Which nerve agent is the most persistent, is very oily, and will stay active in an area for several days? (A series of three arrows in the upper right, one arrow 20 degrees above and the other arrow 20 degrees below the central arrow, indicate wind direction toward the HOTLINE.) Removal of Contaminated Surfaces Disposal of deeply permeated materials, e.g., clothing, floor mats, and seats. Botulinum toxin, supportive care and antitoxin. 5. Another series of arrows pointing downward go to another rectangle, the Remove Mask final decon area. A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough. The effectiveness of any decontamination method should be assessed at the beginning of a program and periodically throughout the lifetime of the program. Why is it important to preserve biodiversity? The Equipment Drop Area (from left to right) is indicated by a rectangle with a circle below indicating the location of the Plastic sheet and a right pointing arrow to another rectangle divided by a diagonal line into the Decon Outer Garments area and the Remove Boot Covers and Outer Gloves area with a circle below indicating the location of a 10 gallon can. Which of the following is not a consideration during treatment of the victims? The primary toxicity of pulmonary agents is to the _____ and follows _____ of smoke, particles, valors, or gases. Which of the following is the correct first step taken when giving the visual CBRN alarm hand and arm signal? The M256A2 Sampler Detector Kit CANNOT DETECT, Your M240 medium MG was contaminated with a non-persistent liquid nerve agent. Outer Garment, Boots, and Gloves Wash and Rinse. In addition, site conditions may permit the use of cooling devices such as cool water hose, ice packs, cool towels, etc. In some cases, effectiveness can be estimated by visual observation. If contaminants that have permeated a material are not removed by decontamination, they may continue to permeate to either surface of the material where they can cause an unexpected exposure. Which of the following statements is a correct statement regarding the Mask Only command? 1. 2. Water rinse, using pressurized or gravity flow. Repeat as many times as necessary. The procedures for decontaminating personnel upon leaving the contaminated area are addressed for each of the EPA, OERR designated levels of protection. Long-handled brushes for general exterior cleaning. You are under overhead cover to prevent further contamination. Remove boot covers and deposit in container with plastic liner. Don the mitt and pick up sorbent pack 3. 14. Wash splash suit, gloves, and safety boots. What is the correct procedure when using M8 Chemical Detector Paper to test for a suspected chemical hazard. A patient presents to the emergency room all exhibiting the following symptoms: nausea, vomiting, problems with eye movement, dry mouth, sore throat, difficulty swallowing, no gag reflex, and extreme weakness. In some situations, the cleaning solutions used and wastes removed during decontamination may generate harmful vapors. What is the correct procedure to decontaminate personal equipment using M100 SDS? Which of the following statements are correct regarding biological weapon characteristics? Remove your headgear and remove glasses if worn (End), If Yes, (Arrow to box below) Transport to Medical Facility (End). DECONTAMINATION GUIDANCE FOR CHEMICAL INCIDENTS The Primary Response Incident Scene Management (PRISM) series was written to provide authoritative, evidence-based guidance on mass patient disrobe and decontamination during a chemical incident. When establishing a decontamination line, each aspect should be incorporated separately or combined with other aspects into a procedure with fewer steps (such as the Minimum Decontamination Procedures). A U-tube manometer connected between two points along the bottom indicates a differential reading of 0.1in0.1 \mathrm{in}0.1in. 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). Amyl nitrite, sodium nitrite, sodium thiosulfate Which of the following is considered a pulmonary (choking) agent? All junctures should be taped to prevent contaminants from funning inside the gloves, boots, and jackets (or suits, if one-piece construction). Grasp the head harness tab and pull the head harness over your head Immediately flush eyes with water. 4. Soap or wash solution, wash cloths, and towels for personnel. 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. Open mask carrier flap and remove the mask Which of the following cell types are least sensitive to ionizing radiation damage? Rinse solutions selected to remove contaminants and contaminated wash solutions. 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. Julie S Snyder, Linda Lilley, Shelly Collins, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Flashcards - P1 | Neuroanatomia Funcional. Based on the information would you suspect chickenpox or smallpox? If worker leaves exclusion zone to change air tank, this is the last step in the decontamination procedure. (Continue to decision arrow below) Additional Emergency Care Required? Volatile liquid contaminants can be removed from protective clothing or equipment by evaporation followed by a water rinse. With assistance of helper, remove splash suit. Rinse off decon solution water. 5. Which form of plague is responsible? 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. Select the important steps that you should take. 2. U.S. Army Equipment Information. Marines can best protect themselves from biological hazards by maintaining a high-level of personal hygiene while deployed and by ensuring that their_______ are up to date? The instrument processing area should be physically divided into sections for 1) receiving, cleaning, and decontamination; 2) preparation and . aSource: Excerpted from Field Standard Operating Procedures for the Decontamination of Response Personnel {FSOP 7}. A decontamination plan should be developed (as part of the Site Safety Plan) and set up before any personnel or equipment may enter areas where the potential for exposure to hazardous substances exists. Remove mitt for decom kit on plastic drop cloths or in different containers with plastic liners. Decontaminating Pets Municipal (tap) water sources may be contaminated during a radiation emergency. Smallpox can spread from one person to another by the following routes: For which virus is the mosquito not known as a possible vector? Testing for the presence of permeated chemical contaminants requires that pieces of the protective garments be sent to a laboratory for analysis. Pulmonary (choking) agents primarily enter the victim by what means? Amyl nitrite, sodium nitrite, sodium thiosulfate. 13. Cold water may also cause hypothermia. 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 'CBRN' is the abbreviation commonly used to describe the malicious use of Chemical, Biological, Radiological and Nuclear materials or weapons with the intention to cause significant harm or. Removing radioactive material from a person, object, or place is called decontamination. Team leader for M240 MMGT. Remove or neutralize contamination. It is reported that the smell of bitter almonds is in the air. Segregation at the drop reduces the probability of cross-contamination. If Yes, (Arrow to second box below) Are the decontamination materials compatible with the hazardous substances present? Separate flow patterns and stations should be provided to isolate workers from different contamination zones containing incompatible wastes. Decontamination protects workers from hazardous substances that may contaminate and eventually permeate the protective clothing, respiratory equipment, tools, vehicles, and other equipment used on site; it protects all site personnel by minimizing the transfer of harmful materials into clean areas; it helps prevent mixing of incompatible chemicals; and it protects the community by preventing uncontrolled transportation of contaminants from the site. Place laser and/or sunlight outserts in outsert pocket. Surfactants augment physical cleaning methods by reducing adhesion forces between contaminants and the surface being cleaned, and by preventing redeposit of the contaminants. 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. 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. During hot weather operations, a cool down station may be set up within this area. Three basic methods of decontamination are physical removal, chemical deactivation, and biological deactivation of the agent. An increase in temperature generally increases the permeation rate of contaminants. 3. What is the best method of decontamination? Intelligence reports indicate that the enemy is preparing to conduct a mounted attack through your sector in the next hour. 4. Don your mask before going into the room Select the three components, in correct order of administration, utilized in the treatment for cyanide exposure. Lockers and cabinets for storage of decontaminated clothing and equipment. 4. The impact of the decontamination process and compounds on worker safety and health. 1,2 Because of the adverse health consequences of chemical incidents, the US government considers both deliberate and accidental release to be a serious threat to public health. Wipe testing provides after-the-fact information on the effectiveness of decontamination. Nonpolar compounds (e.g., some organic compounds). DC. The decontamination plan should: The plan should be revised whenever the type of personal protective clothing or equipment changes, the site conditions change, or the site hazards are reassessed based on new information. As a result some support vehicles, crew-served weapons, barrier material, and ammunition were exposed to chemical-warfare hazards. Different Methods of Chemical Decontamination Chemical spills can be found in various forms from gas, liquid, solid, fumes, dust, fibers, or vapors. In an emergency, the primary concern is to prevent the loss of life or severe injury to site personnel. Surfactants. Patient presents with 5-day-old blisters/rash mostly on the arm, face and hands. Place opened sorbent pack in case The door is open; many victims are lying . For labs that process routine patient specimens, that microbial presence may exist in the form of bloodborne pathogens, bacteria, fungi, and even prions. 12. (End), (Initial box on left side) Accident/Injury Event. Describe how amino acids join to form a peptide bond . Establish methods and procedures to minimize worker contact with contaminants during removal of personal protective clothing and equipment (PPE). Similarly, HazMat refers to hazardous materials which pose a threat to human and environmental health. Which of the following statements does NOT describe Brucellosis? In general, all fasteners should be used (i.e., zippers fully closed, all buttons used, all snaps closed, etc.) Physical Removal 9. Some contaminants adhere by forces other than electrostatic attraction. Recognizing which compartment(s) are damaged and minimizing that damage. In many cases, gross contamination can be removed by physical means involving dislodging/displacement, rinsing, wiping off, and evaporation. What is the first step in self decontamination? Smallpox, because the rash is centrifugal on the patient. The longer a contaminant is in contact with an object, the greater the probability and extent of permeation. During hot weather operations, a cool down station may be set up within this area. Remove clothing and place in lined container. Remove and open canteen. These procedures were derived from the U.S. Environmental Protection Agency, Office of Emergency and Remedial Response's (OERR), "Interim Standard Operating Safety Guides (revised Sep. 82)". Rinse off decon solution using water. 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: SCBA Backpack Removal, to Station 12: Splash Suit Removal, to Station 13: Inner Glove Wash, to Station 14: Inner Glove Rinse, to Station 15: Face Piece Removal, to Station 16: Inner Glove Removal, to Station 17: Inner Clothing Removal which has an arrow crossing downward past the CONTAMINATION CONTROL LINE, to Station 18: Field Wash (within the SUPPORT ZONE), which has an arrow across to Station 19: Redress, the final station. *WARNING: Some organic solvents can permeate and/or degrade the protective clothing. Which of these are fast-acting compounds that attack oxygen-dependent tissues known to be particularly sensitive to these compounds? The MarketWatch News Department was not involved in the creation of this content. Encase the source of contaminants, e.g., with plastic sheeting or overpacks. Slowly passing a radiation detector (RADIAC) over the entire body. Rinsing. What type of biological toxin is predominately derived from the bean of the castor plant? He exhibits symptoms of fever, mild hypotension, flushing, conjunctival injection, and now a bad rash has appeared that is bleeding in spots. If No, (Arrow to box to the right) Report to Superiors for Instructions. The purpose of the decontamination process is to reduce the number of these contaminants in order to . Station 7: Suit/Safety Boot Wash (within the CONTAMINATION REDUCTION ZONE), to Station 8: Suit/SCBA/Boot/Glove Rinse. Properly stowing the AAL, accessories and mask. Place and secure hood around the edge of FPM 3. A group of victims has been admitted to your triage unit. Which of the following cell types are least sensitive to ionizing radiation damage? 5 Levels of MOPP. Disconnect hose from regulator valve and proceed to next station. on plastic drop cloths. Patient reports fever started several days before blisters appeared. Wearing PPE can put the responder at considerable risk both physically and psychologically. Stow clear outsert and clear outsert pouch. Repeat process for both eyes. The following advanced imaging techniques are discussed in the text: CT, angiography, PET, sonography, and MRI Stow operator cards and waterproofing bag. Disinfection refers to the elimination of virtually all pathogenic organisms on inanimate objects and surfaces thereby reducing the level of microbial contamination to an acceptably safe level. If Yes, (Arrow to third box below) Are the decontamination materials compatible with the materials to be decontaminated? The MOPP chemical protective ensemble components are donned in a set order depending on the MOPP level. important steps that you should take. 8. Contaminants can be located either on the surface of personal protective equipment or permeated into the PPE material. 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. 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. A series of numbered hexagons point downward toward the CONTAMINATION CONTROL LINE.) Upgrade to MOPP IV. Consult specialists if necessary. What are the proper masking procedures? 10. Contact higher headquarters (HQ) if no contamination is found or if you determine the attack was non-CB. Smallpox can spread from one person to another by the following routes: A patient was admitted to the hospital suffering from the following symptoms for the last 5 days: fever, malaise, fatigue, and nonproductive cough.
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