Visual 3.2 Your Own Safety is … #1

Visual 3.3 Always work with a… BUDDY!

Visual 3.4 Only do what you have been ___________ to do!!! TRAINED

Visual 3.5 WEAR SAFETY EQUIPMENT!  Hard Hat  Goggles  Mask (N95)  Gloves  Boots

Visual 3.6 Think and ___________ the scene before acting… SIZE UP

Visual 3.7 Hazardous Materials means stay “Uphill, Upwind, and_______________” UPSTREAM

Visual 3.8 Provide the “Greatest _________ for the Greatest_____________” GOOD NUMBER

Visual 3.9 Use your creativity to:  ADAPT  IMPROVISE  OVERCOME

Visual 3.10 Unit 2, Module1—Triage Objectives 1. Identify the “killers.” 2. Apply techniques for opening airways, controlling bleeding, and treating for shock. 3. Conduct triage under simulated disaster conditions.

Visual 3.11 Treatment of Life-Threatening Conditions The “Killers”:  Airway obstruction  Excessive bleeding  Shock The Treatment:  Open the airway  Control bleeding  Treat for shock

Visual 3.12 Opening the Airway Components of a respiratory system:  Lung  Bronchus  Larynx  Pharynx  Nasal Air Passage  Trachea

Visual 3.13 Controlling Bleeding There are three main methods for controlling bleeding:  Direct pressure  Elevation  Pressure points

Visual 3.14 Treating for Shock 1. Lay the victim on his or her back.  Elevate the feet 6-10 inches above the level of the heart.  Maintain an open airway. 2.Control obvious bleeding. 3.Maintain body temperature 4.Avoid moving unless the rescuer and victim are in immediate danger.

Visual 3.15 RPM’s  Respiration – over 30 per minute  Perfusion – over 2 seconds  Mental Status – Unconscious, or altered  Check all three – treat all three!

Visual 3.16 START Triage Video

Visual 3.17 Flow Chart Anything R, P, M altered Immediate R espiration Comfort Position P erfusion M ental Status Unconscious or Altered LOC Treat for Shock Not breathing after Head Tilt Dead - V Over 2 sec. Control Bleeding, Treat for Shock Over 30/Min

Visual 3.18 Flow Chart Nothing altered but needs additional treatment at hospital Delayed - D Walking Wounded treated at scene or Uninjured Minor - M

Visual 3.19 Procedures for Conducting Triage  Stop, Look, Listen, and Think  Conduct voice triage  Start where you stand  Evaluate each victim and tag them  Treat “I” victims immediately  Document triage results

Visual 3.20 Performing Triage Evaluation Open Airway Control Bleeding Treat for Shock

Visual 3.21Practice Dead = V Immediate = I Delayed = D Minor = M Marking pen, surveyor’s tape, triage tag, etc.

Visual 3.22 Triage Pitfalls  No team plan, organization, or goal  Indecisive leadership  Too much focus on one injury  pregnant, chest pains, diabetic, amputation  Treatment (rather than triage) performed

Visual 3.23 Unit 2, Module2—Fire Safety Objectives  Explain the role of CERTs in fire safety.  Identify and reduce potential fire risks in the home and workplace.  Conduct a basic size-up for a fire emergency.  Understand basic safety precautions.  Shutoff utilities.  Extinguish small fires using a fire extinguisher.

Visual 3.24 The Fire Triangle

Visual 3.25 Reducing Fire Hazards in Home and Workplace  Avoid the “electrical octopus.”  Don’t run cords under carpets.  Replace broken or frayed cords.  Maintain appliances.

Visual 3.26 Reducing Fire Hazards in Home and Workplace  Install a natural gas detector or carbon monoxide detector.  Locate and label gas shut-offs.  Test smoke detectors regularly!!!!!

Visual 3.27 CERT sizeup Answer these questions:  Can my buddy and I fight the fire safely?  Do we have the right equipment?  Are there other hazards?  Is the building structurally damaged?  Can we escape?

Visual 3.28 Fire Chemistry Classes of fire:  A: Ordinary combustibles  B: Flammable and combustible liquids  C: Energized electrical equipment  D: Combustible metals

Visual 3.29 Types of Fire Extinguishers  Water  Dry chemical  Carbon dioxide  Specialized fire extinguisher Recommended 3A 40B:C (10 lb) Metal top

Visual 3.30 Every Day Fire Safety Tips  Store extinguisher AWAY from potential fire hazards - but readily accessible.  Have the right fire extinguisher.  Fires should be no bigger than a garbage can.  30 seconds  Have two ways to exit and stay low to the ground.  Maintain a safe distance.  Call ASAP

Visual 3.31 Firefighting Resources Resources available:  Portable fire extinguishers  Wet standpipes  Confinement  “Creative” resources

Visual 3.32 Fire Suppression Safety  Use safety equipment.  Have the right fire extinguisher.  Work in a buddy system.  Have a backup team.  Have two ways to exit and stay low to the ground.  Maintain a safe distance – Stay Upwind.  Overhaul the fire.

Visual 3.33 P.A.S.S  Pull  Aim  Squeeze  Sweep Test the extinguisher before approaching any fire.

Visual 3.34 Activity #1 Extinguisher Demo

Visual 3.35 Only fight a fire if…  It is no bigger than a garbage can  It has not spread beyond the ignition source  Special Considerations  Car Fires  Hotel Room Fires

Visual 3.36 Unit 2, Module 3—Haz. Mat. Objectives The role of CERT Members to Hazardous Materials includes:  Identify hazardous materials in the home and community  Recognition of hazardous materials labels/placards  Understand basic safety precautions  Assist with evacuations or shelter in place where necessary

Visual 3.37 What are Hazardous Materials?  FLAMMABLE: Fuels (gases, solids and liquids) that can easily ignite  CORROSIVE: Chemicals or chemical vapors that cause damage to body tissues  TOXIC: may cause injury or death if inhaled, ingested or absorbed by the skin  REACTIVE: reacts strongly with water or is unstable when exposed to heat or shock

Visual 3.38 Common Household Hazardous Materials  Aerosol Sprays  Automotive Products Fuel, car batteries, antifreeze, motor oil  Caustics/Corrosives Cleaning products, photographic chemicals  Paint Products  Pesticides & Herbicides  Solvents Polishes (furniture, shoe and silver) moth balls

Visual 3.39 Reducing Hazards in Home and Workplace Read labels and use L.I.E.S. storage procedures Limit amount of hazardous material in storage Isolate products in approved containers, stored away from ignition sources Eliminate products that are no longer necessary by proper disposal Separate incompatible materials such as chlorine and ammonia

Visual 3.40 Reducing & Disposing Hazardous Materials Reduce Re-use Recycle Santa Clara County Hazardous Waste Recycling & Disposal Program Cleanup California, Earth California Poison Control

Visual 3.41 Identifying Stored Hazardous Materials

Visual 3.42 Identifying Stored Hazardous Materials NFPA 704 Diamond-White Quadrant: W Shows unusual reactivity with water OX Possesses oxidizing properties

Visual 3.43 Large & Small Storage Containers

Visual 3.44 Identifying Hazardous Materials in Transit OrangeRed WhiteRed Red & White Red & White BlueYellow White Yellow & White Black & White

Visual 3.45 Identifying Hazardous Materials in Transit Name Chemical Class Symbol Chemical Number Chemical Class

Visual 3.46 Hazardous Materials in Transit

Visual 3.47 Hazardous Materials Incident Recognition  Many Hazardous Materials incidents are not initially reported as Haz Mat Incidents  Initial emergency scene may not indicate hazardous materials, look for signs:  Placards/Signage  People collapsed or feeling nauseous  Evidence of liquid spills, fire, smoke, or vapors with unusual colors/odors  Loud roar or increased pitch of an operating relief valve

Visual 3.48 Hazardous Materials Incident Safety  Be cautious. Treat materials as hazardous (don’t touch or inhale) until identification is confirmed  Approach from uphill, upwind & upstream  Maintain a safe distance using the rule of thumb (when held upright, thumb should cover the incident scene)  Isolate & deny entry  Do not eat,drink or smoke in the incident area  Do not use ignition sources near incident area  Notify authorities Remember…Your Safety is #1!

Visual 3.49 Decontamination  Avoid removing clothes over head  Use cool water and soap  Isolate the area  Properly dispose of clothing

Visual 3.50 Shelter in Place  Lock all doors and windows for a better seal  Turn off heating/air conditioning systems  Close vents/fireplaces dampers  Move to an interior room  Seal gaps around doorways and windows  Turn on your radio

Visual 3.51 Wrap Up  Questions  Homework  Snack Assignment  Feedback Sheet