1. 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

2. 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

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

4. 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

5. 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

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

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

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

9. 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

10. 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

11. 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

12. 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

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