EMS & Trauma Systems Section Office of Public Health Preparedness C.B.R.N.E – MCI AWARENESS TRAIN-the-TRAINER EMS & Trauma Systems Section Office of Public Health Preparedness August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

C.B.R.N.E. - MCI State and Regional Initiatives Personal Safety MEDDRUN / CHEMPACK MCI August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

CBRNE / MCI PERSONAL SAFETY August 2005 EMS & Trauma Systems Section Office of Public Health Preparedness

PERSONAL SAFETY Objectives Identify safe practices in a known or suspected CBRNE / WMD incident Recognize utilization of appropriate PPE August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

PERSONAL SAFETY Safety is #1 Assess situation before acting Establish safe zones Don’t assume anything! Communicate Wear PPE Consider possibility of secondary devices [added last bullet on secondary devices] August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

MDCH EMS & Trauma Systems Section Office of Public Health Preparedness August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

Detectable Effects of CBRNE BIOLOGICAL AGENT RELEASE NUCLEAR MATERIAL RELEASE INCENDIARY CHEMICAL AGENT RELEASE EXPLOSION 1 Second 1 Hour 1 Day 1 Week 1 Month August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

Taste, Eat, Smell, or Touch August 2005 EMS & Trauma Systems Section Office of Public Health Preparedness

Respiratory Protection PERSONAL PROTECTION Respiratory Protection Should be used with any patient with cough or flu-like symptoms August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

Respiratory Protection Biological or Chemical PERSONAL PROTECTION Respiratory Protection Biological or Chemical Suspected or Known August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

NIOSH/OSHA/EPA Classification System Level A: Fully encapsulating, chemical resistant suit, gloves and boots, and a pressure demand, self-contained breathing apparatus (SCBA) or a pressure-demand supplied air respirator (air hose) and escape SCBA. (Maximum protection against vapor and liquids) Level B: Non-encapsulating, splash-protective, chemical-resistant suit that provides Level A protection against liquids but is not airtight. (Full respiratory protection is required but danger to skin from vapor is less) Level C: Utilizes a splash suit along with a full-faced positive or negative pressure respirator (a filter type air purifying respirator or PAPR) rather than an SCBA or air line. Level D: Limited to coveralls or other work clothing, boots and gloves August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

Chemical Resistant Suits PERSONAL PROTECTION Chemical Resistant Suits [swapped photos of different levels of PPE (B-D). Technically, the level D example should not have a respirator on] Level D Level C Level B Level A August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness

Gross Decontamination Gross decontamination should occur as soon as possible. August 2005 MDCH EMS & Trauma Systems Section Office of Public Health Preparedness