminated with radiological material. Biological weapons have unique characteristics when compared to chemical or nuclear and radiological weapons. 5. Boots, fully-encapsulating suit, inner gloves removed and deposited in separate containers lined with plastic. 2. Describe how amino acids join to form a peptide bond . 14. More protection is provided at higher MOPP levels but at the cost of performance degradation. Treat all life-threatening injuries first. 2. 17. Solidifying liquid or gel contaminants can enhance their physical removal. Hot weather rest station maybe set up within this area for personnel returning to site. 1. Segregation at the drop reduces the probability of cross contamination. ____ poisoning. Perform assisted ventilation is necessary. Decontaminating yourself will lower your exposure to harmful radioactive material. Air tank is exchanged, new outer gloves and boot covers donned, and joints taped. HZ is a weak acid. Water rinse, using pressurized or gravity flow. delayed until past the time of bone marrow suppression and delayed wound healing. Don the mitt and pick up sorbent pack 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. Amyl nitrite, sodium nitrite, sodium thiosulfate. Intelligence reports indicate that the enemy is preparing to conduct a mounted attack through your sector in the next hour. Decontamination is the act of minimizing the overall pathogenic microbial presence. Each category is discussed below. 1. Which type of anthrax is responsible for the patient's symptoms? Soft-Bristled Scrub Brushes, a. The Primary Response Incident Scene Management (PRISM) series is comprised of three volumes that can help ensure that patients exposed to potentially hazardous chemicals receive the most effective treatment possible during the initial stages of an incident (after prompt decontamination). The level of protection required will vary with the type of decontamination equipment used. The purpose of the decontamination process is to reduce the number of these contaminants in order to . Check for NTAA injectors - position casualty on their side. 3. 7. Chlorine bleach is a widely used method for decontamination, however, chlorine bleach is quite potent and can cause severe damage to the skin and even blindness if contact occurs in your eyes. 1. In some situations, the cleaning solutions used and wastes removed during decontamination may generate harmful vapors. What do you do first? Nuclear/Radiological Incident Task Force 6. Patient presents with 5-day-old blisters/rash mostly on the arm, face and hands. Remove tape around boots and gloves and deposit in container with plastic liner. Use a stick to remove large globs of agent off the skin. In general, all fasteners should be used (i.e., zippers fully closed, all buttons used, all snaps closed, etc.) 3. 1.3 The maximum decontamination procedures for all levels of protection consist of specific activities at nineteen stations. If worker leaves exclusion zone to change air tank, this is the last step in the decontamination procedure. 5. Workers with large areas of damaged skin should be kept from working on site until the skin heals. External Decontamination: Removing radioactive materials on your skin, hair, or clothing. The Mask Only command is not a mission-oriented protective posture (MOPP) Level, but it is part of the MOPP system. Fully Encapsulating Suit and Hard Hat Removal. Which of the bacterial diseases produces a non-specific illness that may produce a prolonged disability but is rarely fatal? Which of the following cell types are least sensitive to ionizing radiation damage? Place opened sorbent pack in case Stress work practices that minimize contact with hazardous substances (e.g., do not walk through areas of obvious contamination, do not directly touch potentially hazardous substances). When the decontamination line is no longer required, contaminated wash and rinse solutions and contaminated articles must be contained and disposed of as hazardous wastes in compliance with state and federal regulations. Presidential Policy Directive-8 Decontamination will be conducted in the __________ hazard zone. Immediate decontamination If No, (Arrow to box on right side) Perform Life-Saving Procedures. The door is open; many victims are lying on the floor. 4. What evidence indicates that annelids and mollusks are closely related? 12. 2. Removal of electrostatically attached materials can be enhanced by coating the clothing or equipment with anti-static solutions. A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. 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. Permeation increases as the contaminant molecule becomes smaller, and as the pore space of the material to be permeated increases. 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. Emergency Preparedness and Response Course -, Emergency Preparedness and Response Course, Emergency Preparedness and Response Course- C, Emergency Preparedness Response Course (EPRC), Emergency preparedness and response course- C. All personnel should be trained in the Standard Operating Procedures for minimizing contact and maximizing worker protection, and these procedures should be enforced throughout site operations. 3.4 The type of CBRN agent is one of the primary factors in determining the timing of decontamination operations. The MOPP chemical protective ensemble components are donned in a set order depending on the MOPP level. 7. Establish methods and procedures to minimize worker contact with contaminants during removal of personal protective clothing and equipment (PPE). The effectiveness of any decontamination method should be assessed at the beginning of a program and periodically throughout the lifetime of the program. The decontamination site should NOT be located: What is the best method of decontamination? 5 Levels of MOPP. \\ Which of the following bacterial diseases is contagious person to person? Patient reports fever started several days before blisters appeared. The M50 JSGPM can protect against military chemical-biological (CB) agents, select toxic industrial chemicals (TICs), and radiological particulates. Rinse solutions selected to wash off and reduce the hazards associated with the contaminants. Lift your mask away from your face. Contaminants can be located either on the surface of personal protective equipment or permeated into the PPE material. (Initial box on right side). Slowly passing a radiation detector (RADIAC) over the entire body. To the right of the HOTLINE, above the rectangle, two circles indicate the location of the Decon Solution and Water. Fully encapsulated suit is removed with assistance of a helper and laid out on a dropcloth or hung up. Scrub outer boots, outer gloves and chemical-resistant splash suit with decon solution or detergent and water. When giving the visual CBRN alarm hand and arm signal, what is the proper way to extend your arms and position your hands? 11. Expectant For each CBRN message type, there are three set identifiers - (M) mandatory, (C) conditional and (O). Emergency decontamination has become a major response objective of first responders to terrorist incidents. Don FPM and check seal Determine appropriate decontamination methods. For this reason, disposable PPE is recommended for use with infectious agents. 2. The amount of radiation that an individual absorbs depends on _____? From a health and safety standpoint, two key questions must be addressed: Decontamination methods vary in their effectiveness for removing different substances. Encase the source of contaminants, e.g., with plastic sheeting or overpacks. In dental health care settings, all instrument cleaning, disinfecting, and sterilizing should occur in a designated central processing area in order to more easily control quality and ensure safety. Nonpolar compounds (e.g., some organic compounds). Do not wear inner clothing off-site since there 'is a possibility that small amounts of contaminant might have been transferred in removing the fully-encapsulating suit. 2. What is the correct procedure to decontaminate personal equipment using M100 SDS? A group of victims has been admitted to your triage unit. What are the proper masking procedures? (End), If Yes, (Arrow to fifth box below) Can appropriate protective measures be institution. A)1.410101.4 \times 10^{-10} All equipment used for decontamination must be decontaminated and/or disposed of properly. Immediately flush eyes with water. What toxin do you suspect and how do you treat it? You suspect Lewisite. Wash splash suit, gloves, and safety boots.
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