National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemOperation in the Contaminated Environment
Version 4
National Urban Search & Rescue Response System Enhanced OperationsIn The Contaminated Environment October 2012
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Module 3: Personal Protective Equipment (PPE)
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Upon completion of this module, students will be Upon completion of this module, students will be able to discuss the importance of respiratory able to discuss the importance of respiratory protection and recognize medical interventions for protection and recognize medical interventions for exposures. exposures.
Mod 3-3
Terminal ObjectiveTerminal Objective
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
3-1 Students will be able to recognize 3-1 Students will be able to recognize
the importance of wearing the appropriate the importance of wearing the appropriate respiratory protection respiratory protection
3-2 Students will be able to identify levels of 3-2 Students will be able to identify levels of respiratory protection and Personal respiratory protection and Personal
Protective Protective Equipment Equipment 3-3 Identify medical interventions available for 3-3 Identify medical interventions available for
exposure to hazardous materials/CBRNE exposure to hazardous materials/CBRNE
Mod 3-4
Enabling Objectives
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
FEMA US&R CBRNE equipment cacheFEMA US&R CBRNE equipment cache Scott respiratory equipmentScott respiratory equipment
Chemical Protective Clothing (CPC)Chemical Protective Clothing (CPC)
Hazmat related pharmaceuticalsHazmat related pharmaceuticals
Communications EquipmentCommunications Equipment
Mod 3-5
OverviewOverview
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
World Trade Center Related CoughWorld Trade Center Related Cough 332 Firefighters332 Firefighters One Emergency Medical Service WorkerOne Emergency Medical Service Worker
Mod 3-6
MMWR Report September 2002MMWR Report September 2002
Morbidity and Mortality Weekly ReportMorbidity and Mortality Weekly Report
Each had four or more weeks of medical leave
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-7
Centers for Disease Control and Prevention
Morbidity and Mortality Weekly Report
September 2002
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
5,000 rescue workers tested5,000 rescue workers tested ALL had lung impairmentsALL had lung impairments Average 10% impairmentAverage 10% impairment 30% – 40% persistent symptoms30% – 40% persistent symptoms 1,000 permanent respiratory disability1,000 permanent respiratory disability
Mod 3-8
2010 FDNY Medical Office Study 9/11 2010 FDNY Medical Office Study 9/11 EffectsEffects
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
OSHA 29 CFR 1910.134 OSHA 29 CFR 1910.134 compliantcompliant
Facepiece with Kevlar Facepiece with Kevlar head piecehead piece
Facepiece allows for:Facepiece allows for: Air Purifying Respirator (APR)Air Purifying Respirator (APR) Powered Air Purifying Respirator (PAPR) Powered Air Purifying Respirator (PAPR) Self Contained Breathing Apparatus (SCBA)Self Contained Breathing Apparatus (SCBA)
Mod 3-9
Respiratory Protection Respiratory Protection
Scott AV3000 Sure Seal facepiece
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
N95 Particulate Mask = 10:1N95 Particulate Mask = 10:1 APR Half-FaceAPR Half-Face = 10:1 = 10:1 APR Full-Face = 50:1APR Full-Face = 50:1 PAPRPAPR = 1,000:1 = 1,000:1
SCBASCBA = 10,000:1 = 10,000:1
A Factor of 1:1 = No respiratory protection in placeA Factor of 1:1 = No respiratory protection in place
Mod 3-10
Protection FactorsProtection Factors
Limiting Factors for Each PPE Must be Understood
Limiting Factors for Each PPE Must be Understood
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Good particulate protectionGood particulate protection High Efficiency Particulate Air (HEPA) High Efficiency Particulate Air (HEPA)
Cartridges OnlyCartridges Only Easy to change cartridgeEasy to change cartridge
Eye Protection RequiredEye Protection Required
Mod 3-11
Half-facepiece RespiratorHalf-facepiece Respirator
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Fits into Scott Full facepieceFits into Scott Full facepiece CBRN Adapter (200423-01) CBRN Adapter (200423-01)
allows NATO threaded allows NATO threaded cartridgecartridge
NIOSH Approved CBRNE NIOSH Approved CBRNE CartridgeCartridge
Meets/exceeds NIOSHMeets/exceeds NIOSH Adapter (805622-01) allows the Adapter (805622-01) allows the
use of 2 quarter turn cartridgesuse of 2 quarter turn cartridges
Mod 3-12
APRAPR
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Two - MPC40PF canistersTwo - MPC40PF canisters Slight positive pressureSlight positive pressure 10 hour battery life10 hour battery life
Batteries in cache are for Batteries in cache are for deploymentdeployment
Can be used off shelf without Can be used off shelf without chargingcharging
Mod 3-13
PAPRPAPR
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
60 minutes carbon cylinder60 minutes carbon cylinder Each Task ForceEach Task Force
30 SCBAs30 SCBAs 8 Spare Cylinders8 Spare Cylinders
Each HEPPEach HEPP 30 spare cylinders30 spare cylinders 14 harness assemblies14 harness assemblies
Mod 3-14
SCBASCBA
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Ten per TFTen per TF
Mod 3-15
Communication SystemCommunication System
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Physiological (heat stress)Physiological (heat stress) Reduced mobilityReduced mobility Limited vision (poor peripheral vision) Limited vision (poor peripheral vision) Reduced dexterityReduced dexterity May promote claustrophobia May promote claustrophobia
Mod 3-16
Hazards of Working in CPCHazards of Working in CPC
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Mechanical—cuts, tears, punctures Mechanical—cuts, tears, punctures Thermal—no fire protection Thermal—no fire protection Chemical—no ideal suit to protect Chemical—no ideal suit to protect
against all chemicals against all chemicals Permeation, penetration, and Permeation, penetration, and
degradation degradation
Mod 3-17
Damage to CPCDamage to CPC
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
SelectionSelection ApplicationApplication BehaviorsBehaviors ConditionsConditions
Mod 3-18
Damage Protection for CPCDamage Protection for CPC
Overalls can be used to protect CPC from
mechanical damage
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Level A CPC Level A CPC Meets 1994 Class 1Meets 1994 Class 1 Hazmat Equipment Hazmat Equipment
Push PackagePush Package
(HEPP) Only(HEPP) Only
Mod 3-19
Personal Protective Equipment Personal Protective Equipment
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Multi Threat SuitMulti Threat Suit Blauer Blauer
OROR Lion ApparelLion Apparel
Mod 3-20
Personal Protective Equipment Personal Protective Equipment
NFPA 1994 Class 2
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Level BLevel B
Requires SCBARequires SCBA
Mod 3-21
Personal Protective Equipment Personal Protective Equipment
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Level CLevel C
Mod 3-22
Personal Protective Equipment Personal Protective Equipment
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Level DLevel D
Mod 3-23
Personal Protective Equipment Personal Protective Equipment
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-24
Personal Protective Equipment Personal Protective Equipment
AirBoss Overboot Tingley Boots
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
GlovesGloves
Mod 3-25
Personal Protective Equipment Personal Protective Equipment
Nitrile
Cotton
LeatherViton
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-26
Hazmat related pharmaceuticalsHazmat related pharmaceuticals
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Treatment for symptoms of some insecticide and Treatment for symptoms of some insecticide and nerve agent exposuresnerve agent exposures
Self aid or Buddy aidSelf aid or Buddy aid
Mod 3-27
Nerve Agent Antidote Kit (NAAK)Nerve Agent Antidote Kit (NAAK)““DuoDote Auto-InjectorDuoDote Auto-Injector””
Includes Atropine 2.1mg and 2-PAM Chloride 600mg
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Indications and Dosing:Indications and Dosing: A single NAAK dose may be given for A single NAAK dose may be given for
mild symptomsmild symptoms 2 additional doses may be required for 2 additional doses may be required for
““SevereSevere”” or persistent symptoms or persistent symptoms
Mod 3-28
DuoDote Auto InjectorDuoDote Auto Injector
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Strange or confused behaviorStrange or confused behavior Severe difficulty breathing or copious airway Severe difficulty breathing or copious airway
secretionssecretions Severe muscular twitching and general Severe muscular twitching and general
weaknessweakness Urination or defecation (Involuntary)Urination or defecation (Involuntary) Convulsions or unconsciousnessConvulsions or unconsciousness
Mod 3-29
““SevereSevere”” Nerve Agent Symptoms Nerve Agent Symptoms
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Loss of visual acuity and confusionLoss of visual acuity and confusion Dry mouth and eyes, urinary retentionDry mouth and eyes, urinary retention Headache and abdominal painHeadache and abdominal pain Dangerous hypertension and Dangerous hypertension and
arrhythmiasarrhythmias Increased temperature and flushingIncreased temperature and flushing
……All can be severe in some casesAll can be severe in some cases
Mod 3-30
Side Effects of NAAKSide Effects of NAAK
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
One CANA per individualOne CANA per individual Should be used for buddy-aid onlyShould be used for buddy-aid only
Mod 3-31
Convulsant Antidote for Nerve Agent (CANA)Convulsant Antidote for Nerve Agent (CANA)““Diazepam Auto-InjectorDiazepam Auto-Injector””
, ,
Diazepam 10mg
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Inject in large muscle of thighInject in large muscle of thigh Area hand width below hip to hand Area hand width below hip to hand
width above kneewidth above knee Hold in place 10 secondsHold in place 10 seconds
Mod 3-32
Injection SiteInjection Site
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-33
Site LocationSite Location
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Thin persons inject in buttocksThin persons inject in buttocks Avoid nerve and boneAvoid nerve and bone
Mod 3-34
Alternate LocationAlternate Location
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Mishandling that may result in Mishandling that may result in accidentalaccidental self-injection self-injection
Another danger is Another danger is unnecessaryunnecessary self- self-injection. Do not use unless:injection. 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 directedYou are directed
Mod 3-35
MisuseMisuse
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Potassium Iodide for thyroid protection during some Potassium Iodide for thyroid protection during some nuclear emergenciesnuclear emergencies
Daily dose of one tablet given every 24 hours. Must Daily dose of one tablet given every 24 hours. Must be given prior to exposurebe given prior to exposure
Mod 3-36
Radioactive Iodide ProphylaxisRadioactive Iodide Prophylaxis
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-37
Module 3 Activity, Hands-on Module 3 Activity, Hands-on PPE/CPC and Respiratory ProtectionPPE/CPC and Respiratory Protection
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1 Mod 3-38
SummarySummary FEMA US&R CBRNE equipment cacheFEMA US&R CBRNE equipment cache
Scott respiratory equipmentScott respiratory equipment
Chemical Protective Clothing (CPC)Chemical Protective Clothing (CPC)
Hazmat related pharmaceuticalsHazmat related pharmaceuticals
Communications EquipmentCommunications Equipment
National Urban Search & Rescue Response SystemNational Urban Search & Rescue Response SystemEnhancedEnhanced Operations in the Contaminated Environment
Version 4 Version 1
Review and Examination