1. ©2014 SKCFTC Operations Level EMERGENCY DECONTAMINATION

2. ©2014 SKCFTC Emergency Decontamination- Is the physical process of immediately ridding dangerous contaminates from individuals. Emergency decontamination is required for the following conditions: Special protective clothing fails. Special protective clothing fails. First responders accidentally become contaminated. First responders accidentally become contaminated. Victims need IMMEDIATE medical attention. Victims need IMMEDIATE medical attention. (IFSTA Hazardous Materials for First Responders 2 nd Edition) If the victim(s) is/are contaminated but not showing any signs or symptoms of distress, await the arrival of additional resources to provide more effective and private decontamination resources. For example DECON61 from SKFR. If the victim(s) is/are contaminated but not showing any signs or symptoms of distress, await the arrival of additional resources to provide more effective and private decontamination resources. For example DECON61 from SKFR. Definintion

3. ©2014 SKCFTC 1.Park up hill, up wind, up stream. 2.Ensure that your crew is in Bunker Gear and SCBA, on air. Don’t make yourself part of the problem. 3.Retrieve PT from the Hot Zone, if safe to do so. 4.DO NOT waste time to mitigate runoff from your decontamination effort. You are in life saving mode; any environmental damage is secondary. Initial Actions

4. ©2014 SKCFTC There is a difference between being exposed to a chemical release and contaminated by the product. Exposure: The process by which people, equipment and the environment are subjected to or come in contact with a hazardous material. Being exposed to a hazardous material does not mean the exposed person or object is contaminated-it depends on the magnitude of the exposure. Contamination: The transfer of a hazardous material to persons, equipment or the environment in greater than acceptable quantities. (IFSTA Hazardous Materials for First Responders 2 nd Editon) Exposed vs Contaminated

5. ©2014 SKCFTC If you have large number of PTs contaminated AND they need immediate decontamination consider an aerial master stream or creating a corridor with two engines. Keep the pressures low. We are removing contamination not skin!! Remember to: 1.Don proper PPE and be on air. 2.Develop a plan on where to shelter the PTs. They will come out the other side cold and wet. If possible, find a place that is warm and dry. If you cannot, think about delaying decontamination until more resources arrive. 3.Have PTs remove any contaminated clothing and leave it in the hot zone. They do not have to remove all clothing, just what is visibly contaminated. 4.Use crews to manage movement of PTs. Have them move through the corridor in a slow, methodical manner. 5.If people do not want decon, don’t force them, they probably haven’t been exposed. Exposed PTs who are exhibiting symptoms of the exposure should be first in the queue, then all others who have been contaminated and lastly, those requesting decontamination. Conscious Multiple Patients

6. ©2014 SKCFTC AERIAL MASTER STREAM ENGINE CORRIDOR Conscious Multiple Patients Hot Zone Cold Zone

7. ©2014 SKCFTC 1.Remove PT from the Hot Zone to a Warm Zone. 2. Rinse PT with large amounts of water. 3.Drag PT out of runoff and toward the Cold Zone. 4.Remove PT clothing/PPE. If PT is a FF, Remove air pack but DO NOT remove facepiece or disconnect air supply. 5.Drag away from clothing. 6.Rinse again with large amounts of water. 7.Drag out of run off. 8.Roll and wash again. 9.Drag PT out of runoff and toward the Cold Zone. At this point facepiece can be removed. 10.Start BLS/ALS treatment as required. Unconscious and Viable Patient

8. ©2014 SKCFTC Unconscious and Viable Patient Step 1 While wearing proper PPE, remove PT from the Hot Zone to the Warm Zone.

9. ©2014 SKCFTC Unconscious and Viable Patient Step 2 Rinse PT with large amounts of water. Use a fog stream and low pressure. The goal is to remove the contamination NOT their skin.

10. ©2014 SKCFTC Unconscious and Viable Patient Step 3 Drag PT out of runoff and towards the Cold Zone. It is preferable that the PT be dragged uphill away from the runoff if possible.

11. ©2014 SKCFTC Unconscious and Viable Patient Step 4 Cut PT clothing/PPE to remove. IF PT is a FF, remove air pack but DO NOT remove facepiece or disconnect air supply.

12. ©2014 SKCFTC Unconscious and Viable Patient Step 5 Drag PT away from clothing/PPE, out of runoff, uphill and toward the Cold Zone.

13. ©2014 SKCFTC Unconscious and Viable Patient Step 6 Rinse PT again with large amounts of water.

14. ©2014 SKCFTC Unconscious and Viable Patient Step 7 Drag PT out of runoff, uphill and toward the Cold Zone

15. ©2014 SKCFTC Unconscious and Viable Patient Step 8 Roll PT over and rinse again.

16. ©2014 SKCFTC Unconscious and Viable Patient Step 9 Drag PT out of runoff, uphill and toward the Cold Zone. At this point, if the PT is a FF, the facepiece can be removed. Step 10 Initiate BLS/ALS treatment.

17. ©2014 SKCFTC Please direct any questions/comments to CPT Sean Penwell spenwell@kentfirerfa.org Office: 253-856-4332 Questions???