Pictogram demonstrating the blot and rub method for performing dry decontamination on casualties with scalp hair. Pictogram demonstrating the blot and.

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Pictogram demonstrating the blot and rub method for performing dry decontamination on casualties with scalp hair. Pictogram demonstrating the blot and rub method for performing dry decontamination on casualties with scalp hair. Following disrobe, use a ‘blot then rub’ technique to apply the decontamination material. Clean the face first to remove contamination from around the eyes, nose and mouth. The hands should be cleaned next, followed by any other skin areas that may not have been initially protected by clothing. Head hair should be contaminated last, as hair provides a high degree of protection against chemical contaminants. Repeat steps 3–6 as necessary. Use clean decontamination material for each step (if available in sufficient quantity). Used decontamination material should be placed by the casualties into a suitable waste receptacle (eg, clinical waste bag and bin liner) immediately after use. Casualties with no appreciable head hair should be instructed to decontaminate the scalp skin immediately after the face, using clean decontamination material. Robert P Chilcott et al. Emerg Med J 2019;36:117-123 Copyright © BMJ Publishing Group Ltd and the College of Emergency Medicine. All rights reserved.