1. National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Module 3: US&R WMD Personal Protective Equipment Mod 3-1 Version 3 Enhanced Operations

2. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-2 Overview FEMA US&R WMD equipment cache FEMA US&R WMD equipment cache Scott respiratory equipment Scott respiratory equipment Chemical Protective Clothing (CPC) Chemical Protective Clothing (CPC) Hands-on practice WMD PPE Hands-on practice WMD PPE

3. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-3 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. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-4 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. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-5 MMWR Report September 2002 World Trade Center Related Cough World Trade Center Related Cough 332 Firefighters 332 Firefighters One Emergency Medical Service Worker One Emergency Medical Service Worker Each had four or more weeks of medical leave

6. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-6 Ongoing Issues 173 (52%) show partial improvement 173 (52%) show partial improvement Remain on medical leave or light duty Remain on medical leave or light duty Some pending disability retirement Some pending disability retirement

7. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-7 Additional Ongoing Issues Respiratory illness after WTC exposure Respiratory illness after WTC exposure 358 firefighters on medical leave or light duty 358 firefighters on medical leave or light duty 5 EMS remain 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 500 firefighters (4%) of 11,336 responders may qualify for disability

8. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-8 MMWR Conclusions Need for respiratory protection Need for respiratory protection Respiratory protection not NIOSH certified or fit tested Respiratory protection not NIOSH certified or fit tested Training on respiratory protection Training on respiratory protection Discomfort Discomfort Heat stress Heat stress

9. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-9 Respiratory Protection Facepiece with Kevlar head piece Facepiece with Kevlar head piece Facepiece accommodates and will do all three functions Facepiece accommodates and will do all three functions APR APR PAPR PAPR SCBA SCBA

10. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-10 Protection Factors APR = 50:1 APR = 50:1 PAPR = 1,000:1 PAPR = 1,000:1 SCBA = 10,000:1 SCBA = 10,000:1 1 is no respiratory protection in place

11. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-11 APR Fits into Scott Full Facepiece Fits into Scott Full Facepiece Adapter allows NATO cartridge Adapter allows NATO cartridge Multi-Purpose Cartridge (MPC) Plus Multi-Purpose Cartridge (MPC) Plus Meets/exceeds NIOSH Meets/exceeds NIOSH

12. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-12 PAPR Two - MPC Plus canisters Two - MPC Plus canisters Slight positive pressure Slight positive pressure 10 hour battery life 10 hour battery life Batteries in cache are for deployment Batteries in cache are for deployment Can be used off shelf without charging Can be used off shelf without charging

13. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-13 SCBA 60 minutes carbon cylinder 60 minutes carbon cylinder 30 units per TF 30 units per TF

14. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-14 Half-Facepiece Respirator Good particulate protection Good particulate protection MPC Plus MPC Plus Easy to change cartridge Easy to change cartridge DONT FORGET EYE PROTECTION!

15. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-15 Communication System Ten per TF Ten per TF May encrypt May encrypt

16. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-16 Hazards of Working in CPC Physiological (heat stress) Physiological (heat stress) Reduced mobility Reduced mobility Limited vision (poor peripheral vision) Limited vision (poor peripheral vision) Reduced dexterity Reduced dexterity May promote claustrophobia May promote claustrophobia

17. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-17 Damage to CPC Mechanicalcuts, tears, punctures Mechanicalcuts, tears, punctures Thermalno fire protection Thermalno fire protection Chemicalno ideal suit to protect against all chemicals Chemicalno ideal suit to protect against all chemicals Overalls protect CPC

18. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-18 Damage to CPC (cont) Permeation, penetration, and degradation Permeation, penetration, and degradation (TF may have to augment sizes with grant money)

19. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-19 Personal Protective Equipment Level A

20. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-20 Personal Protective Equipment Level B

21. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-21 Personal Protective Equipment Level C

22. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-22 Personal Protective Equipment Level D

23. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-23 Personal Protective Equipment Boots

24. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-24 Personal Protective Equipment Gloves

25. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-25 Agent Specific PPE Biological Biological Radiological Radiological Nerve and Blister Nerve and Blister Choking Choking Blood Blood

26. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-26 Nerve Agent Antidote Good for nerve agent only Good for nerve agent only Use only on symptomatic and contaminated patients Use only on symptomatic and contaminated patients Self or Buddy aid Self or Buddy aid Atropine 2-PAM chloride CANA (diazepam)

27. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-27 Injector Sharp needle will penetrate CPC Sharp needle will penetrate CPC

28. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-28 Atropine Induce or exacerbate Angina Pectoris Induce or exacerbate Angina Pectoris Increased heart rate Increased heart rate Up to three injections to counter nerve agent Up to three injections to counter nerve agent Evacuate individual Evacuate individual

29. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-29 2 PAM Chloride Reverses respiratory depression and muscle paralysis Reverses respiratory depression and muscle paralysis Inject after each atropine injection Inject after each atropine injection

30. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-30 CANA Convulsant antidote for nerve agent Convulsant antidote for nerve agent One CANA per individual One CANA per individual Should be used for buddy-aid only Should be used for buddy-aid only

31. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-31 Side Effects Dangerous hypertension Dangerous hypertension Irregular heartbeats Irregular heartbeats

32. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-32 Self Injection Hold in hand Hold in hand Do not place thumb on end Do not place thumb on end Atropine first, then 2 PAM Cl Atropine first, then 2 PAM Cl

33. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-33 Holding and Injecting

34. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-34 Injection Site Inject in large muscle of thigh Inject in large muscle of thigh Area hand width below hip to hand width above knee Area hand width below hip to hand width above knee Hold in place 10 seconds Hold in place 10 seconds

35. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-35 Site Location

36. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-36 Alternate Location Thin persons inject in buttocks Thin persons inject in buttocks Avoid nerve and bone Avoid nerve and bone

37. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-37 CANA Given as buddy-aid Given as buddy-aid Only one per individual Only one per individual

38. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-38 Misuse Mishandling that may result in accidental self-injection Mishandling that may result in accidental self-injection Second greatest danger is unnecessary self-injection Second greatest danger is unnecessary self-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 directed You are directed

39. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-39 Potassium Iodide Protection only for thyroid from radioiodines Protection only for thyroid from radioiodines Daily dose good for 24 hours Daily dose good for 24 hours

40. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-40 Module 3 Activity, Hands-on CPC and Respiratory Protection

41. Version 3 National Urban Search & Rescue Response System National Urban Search & Rescue Response System Weapons of Mass Destruction Mod 3-41 Summary Scott respirators Scott respirators CPC CPC Mark 1 Mark 1 Hands-on activity Hands-on activity