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1 In Place Patient Decontamination Executive Brief In Place Patient Decontamination Executive Brief UNCLASSIFIED Mike Anastasio (254) 317-1588 Kileen,

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Presentation on theme: "1 In Place Patient Decontamination Executive Brief In Place Patient Decontamination Executive Brief UNCLASSIFIED Mike Anastasio (254) 317-1588 Kileen,"— Presentation transcript:

1 1 In Place Patient Decontamination Executive Brief In Place Patient Decontamination Executive Brief UNCLASSIFIED Mike Anastasio (254) 317-1588 Kileen, TX AnastasioM@Battelle.org Mike Anastasio (254) 317-1588 Kileen, TX AnastasioM@Battelle.org Brent Fenton (850) 247-9942 Shalimar, FL FentonBC@Battelle.org Brent Fenton (850) 247-9942 Shalimar, FL FentonBC@Battelle.org Tom Bocek (228) 365-2278 Biloxi, MS BocekT@Battelle.org Tom Bocek (228) 365-2278 Biloxi, MS BocekT@Battelle.org Eddie McGee (202) 222-5525 Oklahoma City, OK McGeeE@Battelle.org Eddie McGee (202) 222-5525 Oklahoma City, OK McGeeE@Battelle.org Presented by Battelle

2 2 Welcome :-) Thanks to MTF staff:Thanks to MTF staff: IPPD Team Leader:IPPD Team Leader: Participants (Cadre)Participants (Cadre) Medical Logistics:Medical Logistics: Medical Readiness:Medical Readiness: Medical Facilities:Medical Facilities: Thanks to MTF staff:Thanks to MTF staff: IPPD Team Leader:IPPD Team Leader: Participants (Cadre)Participants (Cadre) Medical Logistics:Medical Logistics: Medical Readiness:Medical Readiness: Medical Facilities:Medical Facilities:

3 3 OverviewOverview MissionMission Patient Decontamination DefinedPatient Decontamination Defined Why a new CONOPS for terrorist use of WMDWhy a new CONOPS for terrorist use of WMD How does the IPPD fit in?How does the IPPD fit in? Requires MTF Team ApproachRequires MTF Team Approach IPPD LayoutIPPD Layout MissionMission Patient Decontamination DefinedPatient Decontamination Defined Why a new CONOPS for terrorist use of WMDWhy a new CONOPS for terrorist use of WMD How does the IPPD fit in?How does the IPPD fit in? Requires MTF Team ApproachRequires MTF Team Approach IPPD LayoutIPPD Layout

4 4 MissionMission Train a Cadre of personnel to operate IPPDTrain a Cadre of personnel to operate IPPD Leave Air Base with capabilityLeave Air Base with capability Train a Cadre of personnel to operate IPPDTrain a Cadre of personnel to operate IPPD Leave Air Base with capabilityLeave Air Base with capability

5 USAF IPPD Training Schedule USAF IPPD Training Schedule Wed (Classroom, 8 hours didactic and hands-on training)  0800-0850: Familiarization with IPPD Concept of Operations (Hazardous materials emergencies, potential outcomes)  0900-0950: Understanding Hazardous Substances, Recognition, Types/Terms  1000-1050: Understanding Hazardous Substances, Risks, Decontaminants  1100-1150: Understanding Hazardous Substances, Identification/Detection  1300-1350: Decontamination Equipment familiarization  1400-1450: The Decontamination Process “How To”  1500-1650: Selection and use of PPE (3M  and DTAPS  ) Thu (IPPD Set-up Site, 4 hours hands-on training – PT Gear)  0800-0950: Assemble IPPD package without PPE, then tear down  1000-1120: Assemble IPPD package wearing PPE & Processing contaminated victims  1130-1150: HAZWOPER (timed event)  Graduation  1330-1530: Tear-down, dry-off, clean-up, re-charge, re-stow  Afterward students will be hot, tired, and probably not in condition for return to duty USAF IPPD Training Schedule USAF IPPD Training Schedule Wed (Classroom, 8 hours didactic and hands-on training)  0800-0850: Familiarization with IPPD Concept of Operations (Hazardous materials emergencies, potential outcomes)  0900-0950: Understanding Hazardous Substances, Recognition, Types/Terms  1000-1050: Understanding Hazardous Substances, Risks, Decontaminants  1100-1150: Understanding Hazardous Substances, Identification/Detection  1300-1350: Decontamination Equipment familiarization  1400-1450: The Decontamination Process “How To”  1500-1650: Selection and use of PPE (3M  and DTAPS  ) Thu (IPPD Set-up Site, 4 hours hands-on training – PT Gear)  0800-0950: Assemble IPPD package without PPE, then tear down  1000-1120: Assemble IPPD package wearing PPE & Processing contaminated victims  1130-1150: HAZWOPER (timed event)  Graduation  1330-1530: Tear-down, dry-off, clean-up, re-charge, re-stow  Afterward students will be hot, tired, and probably not in condition for return to duty

6 6 Patient Decontamination (defined) Remove contamination from patients......without further contaminating/injuring the patient....to reduce contamination of medical personnel/assets. (if it works, it’s right) Remove contamination from patients......without further contaminating/injuring the patient....to reduce contamination of medical personnel/assets. (if it works, it’s right)

7 7 Patient Decontamination Wartime vs. Terrorist Response What’s the difference? Wartime vs. Terrorist Response What’s the difference?

8 8 Why a New Concept for Terrorist/Peacetime Decon? Wartime Med Decon WRM Deployable, Palletized Accommodates 500 Alaska Shelters Takes many hours to days to assemble for readiness UTC FFGLA = Equipment (AS 902A) UTC FFGLB = 19 People to operate, and PPE for 38 members Wartime Med Decon WRM Deployable, Palletized Accommodates 500 Alaska Shelters Takes many hours to days to assemble for readiness UTC FFGLA = Equipment (AS 902A) UTC FFGLB = 19 People to operate, and PPE for 38 members Peacetime In-Place Decon Locally Maintained Accommodates 100: (60 ambulatory, 40 litter) Articulating Shelter CONOPS requirement is “ready” in 20 minutes after team assembly 12 People to operate and PPE for 24 members (AS 886A)

9 9 How does the IPPD fit in? Capability and Speed “Inverse Proportions” Capability of Decontamination Team Speed of Decontamination Team Unfortunate but true fact: We must find the fastest way to provide a real capability for terrorist use of WMD

10 10 1995, Tokyo subway sarin incident:1995, Tokyo subway sarin incident: 57% of victims will flee the scene57% of victims will flee the scene Will self present to Medical FacilitiesWill self present to Medical Facilities 1999, HQ USAFE envelope1999, HQ USAFE envelope 1995, Tokyo subway sarin incident:1995, Tokyo subway sarin incident: 57% of victims will flee the scene57% of victims will flee the scene Will self present to Medical FacilitiesWill self present to Medical Facilities 1999, HQ USAFE envelope1999, HQ USAFE envelope Why a Separate CONOPS for terrorist use of WMD?

11 11 2001, 9/11 attacks:2001, 9/11 attacks: Base gates close, traffic stopsBase gates close, traffic stops Medical Facility must function with whoever is availableMedical Facility must function with whoever is available 2001, Anthrax scares:2001, Anthrax scares: 2004, Dover AFB:2004, Dover AFB: 2001, 9/11 attacks:2001, 9/11 attacks: Base gates close, traffic stopsBase gates close, traffic stops Medical Facility must function with whoever is availableMedical Facility must function with whoever is available 2001, Anthrax scares:2001, Anthrax scares: 2004, Dover AFB:2004, Dover AFB: Why a Separate Decontamination Plan for terrorist use of WMD

12 12 How does the IPPD fit in? Emergency Response to Terrorist WMD Incident… For discussion purposes…For discussion purposes… A terrorist releases VX at … Any AFB’s BXA terrorist releases VX at … Any AFB’s BX Disclaimer: Of course different contaminants or different terrorist acts may dictate slightly different responses, however, this scenario will help display our response capabilities:Disclaimer: Of course different contaminants or different terrorist acts may dictate slightly different responses, however, this scenario will help display our response capabilities: For discussion purposes…For discussion purposes… A terrorist releases VX at … Any AFB’s BXA terrorist releases VX at … Any AFB’s BX Disclaimer: Of course different contaminants or different terrorist acts may dictate slightly different responses, however, this scenario will help display our response capabilities:Disclaimer: Of course different contaminants or different terrorist acts may dictate slightly different responses, however, this scenario will help display our response capabilities:

13 13 How does the IPPD fit in? Terrorist WMD Incident Occurs Wind direction BX -VX released at BX -Personnel down

14 14 How does the IPPD fit in? Terrorist WMD Incident Occurs Wind direction BX -Some people are incapacitated and collapse at the scene -Others are affected, and flee the scene for medical care -Thus, two decontamination sites will be necessary (1) at scene, (2) at hospital

15 15 How does the IPPD fit in? Terrorist WMD Incident Occurs Actions at Site 1, The Scene Wind direction BX -Initial Response Force arrives -Entry Control Point Selected ECP

16 16 How does the IPPD fit in? Terrorist WMD Incident Occurs Actions at Site 1, The Scene Wind direction BX ECP Fire Department sets up decontamination systems for rescuers and patients FD will likely perform gross decon initially before they set up full decon

17 17 How does the IPPD fit in? Terrorist WMD Incident Occurs Actions at Site 2, the Hospital HOSPITAL EMERGENCY -Contaminated People that fled the scene begin to show up at the hospital -The hospital must control the flow of contaminated casualties through a decon unit

18 18 How does the IPPD fit in? Terrorist WMD Incident Occurs Actions at Site 2, the Hospital HOSPITAL EMERGENCY -The hospital quickly sets up the IPPD to allow only decontaminated casualties enter the MTF (note: containment berm goes down first as shown) -If contaminated casualties enter the MTF (causing significant contamination) the MTF may have to discontinue operations and move to alternate medical facility.

19 19 Actions at Site 2, the Hospital -IPPD sets up tent -Lane with roller system is for litter casualties on backboards -Lane/s without roller system is for ambulatory (walking casualties) HOSPITAL EMERGENCY

20 20 How does the IPPD fit in? Terrorist WMD Incident Occurs Actions at Site 2, the Hospital HOSPITAL EMERGENCY -IPPD completely set-up, processing 60 ambulatory, and 40 litter patients

21 21 Confounding Factors Limiting Factors we recognize…Limiting Factors we recognize… Not staffed 24 hrsNot staffed 24 hrs Response Time (who will get there first)?Response Time (who will get there first)? Unknown AgentsUnknown Agents Securing MTFSecuring MTF Limiting Factors we recognize…Limiting Factors we recognize… Not staffed 24 hrsNot staffed 24 hrs Response Time (who will get there first)?Response Time (who will get there first)? Unknown AgentsUnknown Agents Securing MTFSecuring MTF

22 22 Requires MTF Team Approach! Patient’s may arrive before recalled personnel arrive to help!Patient’s may arrive before recalled personnel arrive to help! Start with what is available and build capability. There will be no time for debates on who’s job it is!Start with what is available and build capability. There will be no time for debates on who’s job it is! Patient’s may arrive before recalled personnel arrive to help!Patient’s may arrive before recalled personnel arrive to help! Start with what is available and build capability. There will be no time for debates on who’s job it is!Start with what is available and build capability. There will be no time for debates on who’s job it is!

23 23 Top-Down View of MTF Warm Zone with 886A and 886C 886C, IMR = Triage/EMT/Security 886A, IPPD (Decon) 886C, 2 nd Triage MTFMTF Patient FlowDesired Wind Direction 0202 0202

24 24 SummarySummary Patient Decontamination DefinedPatient Decontamination Defined Why a new CONOPS for terrorist use of WMDWhy a new CONOPS for terrorist use of WMD How does the IPPD fit in?How does the IPPD fit in? IPPD LayoutIPPD Layout Requires MTF Team ApproachRequires MTF Team Approach Patient Decontamination DefinedPatient Decontamination Defined Why a new CONOPS for terrorist use of WMDWhy a new CONOPS for terrorist use of WMD How does the IPPD fit in?How does the IPPD fit in? IPPD LayoutIPPD Layout Requires MTF Team ApproachRequires MTF Team Approach Failure To Prepare Is Preparing to Fail Benjamin Franklin


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