Module 3: Personal Protective Equipment (PPE)

2. Module 3: Personal Protective Equipment (PPE)

3. Terminal Objective Upon completion of this module, students will be able to discuss the importance of respiratory protection and recognize medical interventions for exposures.

4. Enabling Objectives 3-1 Students will be able to recognize the importance of wearing the appropriate respiratory protection 3-2 Students will be able to identify levels of respiratory protection and Personal Protective Equipment 3-3 Identify medical interventions available for exposure to hazardous materials/CBRNE

5. Overview • FEMA US&R CBRNE equipment cache • Scott respiratory equipment • Chemical Protective Clothing (CPC) • Hazmat related pharmaceuticals • Communications Equipment

6. MMWR Report September 2002 • World Trade Center Related Cough • 332 Firefighters • One Emergency Medical Service Worker Each had four or more weeks of medical leave Morbidity and Mortality Weekly Report

7. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report September 2002

8. 2010 FDNY Medical Office Study 9/11 Effects 5,000 rescue workers tested ALL had lung impairments Average 10% impairment 30% – 40% persistent symptoms 1,000 permanent respiratory disability

9. Respiratory Protection • OSHA 29 CFR 1910.134 compliant • Facepiece with Kevlar head piece • Facepiece allows for: • Air Purifying Respirator (APR) • Powered Air Purifying Respirator (PAPR) • Self Contained Breathing Apparatus (SCBA) Scott AV3000 Sure Seal facepiece

10. Protection Factors N95 Particulate Mask = 10:1 APR Half-Face = 10:1 APR Full-Face = 50:1 PAPR = 1,000:1 SCBA = 10,000:1 A Factor of 1:1 = No respiratory protection in place Limiting Factors for Each PPE Must be Understood

11. Half-facepiece Respirator Good particulate protection High Efficiency Particulate Air (HEPA) Cartridges Only Easy to change cartridge Eye Protection Required

12. APR Fits into Scott Full facepiece CBRN Adapter (200423-01) allows NATO threaded cartridge NIOSH Approved CBRNE Cartridge Meets/exceeds NIOSH Adapter (805622-01) allows the use of 2 quarter turn cartridges

13. PAPR • Two - MPC40PF canisters • Slight positive pressure • 10 hour battery life • Batteries in cache are for deployment • Can be used off shelf without charging

14. SCBA • 60 minutes carbon cylinder • Each Task Force • 30 SCBAs • 8 Spare Cylinders • Each HEPP • 30 spare cylinders • 14 harness assemblies

15. Communication System Ten per TF

16. Hazards of Working in CPC Physiological (heat stress) Reduced mobility Limited vision (poor peripheral vision) Reduced dexterity May promote claustrophobia

17. Damage to CPC • Mechanical—cuts, tears, punctures • Thermal—no fire protection • Chemical—no ideal suit to protect against all chemicals • Permeation, penetration, and degradation

18. Damage Protection for CPC Selection • Application • Behaviors • Conditions Overalls can be used to protect CPC from mechanical damage

19. Personal Protective Equipment Level A CPC Meets 1994 Class 1 Hazmat Equipment Push Package (HEPP) Only

20. Personal Protective Equipment Multi Threat Suit Blauer OR Lion Apparel NFPA 1994 Class 2

21. Personal Protective Equipment Level B Requires SCBA

22. Personal Protective Equipment Level C

23. Personal Protective Equipment Level D

24. Personal Protective Equipment AirBoss Overboot Tingley Boots

25. Personal Protective Equipment Gloves Nitrile Leather Viton Cotton

26. Hazmat related pharmaceuticals

27. Nerve Agent Antidote Kit (NAAK)“DuoDote Auto-Injector” Treatment for symptoms of some insecticide and nerve agent exposures Self aid or Buddy aid Includes Atropine 2.1mg and 2-PAM Chloride 600mg

28. DuoDote Auto Injector Indications and Dosing: A single NAAK dose may be given for mild symptoms 2 additional doses may be required for “Severe” or persistent symptoms

29. “Severe” Nerve Agent Symptoms Strange or confused behavior Severe difficulty breathing or copious airway secretions Severe muscular twitching and general weakness Urination or defecation (Involuntary) Convulsions or unconsciousness

30. Side Effects of NAAK Loss of visual acuity and confusion Dry mouth and eyes, urinary retention Headache and abdominal pain Dangerous hypertension and arrhythmias Increased temperature and flushing …All can be severe in some cases

31. Convulsant Antidote for Nerve Agent (CANA)“Diazepam Auto-Injector”, One CANA per individual Should be used for buddy-aid only Diazepam 10mg

32. Injection Site Inject in large muscle of thigh Area hand width below hip to hand width above knee Hold in place 10 seconds

33. Site Location

34. Alternate Location Thin persons inject in buttocks Avoid nerve and bone

35. Misuse • Mishandling that may result in accidental self-injection • Another danger is unnecessary self-injection. Do not use unless: • You show signs and symptoms, • You know you are exposed, or • You are directed

36. Radioactive Iodide Prophylaxis Potassium Iodide for thyroid protection during some nuclear emergencies Daily dose of one tablet given every 24 hours. Must be given prior to exposure

37. Module 3 Activity, Hands-on PPE/CPC and Respiratory Protection

38. Summary • FEMA US&R CBRNE equipment cache • Scott respiratory equipment • Chemical Protective Clothing (CPC) • Hazmat related pharmaceuticals • Communications Equipment

39. Review and Examination