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Unit 5.3 MISSION SPECIFIC: Victim Rescue & Mass Decontamination

Unit 5.3 MISSION SPECIFIC: Victim Rescue & Mass Decontamination. Objectives. Identify safety and risk management considerations for victim rescue and mass decontamination Identify the proper considerations for personal protective equipment during victim rescue and PPE

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Unit 5.3 MISSION SPECIFIC: Victim Rescue & Mass Decontamination

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  1. Unit 5.3 MISSION SPECIFIC: Victim Rescue & Mass Decontamination

  2. Objectives • Identify safety and risk management considerations for victim rescue and mass decontamination • Identify the proper considerations for personal protective equipment during victim rescue and PPE • Identify the different types of victim rescue, recovery and decontamination • Identify decontamination triage considerations • Identify various victim decontamination methods • Demonstrate the ability to properly establish and perform victim rescue and decontamination

  3. Chemical/Physical Properties • VP • VD • SG • Flammability • Toxicity • Reactivity • Radioactivity

  4. Risk Based Response • The process of developing personal protective measures designed to specifically address the hazards that are present at the scene in order to achieve an acceptable level of risk • Risk little to gain little!!!!

  5. Risks • Is in everything we do • Impossible to eliminate all risk • Objective  Reduce it to an acceptable level • Acceptable risk? • Knowledge, training • Safety Officer • Step by step process

  6. Step One • Identify the hazards • Thermal • Etiological • Asphyxiation • Mechanical/Electrical • Chemical • Psychological • Radiological

  7. Step Two • Develop measures to reduce each hazard present to an acceptable level of risk • Proper PPE • Suppression of flammable vapors with foam • Elimination of ignition sources • Use of protective hose lines • Cooling of exposed containers • Based upon hazards present

  8. Command Considerations • Develop a plan • Constantly evaluate situation • Sequence of events • Request resources • Perimeters and access control • Stage resources • Casualty collect point • Select PPE • Establish decontamination for personnel

  9. Risk Assessment • Risks • Considerations • Threat to victim and responders • Vulnerability • Consequences • Likelihood of favorable outcome

  10. Rescue considerations • Safety first • Trained in victim rescue • Proper PPE • Operate under SOP or technician guidance • Mass causality victim rescue

  11. Types of Rescue • Self • Bystander • Technical • Remote • Assisted • Facilitated • Line of site • Non-line of site • Ambulatory vs. non-ambulatory

  12. Incident Commander • Develops a plan based on: • Safety • Incident factors • Material • Victims • Resources • Starts with size up

  13. Sequence of Events • Request additional resources • Establish perimeter • Secure access and egress • Designate staging area • Initiate causality collection point • Designate treatment and transport areas • Notify medical facilities • Select appropriate PPE • Establish decontamination

  14. Steps to Rescue • Category of rescue • Line of site vs. non-line of site • Ambulatory vs. non-ambulatory • Victim removal process • Triage • Use of specialized equipment • Maintaining accountability

  15. Emergency Decontamination • Rapid removal of contaminates • Medical considerations • Methods • Advantages • Step-up of emergency decontamination • Location • Water supply • Run-off retention

  16. Mass Decontamination • Accomplished by • Single hose line • Multiple hose lines • Single engine • Two engines • Two engine and a ladder • Salvage tarps for privacy

  17. Mass Decontamination • Water • Usually not heated • Runoff not a priority • Use grassy area if possible • Victim • Material involved • Ambulatory vs. non-ambulatory

  18. Mass Decontamination • Wet outer garments • Remove outer garments (80%) and package • Flush with water • Cover with blankets or provide clothes • Redress kits

  19. Mass decontamination • Systems • Improvised • Portable systems • Decontamination trailers • Methods • Dilution • Isolation • Washing

  20. Specific Considerations • Chemical agents • Biological agents • Radiological agents

  21. Chemical Agents • Solid, liquid or vapor • Time is critical • Remove clothing • Flush with water • Soap and water can be used • .5% bleach not recommended

  22. Biological Agents • Wet victims first!! • Disrobe • Flush with water • Warm water and antibacterial hypoallergenic soap recommended • .5% bleach not recommended

  23. Radiological Agents • Disrobe • Flush with water • Check for contamination • Pancake probe • Swab area to remove

  24. Summary • Risk based response • Command activities and sequence • Types and methods of recovery • Emergency decontamination • Mass decontamination

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