National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Module 3: US&R WMD Personal Protective

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



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



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


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



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



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



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



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



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



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



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



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



SCBASCBA 60 minutes carbon cylinder60 minutes carbon cylinder 30 units per TF30 units per TF

Mod 3-14Version 3



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



Communication SystemCommunication System Ten per TFTen per TF May encryptMay encrypt

Mod 3-16Version 3



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



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



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



Personal Protective EquipmentPersonal Protective Equipment

Level ALevel A

Mod 3-20Version 3




Level BLevel B

Mod 3-21Version 3




Level CLevel C

Mod 3-22Version 3




Level DLevel D

Mod 3-23Version 3




BootsBoots

Mod 3-24Version 3




GlovesGloves

Mod 3-25Version 3



Agent Specific PPEAgent Specific PPE BiologicalBiological RadiologicalRadiological Nerve and BlisterNerve and Blister ChokingChoking BloodBlood

Mod 3-26Version 3



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



InjectorInjector Sharp needle will penetrate CPCSharp needle will penetrate CPC

Mod 3-28Version 3



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



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



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



Side EffectsSide Effects Dangerous hypertensionDangerous hypertension Irregular heartbeatsIrregular heartbeats

Mod 3-32Version 3



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



Holding and InjectingHolding and Injecting

Mod 3-34Version 3



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



Site LocationSite Location

Mod 3-36Version 3



Alternate LocationAlternate Location Thin persons inject in buttocksThin persons inject in buttocks Avoid nerve and boneAvoid nerve and bone

Mod 3-37Version 3



CANACANA Given as buddy-aidGiven as buddy-aid Only one per individualOnly one per individual

Mod 3-38Version 3



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



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



Module 3 Activity, Module 3 Activity, Hands-on CPC Hands-on CPC and Respiratory Protectionand Respiratory Protection

Mod 3-41Version 3



SummarySummary Scott respiratorsScott respirators CPCCPC Mark 1Mark 1 Hands-on activityHands-on activity

Documents

National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Module 3: US&R WMD Personal Protective