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C h e m i c al & D e t e r g e nt S u i c i d e s

C h e m i c al & D e t e r g e nt S u i c i d e s.

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C h e m i c al & D e t e r g e nt S u i c i d e s

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  1. Chemical&Detergent Suicides

  2. Police,Fire,andEMSshouldbeawarethatthesesuicidestypicallytakeplaceinaconfinedspacelikeavehicle,closetorsmallbathroom.The subjectusuallyplacesthechemicalsinthe bucketandmixesthecombinationtogether.AsthemixtureiscombineditreleasestheHydrogenSulfideGas. Insomecasesthesubjectplacesbio-hazard signsaroundthevehicletowarnresponders.Subjectshavealsoplacedducttapeorsimilarmaterialaroundthewindowsandventstocontainthegas.

  3. Toxic gas Usuallyencounteredinconfinedspacerescue Colorlessgas ImmediatelyDangerousto LifeandHealth (IDLH)level of100parts-per-million NFPA704HealthRisk ratingof 4 Respiratoryhazard ERGpage?

  4. At700ppm,just2-3breathscancause immediatedeath!

  5. AcidSources SulfurSources • Muriaticacid • Sulfuricacid • Lysol disinfectant • Artistoilpaints • Dandruffshampoos • Pesticides • Lysol toiletbowlcleaner • Spacklingpaste • The Works toiletbowl cleaner • Blu-liteGermicidalacid bowlcleaner • KaboomShower,Tuband Tilecleaner • Latexpaints • Gardenfungicides • LimeSulfur • Bonide • TileandStonecleaners

  6. Subject appearsunconsciousand unresponsive Tape overventsand windows Suicidenote A postednotetowarnrescuersofpresent danger Bucket, pail,potor coolerinthevehiclecontainingchemicals Emptycontainersofchemicalsinor aroundthevehicle Smellof rotten eggs

  7. Surveythescene Surveytheinsideof thevehicle • Determineresponsivenessof subject • Consciousorunconscious • Appearstobe breathing–chestrise andfall • If the subjectis consciouscantheyopen thedoorand exitthe vehicle,have thesubjectwalk/crawlawayfromvehicleto freshair. • Be carefulwhentreatingthe patientdue to theoffgassingfromthe subjectsclothingandexhaled breaths. • If the subjectisunconsciousand thereisnoapparent breathingfor30secondsto a minutestand by for Haz-Matandbackaway fromthevehicle.Followstateand localprotocols

  8. AccessAirway–Breathing–Circulation Ideally–rescuer’sinproperPPEshouldprovideapatientassessmentandremovethepatients clothinganddoublebagit Checkforrespiratoryeffortandrateandassistwithventilationsasneeded.100%Oxygenwouldberecommended Checkforpulseandifavailableplacethepatient onthemonitorandevaluatetherhythm Attemptvenousaccess Attachpulseoximeter Whenpossibleattempttodoasmuchaspossible enroutetotheappropriatehospital

  9. Anyoutward visualsignsas you approachthe residenceor apartmentbuilding: • Signsposted onthefrontof the house • Otherpersonsfrominsidethe housecomplainingof difficultybreathing • Thesmellof rotteneggsorsewergas inthe area andgets strongeras youapproachthetargetresidence • Be preparedto evacuatethe residenceorapartment building

  10. You canfinda good amountofthe sulfurcomponentneededforyour“stinkbomb”here: (http://store.bestsaltlamp.com/blmblk.html)Remember thata 1% concentrationresultsfromadding1.28ouncesofthisparticular bath salt per gallonofwater. Dothemath,and a2lbbagwillgetyoua gallonofwaterwith a25%concentrationof sulfurbath salts.A matchingconcentration/volume(about 25%/gallon)ofthehydrochloricacid component canbeachievedfrom about5-24ozbottlesof“TheWorks”brandtoilet cleaner. ALSO: beaware that inhighconcentrations/volumes,thisgas(H2S) is often flammable.Thisgascan disable your sense of smellupon even one inhalation,thusmakingiteven more dangerousto yourself.. or, if Ireadbetween thelinesofyourquestion:YOUR NEIGHBORS.If you’regoingto“stinkbomb”yourself intooblivion…Isuggestyoutakeitoutside (car, refrigeratorbox,etc.),ordevise a wayto concentrate andadministera muchsmalleramountviagarbage bags and ahose. Alsorememberthat someonewho wantsto liveisgoingto have to cleanupyour littlemess,soa great deal ofhighlyvisiblesignageindicatingthepresence ofH2Sgas wouldbethepolitethingto do….Happyafterlifing,dumbasses.

  11. ADACounty, Idaho 14May 2009 Approachingvehicle,responderscanclearlysee thereis some typeof signingonthe vehicles windows. Whatiftheapproachwas atnight? Wouldthesignagestill be clear?

  12. Beawareofthefoulsmellofsewergasor rotteneggsasyouapproach

  13. Conscious?Unconscious?Responsive? Unresponsive?ChestRise? SkinColor? Signsoffoulplay?

  14. Containersofchemicalsremovedfromvehicle.Morethanenoughtodothejob.Containersofchemicalsremovedfromvehicle.Morethanenoughtodothejob.

  15. Didhazmatcheckthelevels inthecarbefore startingto processthescene? Arethereanymorechemicalsinoraroundthevehicle?

  16. DependingonthetimeofexposureandtheconcentrationofthemixturethesubjectcouldstillbeoffgassingDependingonthetimeofexposureandtheconcentrationofthemixturethesubjectcouldstillbeoffgassing

  17. Thesearethechemicalsand containersthatthesubjectfromthepreviousslideused.

  18. Practiceversionsofthenoteonthewindow

  19. Therewerea total of45 confirmedchemicalsuicidesduring 2012.Theyoccurredin the followinglocations(states): • California 8 • NewYork7 • Pennsylvania6 • NorthCarolina5 • Massachusetts3 • Colorado2 • Texas 2 • ◦ • ◦ • ◦ • ◦ • ◦ • ◦ • ◦ • ◦ • ◦ • ◦ • ◦ Indiana 2 Georgia 2 Virginia 1 Florida 1 Kansas 1 Michigan1 NewMexico 1 SouthCarolina 1 Minnesota1 Missouri1 Wisconsin1

  20. Thechemicalsuicidesoccurredinthefollowingmonths: • January6 • February3 • March3 • April4 • May10 • June3 • July5 • August2 • September2 • October4 • November1 • December2

  21. Ofthe 38suicides,the chemical(s)usedare asfollows: • HydrogenSulfide25 • Cyanidecompound(s)6 • ChlorineGasmixture(s)5 • Helium 3 • Unknown 2 • Malathion 1 • Formic&SulfuricAcid1 • SodiumAzide 1 • Nitrogen 1

  22. Two of theHydrogenSulfideincidentswere murder/suicides. There werea totalof6 confirmedsurvivable cases. There werea confirmed10 responderssent tothehospital,allwithminorexposure.

  23. http://www.colofirechiefs.org/ffsafety/ChemicalSuicide0210.pdfhttp://www.colofirechiefs.org/ffsafety/ChemicalSuicide0210.pdf http://msds.chem.ox.ac.uk/HY/hydrogen_sulfide.html http://www.wired.com/threatlevel/2009/03/japanese-deterg http://www.kctv5.com/print/22033404/detail.html ADACountySheriffsOffice TorontoEMS http://firechief.com/hazmat/ar/detergent-suicide-alert-20090914

  24. HAZMATInvestigation • You are dispatchedto a possibleHAZMATat 336SouthFirst#15, Map–2435A • Residentsreportingstrongodorcomingfrom apartment,residentsevacuating • Itis 1400hrs.Temp is85degrees withawinds4- • 7mphformthe W.24%humidity. • You havethe standardHAZMATassignmentresponding.Utilizethe runmapforhydrant and accessinformation.

  25. EXINGTON,REDWOOD,S:O.::.U.=.:.T...:H...:..F:.IR::S:_.T:_ -,.....-­ ODGARDENS 1in=67feet51712010 ,NTIALMULTI-FAMILY 6----- 53 328 11 I I t _0_90 \ G \ 910 34 7 1112 56 \ 1 \ If: \f I \ I \ 125 114358 105 Wash

  26. Whatisyourinitialsize-upof the incident? Whatwouldyou includeinyourradiosize-up? Whatareyourimmediatetacticalpriorities? Whatadditionalresourceswouldyou request?Wherewould youhavethemreportto? Whatmeanswouldyouuseto helpidentifythe products? WhichERGguidepagewouldyouuseto address the incident? Wouldyou evacuateorshelter inplace?Howbigof a perimeterwouldyou establish? If youhada victim down,wouldyou attempta rescue? Whatassignments/ICSpositionswouldyougive/fill? Whatactionswouldyoutakeiftherewasfire involved?

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