1. Training Package Carbon Monoxide Release

2. Module 0: Introduction  Course goal  National Hazardous Materials Fusion Center: –Purpose –RIST  Conducting training: –All information stems from actual event  Administrative information 1

3. Module 1: The Incident  Initial dispatch information: –Location –Hazmats present –Unique response considerations 2

4. Module 1: The Incident  Initial incident size up: –New information –Response considerations –Hazmats present –Preparations –Conditions –Additional scene information 3

5. Module 2: Incident Response © National Hazardous Materials Fusion Center 4

6. Module 2: Incident Response 5 © National Hazardous Materials Fusion Center

7. Module 2: Incident Response  Hazardous material behavior: –Material –Container –Initial response objectives –Other significant issues 6

8. Module 2: Incident Response  Incident response: –Strategies & tactics –Issues or injuries –Environment –Equipment –Risks versus benefits –Response issues 7

9. Module 3: Lessons Learned  Lessons learned  Smart practices / response considerations  Hazardous material information: –Carbon monoxide 8

10. Module 3: Lessons Learned Symptoms Associated with a Given Concentration of Carboxyhemoglobin (COHb) % COHbSymptoms and Medical Consequences 10No symptoms; heavy smokers can have as much as 9% COHb 15Mild headache 25Nausea & serious headache; fairly quick recovery after treatment with oxygen & / or fresh air 30Symptoms intensify; potential for long-term effects especially in the case of infants, children, the elderly, victims of heart disease, & pregnant women 45Unconsciousness 50+Death Source: Copyright 1995, H. Brandon Guest & Hamel Volunteer Fire Department Rights to reproduce granted provided copyright information & this statement included in their entirety. This document provided for informational purposes only. No warranty with respect to suitability for use expressed or implied. 9

11. Module 3: Lessons Learned Symptoms Associated with a Given Concentration of Carbon Monoxide (CO) Over Time ppm COTimeSymptoms 358 hoursMaximum exposure allowed by OSHA in the workplace over an 8-hour period 2002–3 hoursMild headache, fatigue, nausea, & dizziness 4001–2 hoursSerious headache & other symptoms intensify; life-threatening after 3 hours 80045 minutesDizziness, nausea, & convulsions; unconscious ≤ 2 hours; death ≤ 2-3 hours Source: Copyright 1995, H. Brandon Guest & Hamel Volunteer Fire Department Rights to reproduce granted provided copyright information & this statement included in their entirety. This document provided for informational purposes only. No warranty with respect to suitability for use expressed or implied. 10

12. Module 3: Lessons Learned Symptoms Associated with a Given Concentration of Carbon Monoxide (CO) Over Time ppm COTimeSymptoms 1,60020 minutesHeadache, dizziness, & nausea; death ≤ 1 hour 3,2005–10 minutesHeadache, dizziness, & nausea; death ≤ 1 hour 6,4001–2 minutesHeadache, dizziness, & nausea; death ≤ 25–30 minutes 12,8001–3 minutesDeath Source: Copyright 1995, H. Brandon Guest & Hamel Volunteer Fire Department Rights to reproduce granted provided copyright information & this statement included in their entirety. This document provided for informational purposes only. No warranty with respect to suitability for use expressed or implied. 11

13. Module 4: Moving Forward / Planning Ahead  Planning Activity: –Surveying the incident –Container ID / marking –Monitoring equipment –Response objectives –Incident command 12

14. Module 4: Moving Forward / Planning Ahead  Planning Activity: –Communication –PPE –Decontamination –Policies & procedures –Mutual aid 13

15. Module 4: Moving Forward / Planning Ahead  Planning Activity: –Training –Resources –Risk versus benefit –Smart practices 14