به نام خدا دکتر زهره بیگدلی رئیس گروه مراقبتهای پزشکی مرکز نظام ایمنی هسته ای کشور مسئول امور پزشکی پرتوی پژوهشگاه علوم و فنون هسته ای پائیز 1396
|
|
- Douglas Jefferson
- 5 years ago
- Views:
Transcription
1 به نام خدا دکتر زهره بیگدلی رئیس گروه مراقبتهای پزشکی مرکز نظام ایمنی هسته ای کشور مسئول امور پزشکی پرتوی پژوهشگاه علوم و فنون هسته ای پائیز 1396
2 Emergency Medical management on Site and at Prehospital Level
3 WHAT IS DIFFERENCE OF RADIATION ACCIDENT FROM OTHERS? High tide Flood Heavy snowfall Heavy rain Storm Release of RM Earthquake Disasters Ship accident Tsunami Volcano eruption Other natural phenomenon Fire or wildfire Explosion Others (train, plane) 3
4 IN NUCLEAR EVENTS, PARADIGM SHIFTS Radiation can not be seen, heard, smelt, or felt & dose not cause immediate symptoms. Contamination complicates. 4
5 FLOW OF MANAGEMENT Accident Incident Identification Notification On Scene Triage Hospital 5
6 6
7 WHO ARE FIRST RESPONDERS? A general team ( police, fire, EMS ) referring to an initial response in emergency. 7
8 NOTIFICATION Get call-back number and verify accident prior to assembling radiological emergency team. Assume that victim is contaminated until proven otherwise. 8
9 RADIOLOGICAL INCIDENT CONTROL - INFORMATION - 9
10 ASSESSMENT OF ACCIDENT SCENE What hazards present? How many people were injured (too many, many.)? When did the accident/incident occur? How were the material released into environment? Where are victims contaminated with/exposed to radioactive material? 10
11 ASSESSMENT OF ACCIDENT SCENE Immediately threatens the lives of rescuers and victims? Causes immediate visible evidence of skin injury? Causes cardiac or respiratory problems, pain, or unconsciousness? Severe trauma Rescuers: no Victims: possibly Hazardous chemicals Possibly Radioactive materials No Usually Possibly No Frequently Possibly Rarely 11
12 RADIOLOGICAL INCIDENT CONTROL ON SCENE Identify the substance if possible Consider all potential hazards Establish contamination control zones Protect personnel from radiation exposure Follow EPA protective action guides for radiation exposure Time, distance, shielding Protect equipment from contamination 12
13 13
14 RADIOLOGICAL CONTROL ON SCENE - ZONING - Procedure C2 : On Scene Emergency Medical Response To Prevailing wind direction From Staging area Vehicle marshalling area Reception for response personnel Public Information Centre Incident commander Outer cordoned area Inner cordoned area Safety perimeter Triage area Decontamination area Medical response base Security response base Incident command post Safety access and contamination control point Radiological Monitoring and Assessment Centre Security perimeter Evacuee monitoring registration area EPA protective action guides for radiation exposure 14
15 FIELD TRIAGE DURING RADIATION EMERGENCY Security perimeter Inner cordoned area Victims Safety perimeter Triage Outer cordoned area Not seriously injured or uninjured Contamination survey and decontamination Immediate contamination survey and decontamination (if possible) Seriously injured Stabilization Lifethreatening injury Registration area Hospital Hospital 15
16 INITIAL ASSESSMENT AND ESTABLISHING OF RESPONSE AREAS AND FACILITIES After arrival on the scene of a radiological emergency, first responders should perform an initial assessment of the situation and radiological hazard. Establish a safety perimeter. 16
17 ZONING Ensure safety of the area and visualize the zoning lines by rope. Outer cordoned area Inner cordoned area Safety perimeter line 17
18 18
19 SURVEY METERS Geiger-Muller (GM) Counters - good use for contamination Ion Chambers more accurate, generally good overall field Scintillation Counters very sensitive; ideal for looking for sources or levels of radiation; not good in high radiation field000 19
20 GEIGER-MULLER (GM) COUNTERS Detection of β and γ-radiation (/min, cpm) Generally rugged field instruments, but window can be damaged, and then instrument is out of order It can be maxed out and will under-respond 20
21 PERSONAL DOSIMETER Personal dosimeter use as an alarming dosimeter and accumulated dose meter 21
22 DOSIMETRY TLD Badges Are passive (no batteries needed) Clip onto front of clothing Mandatory - Everyone wears one Dose information is read later Electronic Dosimeters Must have battery inserted to function Are optional Provide direct dose readout 22
23 2 3
24 DOSE RATE LIMIT RECOMMENDATIONS Activities Emergency worker dose limit Non-lifesaving activities (major critical property protection) Suggested Turn-back Exposure Rate Follow Radiation safety Officer instructions Guidelines for Total Accumulated Dose Increased cancer Risk* 50 msv 0.5% 100 msv/hr 0.5 Sv** 5% Lifesaving activities 2 Sv/hr 1 Sv** 10% *National Council on Radiation Protection and Measurements Report No ** International Atomic Energy Agency EPR-First Responders
25 EMERGENCY WORKER TURN BACK DOSE GUIDANCE* Tasks Do not exceed unless Approved by incident commander Actions to avert a large collective dose, such as: Environmental sample collection and analysis for environmental monitoring of populated areas; Localized decontamination if required to protect the public. 50 msv *IAEA EPR-First Responders
26 EMERGENCY WORKER TURN BACK DOSE GUIDANCE* Tasks Do not exceed unless Approved by incident commander Actions to prevent severe health effects or injuries, such as: evacuation/protection of the public; environmental monitoring of populated areas to identify where evacuation, sheltering or food restrictions are warranted; Rescue from potential threats of serious injury; Immediate treatment of serious injuries; Urgent decontamination of people Prevention or mitigation of fires; Apprehension of terrorist suspects. 500 msv *IAEA EPR-First Responders
27 EMERGENCY WORKER TURN BACK DOSE GUIDANCE* Tasks Do not exceed unless Approved by incident commander Life saving actions, such as: Rescue from immediate threats to life; Provision of first aid for life threatening injuries; Prevention /mitigation of conditions that could be life threatening msv *IAEA EPR-First Responders
28 2 8
29 RADIOACTIVE MATERIALS Can be in the form of : Solid (Powder, dust, metal) Liquid Gas Others 29
30 WHAT IS CONTAMINATION? Radioactive material in the form of smokes, dust or liquids is called contamination and if such material gets on a surface, object or person, they become contaminated. 30
31 INTERNAL VS. EXTERNAL CONTAMINATION Ingestion Inhalation Radioactive Material Radioactive Material 0 Wound Wound Internal contamination External Contamination 31
32 BASIC PRINCIPLES FOR HANDLING CONTAMINATED PATIENTS 1. Treat life-threatening conditions first without regard to radiation or contamination 2. Isolate patient and restrict access to the treatment/evaluation area Maintain contamination control 3. Internal contamination is never immediate lifethreatening 32
33 RADIATION DOES NOT CAUSE : Immediate death Immediate symptoms ( burns, wounds ) Contaminations alone : Not immediate threat to victim Not threat to responders or others 33
34 34
35 TRIAGE OF RADIATION CASUALTIES (1) Triage first task for multiple casualties : Sorting of victims depending on condition, urgent needs and number Decision on prompt FIRST medical intervention life saving immobilization of fractures urgent investigations 35
36 TRIAGE OF RADIATION CASUALTIES (2) Always employ standard medical triage principle Decontamination can be done before, during, or after initial stabilization, depending on the severity The most important decontamination is to remove all clothes at the site 36
37 CONTAMINATION CONTROL : AT THE SITE Remove contaminated clothing Cover patient and secure Transfer patient by cold team 37
38 PROTECTIVE CLOTHING (1) Effective in stopping α and some β particles Not effective for γ-rays Lead aprons are not recommended since they will not stop most 38
39 PROTECTIVE CLOTHING (2) Use water proof materials Place clothing and any accompanying sheets, blankets, and others in a plastic bag Change instruments, outer gloves, and drapes after handling clothing or other potentially contaminated items 39
40 DO NOT CONTAMINATE PERSONAL DOSIMETER Personal dosimeter Not to contaminate, it should be put inner the personal protective clothing. 40
41 TYPICAL PROTECTIVE CLOTHING Eye protection Mask Tape gloves Personal dosimetry Name Seal up with the tape Water proof shoe covers Tape 41
42 RESPIRATORY PROTECTION Respiratory protection if necessary Breath filtered air It protect from inhalation of radioactive materials. Seal up with the tape 42
43 PROTECTIVE EQUIPMENT FROM CONTAMINATION 43
44 CONTAMINATION CONTROL DURING RESCUE OPERATIONS Use personal protective measures and means Do not eat, drink, smoke, rub eyes, or apply make-up in contaminated area Use good work practices Appropriate equipment Control lines Assume contamination when in doubt 44
45 45
46 RECOMMENDED PROCEDURES FOR ON-SCENE RESPONDERS (1) 1. Personal protective gears with a personal dosimeter 2. Transport medically unstable patients. A survey, decon may be performed in the ambulance. 3. Move the stable patients to a low background area, remove the other clothing and wrap in a sheet or a blanket. 4. Treat injuries. 46
47 RECOMMENDED PROCEDURES FOR ON- SCENE RESPONDERS (2) 5. Do not release stable patients to ambulance before radiological survey. Perform preliminary decontamination. 6. Decontaminate gently. 7. Save everything (clothing, bedding, watch, coins, buckles, jewelry, cellular phone, vomitus, etc.), tag each item. 8. Transport the patient to medical facility. 47
48 CONTAMINATION CONTROL FOR AMBULANCE PERSONNEL Remove protective gear at control line and get surveyed Clean team can transport patient to hospital or Put on clean gloves and gown, and transport patient At hospital, transfer patient to clean treatment table in contaminated patient area Await survey for contamination 48
49 REMOVE VICTIMS FROM HAZARDOUS AREA If there is immediate lifethreatening hazard in the area, remove victim first. Hazardous area : Fire Smoke Steam Chemicals Electrical Radioactive contamination high air dose rate 49
50 RESCUE Remove injured person from the hazard area into the triage area as soon as possible. 50
51 LIFE SAVING Medical triage Assess and treat lifethreatening injuries immediately Life-threatening injured victim should transport into hospital immediately, even if contamination survey has not been done. 51
52 52
53 EXTERNAL CONTAMINATION REMOVAL 53
54 REMOVE CONTAMINATED CLOTHING AT THE ACCIDENT SCENE 54
55 CONTAMINATION SURVEY It is possible to perform radiological survey during stabilization of victim if monitoring procedures do not 55 interfere with medical actions at scene.
56 COVER CONTAMINATED WOUNDS Cover contaminated wounds with sterile dressings before transport into hospital emergency room. 56
57 PATIENT MANAGEMENT -DECONTAMINATION- Carefully remove and bag patient s clothing and personal belongings (Typically removes 95% of contamination) Decontamination priorities: Decontaminate wounds first, then intact skin Start with highest levels of contamination Change outer gloves frequently to minimize spread of contamination Do not delay surgery or other necessary medical procedures or exam residual contamination can be controlled 57
58 PERFORM GROSS DECONTAMINATION If needed and also If it will not interfere with critical care 58 58
59 59
60 TRANSPORT OF CONTAMINATED VICTIMS (1) Victims are to be transported by medical or paramedical personnel who have not entered the controlled area on scene. Assume all victims are contaminated until proven otherwise. Continue medical assessment and treatment during transport when necessary. 60
61 TRANSPORT OF CONTAMINATED VICTIMS (2) Place the ambulance stretcher on the clean side of the outer cordoned line and pass the victims across the outer cordoned line to the prepared stretcher. Cover victim by folding a sheet or blanket. 61
62 CONTAMINATION CONTROL ON TRANSPORTATION 62
63 USE CAUTION AROUND CONTAMINATION 63
64 CONTAMINATION CONTROL Use universal precautions Frequently survey hands and clothing with radiation meter Replace gloves or clothing that is contaminated Keep the work area free of contamination and radiation sources 64
65 PROTECTION AGAINST CONTAMINATION Protection can be improved by performing frequent measurements for contamination, dealing with it as it is found and controlling the accumulation of radioactive waste. 65
66 CONTAMINATION CONTROL Contamination that cannot be cleaned can be controlled by taping over it with an impervious covering. 66
67 6 7
68 DETECTING RADIATION Compared to chemical and biological hazards, radiation and radioactive materials are easy to detect and measure. 68
69 RADIOLOGICAL INCIDENT CONTROL - PREVENTION OF CROSS CONTAMINATION - Tool drop before leaving hot zone Contamination check Hot area marked off with tape and stanchions 69
70 CONTAMINATION CONTROL Before leaving the inner cordoned area, first responder should be checked contamination and change clothing if needed. 70
71 MANAGEMENT OF RADIOACTIVE WASTE Collect radioactive waste in plastic bags. Survey bags periodically to prevent high radiation levels in the work area. Use distance to protect against radiation from radioactive waste. Use walls, dirt mounds, hills, etc. as shielding for radioactive waste. 71
72 RULES OF THUMB Removing outer clothing will remove majority of contamination. Washing hands and heads can remove most of the remaining contamination. For large incidents, containment of runoff is not necessary. 72
73 RULES OF THUMB Most of the airborne radioactive dust from an outdoor explosion will settle to the ground within 10 minutes. Without better information, evacuate away from plume settling to at least 500 meters. 73
74 SUMMARY Actions of Primary Significance in Pre-hospital Medical Management of Radiation Accidents 1. Rescue, resuscitation, emergency aid 2. Medical stabilization of general condition of victim and of serious injuries 3. Removal of patients from contaminated area 4. Assessment of external contamination 5. Decontamination and DE corporation - preventing internal contamination of patient and contamination of staff 74
75
76 Thank you for your attention
TEPP Planning Products Model Procedure
TEPP Planning Products Model Procedure for First Responder Initial Response to Radiological Transportation Accidents 02B00215-13.p65 Prepared for the Department of Energy Office of Transportation and Emergency
More informationTransportation Emergency Preparedness Program (TEPP) Model First Responder Procedure for Transportation Accidents Involving Radiological Materials
Transportation Emergency Preparedness Program (TEPP) Model First Responder Procedure for Transportation Accidents Involving Radiological Materials This Transportation Emergency Preparedness Program (TEPP)
More informationBarrow County Community Emergency Response Team S.T.A.R.T. Simple Triage and Rapid Treatment. Reference Manual
Barrow County Community Emergency Response Team S.T.A.R.T. Simple Triage and Rapid Treatment Reference Manual Simple Triage And Rapid Treatment By using a casualty sorting system, you are focusing your
More informationGuidelines for Rapid Extraction in a Hazardous Materials Environment
Guidelines for Rapid Extraction in a Hazardous Materials Environment A hazardous materials incident with victims who have been exposed to a contaminant and are unable to remove themselves from the affected
More informationS.T.A.R.T. Simple Triage and Rapid Treatment. Reference Handbook
S.T.A.R.T. Simple Triage and Rapid Treatment Reference Handbook 2011 16 Simple Triage And Rapid Treatment By using a casualty sorting system, you are focusing your activities in the middle of a chaotic
More informationTRIAGE: A STEP-BY-STEP PROCESS
TRIAGE: A STEP-BY-STEP PROCESS By using a casualty sorting system, you are focusing your activities in the middle of a chaotic and confusing environment. You must identify and separate patients rapidly,
More informationInstructions in the Use of Radiation Protection. Equipment and Radiation Measuring Instruments by. Disaster Response Personnel in a Nuclear Emergency
Instructions in the Use of Radiation Protection Equipment and Radiation Measuring Instruments by Disaster Response Personnel in a Nuclear Emergency April 1,2018 (First edition:april 1,2017) (Second edition:april
More informationRadiological assessment and protection of first responders during a radiation emergency in EPC III and EPC IV
IEM9, Vienna, 20-24 April 2015 Radiological assessment and protection of first responders during a radiation emergency in EPC III and EPC IV Vladimir Kutkov, NRC Kurchatov Institute, Russian Federation
More informationSALT LAKE EMS DISTRICT (Official Protocol No.06)
Protocol No. 06 MASS CASUALTY INCIDENT PLAN Revised 2003 The Salt Lake EMS District has adopted the Utah Mass Casualty Incident Plan. Several modifications particular to the Salt Lake EMS District have
More informationHAZARDOUS INCIDENT SITE SAFETY PLAN
HAZARDOUS INCIDENT SITE SAFETY PLAN NOTE: A site-specific Site Safety Plan must be developed and implemented for each site where investigators may potentially be exposed to hazardous substances while conducting
More informationHAZARDOUS MATERIALS INCIDENTS EMERGENCY RESPONSE PLAN
HAZARDOUS MATERIALS INCIDENTS EMERGENCY RESPONSE PLAN November 2014 UNIVERSITY OF NORTHERN COLORADO HAZARDOUS MATERIALS INCIDENTS EMERGENCY RESPONSE PLAN TABLE OF CONTENTS I. INTRODUCTION... 3 II. HAZARDOUS
More informationCHESTERFIELD COUNTY FIRE AND EMERGENCY MEDICAL SERVICES PROCEDURES
CHESTERFIELD COUNTY FIRE AND EMERGENCY MEDICAL SERVICES PROCEDURES Division: Emergency Operations Procedure: Emergency Operations #24 Subject: Toxic Exposure Reduction Supersedes: Authorized by: Deputy
More informationLaboratory Emergency Response & Incident Reporting Guide. Occupational & Environmental Safety Office Duke University Health System.
Laboratory Emergency Response & Incident Reporting Guide Occupational & Environmental Safety Office Duke University Health System Quick Reference Revised 2016 Blood/Body Fluid Hotline From a Duke phone...
More informationYeo Soh Bee A/Prof Dan Yock Young 28/03/2016 Prepared by Approved By Issue Date
Page: 1 of 6 Yeo Soh Bee A/Prof Dan Yock Young 28//2016 Prepared by Approved By Issue Date 1. OBJECTIVE The purpose of this SOP is to outline the procedures of cleaning up chemical spills. It will provide
More informationOBJECTIVE 6: FIELD RADIOLOGICAL MONITORING - AMBIENT RADIATION MONITORING
OBJECTIVE 6: FIELD RADIOLOGICAL MONITORING - AMBIENT RADIATION MONITORING OBJECTIVE Demonstrate the appropriate use of equipment and procedures for determining field radiation measurements. INTENT This
More informationDEALING WITH HAZARDOUS SPILLS
1721 DEALING WITH HAZARDOUS SPILLS Leader s Guide Marcom Group Ltd. Structure and Organization Information in this program is presented in a definite order so that employees will see the relationships
More informationHazMat Response and Decontamination Exercise Evaluation Guide
Exercise Evaluation Guide Submittal HazMat Response and Decontamination Exercise Evaluation Guide As the evaluator you will need to submit your Observations, Recommendations and Performance Ratings into
More information/16/05 11:24 PM Page 1 DECON IN A BAG. Printed on waterproof paper.
46003 9/16/05 11:24 PM Page 1 DECON IN A BAG Printed on waterproof paper. 46003 9/16/05 11:24 PM Page 2 1 Contents of Decon-In-A-Bag Decon-In-A-Bag is designed for emergency response personnel such as
More informationEMS and Hazardous Materials Operations
Session Reference: 1 Level of Instruction: Time Required: Two Hours EMS and Hazardous Materials Operations Instructor Guide Materials: Audio-visual equipment to project any visuals 2000 Emergency Response
More informationHydrofluoric Acid SOP
Introduction Hydrofluoric acid (HF) has a number of chemical, physical, and toxicological properties, which make handling this material especially hazardous. Anhydrous HF is a clear, colorless, fuming,
More informationHazardous Materials Spill Response
Hazardous Materials Spill Response The University of Iowa Rev. 02/10 Department Lab/Room Number PI/Lab Coordinator After Hours Contact Number University Public Safety (Phone 911) Fire, Police, Ambulance
More informationDisaster Medical Operations Part 1. CERT Basic Training Unit 3
Disaster Medical Operations Part 1 Unit 3 Assumptions Need for CERT members to learn disaster medical operations is based on two assumptions: Number of victims could exceed local capacity for treatment
More informationOBJECTIVE 22: EMERGENCY WORKERS, EQUIPMENT, AND VEHICLES - MONITORING AND DECONTAMINATION
OBJECTIVE Demonstrate the adequacy of procedures for the monitoring and decontamination of emergency workers, equipment, and vehicles. INTENT This objective is derived from NUREG-0654 which provides that
More informationINTRODUCTION UNIFIED COMMAND
INTRODUCTION The Hazardous Materials organizational module is designed to provide an organizational structure that will provide necessary supervision and control for the essential functions required at
More informationHAZARDOUS MATERIALS OPERATIONS NFPA 472, 2008 Edition
5.2 Core Competencies Analyzing the Incident JPR - HMO #1 5.2.1 Surveying the Hazardous Materials/WMD Incidents Revised: June 30, 2011 Standard Area: Competencies Analyzing the Incident STANDARD: 5.2.1.3.2
More informationHazardous Materials Spill Response
Hazardous Materials Spill Response The University of Iowa Rev. 01/2019 Department: Lab/Room Number: PI/Lab Coordinator: After-hours Contact Number: University Public Safety - 911 Fire, Police, Ambulance
More informationWorking Safely with Hydrofluoric Acid
SAFE WORK PROCEDURE Insert Reference Code: UBC-RMS-OHS-SWP-17-002 Department of www.rms.ubc.ca Effective date: November 27, 2017 Review date: NA Supersedes: NA Working Safely with Hydrofluoric Acid 1.
More informationrd Quarter Continuing Education Hazardous Materials Defensive Actions/ Emergency Decon
2007 3 rd Quarter Continuing Education Hazardous Materials Defensive Actions/ Emergency Decon This Continuing Education exercise is designed to cover the general responsibilities of a response to a possible
More informationOPERATIONAL GUIDELINE P R O C E D U R E
OPERATIONAL GUIDELINE O.G. # 2.23.12.04 TITLE: HAZMAT HAZARDOUS SUBSTANCES- ASBESTOS PURPOSE: SCOPE: POLICY: To provide information to Burnaby Fire Department personnel regarding a consistent response
More information"DEALING WITH HAZARDOUS SPILLS"
PRESENTER'S GUIDE "DEALING WITH HAZARDOUS SPILLS" Part of the "SAFETY MEETING KIT" Series Quality Safety and Health Products, for Today...and Tomorrow OUTLINE OF MAJOR PROGRAM POINTS OUTLINE OF MAJOR PROGRAM
More informationPOTENTIAL HAZARDS OF VARIOUS SUBSTANCES
POTENTIAL HAZARDS OF CLASS 1 EXPLOSIVES For those Divisions and Compatibility Groups acceptable for carriage by air, little immediate health hazard. Should any explosives consignment become involved in
More informationSIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 834
SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY SUBJECT: ACTIVE SHOOTER/MASS VIOLENCE INCIDENT PURPOSE: To establish guidelines for responding to an active shooter/mass violence event. Extraordinary
More informationSchool of Biological Sciences: Zoology Building
School of Biological Sciences: Zoology Building Ionising Radiation Regulations 1999 LOCAL RULES These rules apply to the following areas:- Zoology rooms 431, 110 Issue date April 2012 Review date April
More informationChapter 27. Gaining Access. Learning Objectives. Learning Objectives 9/18/2012. Describe purpose of extrication. Discuss role of EMT in extrication
Chapter 27 Gaining Access Learning Objectives Describe purpose of extrication Discuss role of EMT in extrication Identify what equipment for personal safety is required for EMT Define fundamental components
More informationAnswer: B Objective: NFPA 472, 5.2.4(3); Level: Operations Subject: Estimating the Potential Harm or Severity of the Incident; Chapter 4; Page 86
Chapter 4 Multiple Choice 1. When choosing a route along which to respond to a reported hazardous materials incident, how should the approach be planned? A. From upwind and upgrade B. From upwind and downgrade
More information"DEALING WITH HAZARDOUS SPILLS"
MAJOR PROGRAM POINTS "DEALING WITH HAZARDOUS SPILLS" Part of the "GENERAL SAFETY SERIES" Quality Safety and Health Products, for Today...and Tomorrow OUTLINE OF MAJOR PROGRAM POINTS The following outline
More informationBASIC KNOWLEDGE OF LABORATORY FIRST AID
BASIC KNOWLEDGE OF LABORATORY FIRST AID RV: 02/02/2015 prevencio@uv.es Page 1 of 7 . General issues to be considered by the rescuer in the event of an accident are described below: - Proceed as follows:
More informationEmergency Response Code CODE BROWN HAZARDOUS SPILLS. Purpose & Authority. Definitions
CODE BROWN HAZARDOUS SPILLS Purpose & Authority This plan addresses the procedures to be followed in the event of a spill involving a hazardous substance. All hazardous substance spills shall be reported
More informationCounty of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy # 700-S01 Ebola Virus Prevention and Control EBOLA VIRUS PREVENTION AND CONTROL Effective: October 30, 2014 Replaces: October 8, 2014 (Version
More informationUNITED STATES MARINE CORPS FIELD MEDICAL TRAINING BATTALION Camp Lejeune, NC
UNITED STATES MARINE CORPS FIELD MEDICAL TRAINING BATTALION Camp Lejeune, NC 28542-0042 FMST 504 Conduct Triage TERMINAL LEARNING OBJECTIVES 1. Given multiple casualties in a tactical environment, conduct
More informationHazardous Materials for First Responders
Hazardous Materials for First Responders 4 th Edition Chapter 9 Decontamination Learning Objective 1 Define decontamination. 9 1 Decontamination is an essential part of ensuring the safety of emergency
More informationREMOVE, REMOVE, REMOVE
REMOVE, REMOVE, REMOVE Protect the public and keeping first responders safe Guidance for Security Operatives on how to respond to hazardous substance incidents Security guards, door supervisors and other
More informationRegional Workshop on the International Basic Safety Standards. Session 10: Emergency Preparedness and Response
Regional Workshop on the International Basic Safety Standards Session 10: Emergency Preparedness and Response 16-19 October 2012, Kiev, Ukraine Vladimir Kutkov Incident and Emergency Centre International
More informationPerforming Emergency Decontamination
Performing Emergency Decontamination Skill Sheet #1 Standard 5.1.2.2, 5.4.1, Task: Correctly perform emergency decontamination of a victim. A.3.3.17.1 Evaluator Instructions: The candidate shall conduct
More informationEmergency Response to a Dirty Bomb Incident Cheryl E. Weaver, RT, EMT-P, HMT
Emergency Response to a Dirty Bomb Incident Cheryl E. Weaver, RT, EMT-P, HMT The parking lot was a mass of fire and flame from burning gasoline and oil and auto parts. A powerful gust of wind cleared the
More informationCBRN. For Military Medical Personnel CIOMR GUIDELINE
CBRN For Military Medical Personnel CIOMR GUIDELINE First edition v1.1 Warm Zone T2, T3: - decon by non-med personnel, without removing clothing if no treatment at MTF; otherwise as T1 Cold Zone all (decontaminated
More informationStandard Operating Procedures and Contingency Plans for Use of Radioactive Materials
Standard Operating Procedures and Contingency Plans for Use of Radioactive Materials These standard operating procedures are based on CLEAPSS model standard operating procedures from L93 (Jan 2013). They
More informationSafety Office. Reviewed: 17 July 2012
Safety Office Reviewed: 17 July 2012 Reviewed: DD Month Decontamination procedures This circular contains expanded guidance on the action which should be taken in the event of an incident involving radioactive
More informationHOSA 105 EMERGENCY PREPAREDNESS
HOSA 05 EMERGENCY PREPAREDNESS MODULE 5: EMERGENCY RESPONSE SKILL DEVELOPMENT PURPOSE HOSA and Health Science Education offer a variety of opportunities for students to develop emergency preparedness skills
More informationYakima County Fire District 12 Standard Operating Guidelines SOG 5-1 Hazardous Materials Operations
1. General Yakima County Fire District 12 Standard Operating Guidelines 1.1 Purpose. This Standard Operating Guideline is intended to provide general guidelines for District personnel in responding to
More informationPort Site Ammonia Leak-Explosion Procedure
Port Site Ammonia Leak-Explosion Procedure OBJECTIVE: This procedure is to determine the work steps to be carried out at the port facilities in case of emergency in case of leaks and explosions ammonia
More informationMSE CONTROLLED DOCUMENT. Decontamination of Personnel
MSE CONTROLLED DOCUMENT Decontamination of Personnel Document No: Supersedes Revision no: 1 Date:1/10/2004 Custodian: MSE Revision no: 1 Date: 1/10/2006 Filename: NORMMGT. DOC Administered by: Verified:
More informationHealth & Safety Policy and Procedures Manual SECTION 38 RADIATION SAFETY PROGRAM
SECTION 38 RADIATION SAFETY PROGRAM 1. GENERAL REQUIREMENTS 1. Maul Electric, Inc radiation safety program along with 29CFR 1910.1096 and 10CFR 20.1101 include provisions for project sites to keep radiation
More informationTactical Emergency Casualty Care (TECC) First Care Provider Guidelines
Adopted from The Committee for TECC: Current as of June 2016 DIRECT THREAT CARE (DTC) / HOT ZONE GUIDELINES 1. In the presence of a direct threat to life, take definitive action towards mitigating that
More informationNFORS Exposure Module Data Elements (Personal Exposure Record)
NFORS Exposure Module Data Elements (Personal Exposure Record) This document describes the data elements to be collected following firefighter line of duty exposure to product with potential adverse health
More informationHAZARDOUS MATERIALS SOGS
HAZARDOUS MATERIALS SOGS HAZARDOUS MATERIALS DISPATCH PROTOCOL In the event of a suspected hazardous material spill, leak, or similar incident, Central should dispatch (tone out) Poland Fire and EMS in
More informationRESCUE TASK FORCE (RTF): EVACUATION BY DAYTON MMRS MUMBAI COMMITTEE & WRIGHT STATE UNIVERSITY DIVISION OF TACTICAL EMERGENCY MEDICINE
RESCUE TASK FORCE (RTF): EVACUATION BY DAYTON MMRS MUMBAI COMMITTEE & WRIGHT STATE UNIVERSITY DIVISION OF TACTICAL EMERGENCY MEDICINE Jason Pickett, MD Brian Springer, MD Alex Keller, MD CONFIDENTIAL -
More informationWilson County Emergency Management Agency 110 Oak Street Lebanon, Tennessee 37087
SOG Name: High Angle & Rope Rescue SOG Number: 403.09 Effective Date: February 2, 2015 Approved: Joey Cooper, Director Reviewed: Scope The purpose of this procedure is to establish guidelines for conducting
More informationEmergency Action Plan
Emergency Action Plan General Emergency Action Steps 1. Stop the class/team activity and prevent the injured athlete from moving or being harmed by any further activity. 2. Get immediate help from the
More informationEMERGENCY RESPONSE REPORTER S LOG INITIAL INFORMATION. Number. What happened? Direction. Outside air temperature. Temp. in the area of the spill
EMERGENCY RESPONSE REPORTER S LOG Date What happened? INITIAL INFORMATION Incident Number Wind Direction Outside air temperature Temp. in the area of the spill When did it happen? Where did it happen?
More informationDURING & AFTER AN EARTHQUAKE
When Earthquake strikes WHEN SHAKING STOPS check yourself for any injuries. REMEMBER: have an earthquake readiness plan. WHAT TO DO DURING & AFTER AN EARTHQUAKE if trapped under debris, make as much noise
More informationIn This Document MODULE DESCRIPTION This module provides information on the safety concerns and
Disaster Preparedness Fact Sheet In This Document MODULE DESCRIPTION This module provides information on the safety concerns and Types of Disasters necessary precautions you will need to be aware of when
More informationChemical Spill Clean-up Protocol
Protocol Department of www.rms.ubc.ca UBC-RMS-OHS-PRO 17-002 Date created: November 3, 2015 Date revised: April 28 th, 2017 Chemical Spill Clean-up Protocol Scope Laboratory-specific safe work procedures
More informationEssential Chemical Safety & Hygiene Training 2015
Essential Chemical Safety & Hygiene Training 2015 Introduction What does this training cover? Knowledge of working with cleaning chemicals Forms part of induction training Forms part of on-going job training
More informationEmergency Procedures
Emergency Procedures This is a stand alone version from The Manual All licensees must develop an emergency procedures document. This document covers response procedures for incidents of a missing, stolen
More informationDEPARTMENT SCHOOLS OF HEALTH
PATIENT LIFTING: Work with patients/human subjects may involve lifting and moving of patients. Exposure to physical injury from lifting and moving of patients/human subjects. Avoid unnecessary exposures.
More informationRope Rescue. Approved by MCERS on 2/18/2016. These SOGs are based on FEMA guidelines FA-197
Rope Rescue Morgan Co. Emergency & Rescue Squad, Inc. STANDARD OPERATING GUIDELINES Issue Date: 2/18/2016 Revised Date: Approved by MCERS on 2/18/2016 These SOGs are based on FEMA guidelines FA-197 PURPOSE:
More informationHAZARDOUS MATERIALS AND WASTE
MARICOPA COUNTY SHERIFF S OFFICE POLICY AND PROCEDURES Subject Related Information GJ-3, Property Management and Evidence Control HAZARDOUS MATERIALS AND WASTE Supersedes EA-10 (11-19-01) Policy Number
More informationCBRN Academy. Assistance and Protection Training Course PROGRAMME PLAN
CBRN Academy Assistance and Protection Training Course PROGRAMME PLAN TRAINING PROGRAMME CONTENTS PAGE ASSISTANCE AND PROTECTION TRAINING COURSE 3 PREVIOUS KNOWLEDGE 3 PREREQUISITES 3 TIME ALLOCATION 4
More informationTactical Emergency Casualty Care (TECC)
Tactical Emergency Casualty Care (TECC) Guidelines For First Care Providers Current as of June 2016 DIRECT THREAT CARE (DTC) / HOT ZONE GUIDELINES 1) In the presence of a direct threat to life, take definitive
More informationLocal Rules: Ionising Radiation Regulations Working Instructions Staff MUST Follow
Room 029 Main Area, Meston Building, University of Aberdeen Radiation Protection Supervisor: Radiation Protection Adviser: Dr Stephen Bowden, Geology Dept, University of Aberdeen. (01224 273467) Dr Stephen
More informationTravis County Emergency Services District #1 Standard Operating Guidelines
Section Policy Number Effective Date B B8 06/16/2015 Policy Issued As Reference Policy # HAZMAT Response B2, B3, B4, B6, C3, C4, C6, C12, C14, D2, E1 Subject Approval: Hazardous Materials Response Donald
More informationApproved for public release; distribution is unlimited.
EMERGENCY RESPONSE TO HAZARDOUS SUBSTANCE SPILLS AND RELEASES IN ARMY MILITARY TREATMENT FACILITIES TECHNICAL INFORMATION PAPER NO. 59-040-0915 PURPOSE. To provide compliance strategies for responding
More informationSoft Tissue Trauma. Lesson Goal. Lesson Objectives 9/10/2012. Recognize and manage various types of soft tissue injuries. State function of skin
Soft Tissue Trauma Lesson Goal Recognize and manage various types of soft tissue injuries Lesson Objectives State function of skin List and describe 3 layers of skin Explain why BSI is a critical safety
More informationField Operations Guide
Field Operations Guide Charleston County CERT 3/2006 Field Operations Guide Name: Team: Team Leader : Leader Phone: EOC: Staging Area 1 : Staging Area 2: Table Of Contents 1. Equipment & Home Check List
More informationTEMPLE UNIVERSITY A Commonwealth University Environmental Health & Radiation Safety (EHRS)
Page 1 of 8 TEMPLE UNIVERSITY A Commonwealth University Environmental Health & Radiation Safety (EHRS) Standard Operating Procedure (SOP) Bromodeoxyuridine (BrdU) Principal Investigator: Room & Building
More informationSTANDARD OPERATING PROCEDURE (SOP): URETHANE
TEMPLE UNIVERSITY A Commonwealth University Environmental Health & Radiation Safety (EHRS) STANDARD OPERATING PROCEDURE (SOP): URETHANE LABORATORY/USER INFORMATION Principal Investigator (PI): Phone #
More informationHealth, Safety, Security and Environment
Document owner and change code Document Owner Aaron Perronne Title HSSE Manager Mark X Change Code Description X N/A First Issue A Typographical/Grammatical correction; formatting change; text clarification-no
More informationTEMPLE UNIVERSITY ENVIRONMENTAL HEALTH AND RADIATION SAFETY
Page 1 of 9 ISSUED: 5/00 REVISED: 08/06 Introduction Purpose: In accordance with applicable regulations and Temple University, this policy was developed to minimize exposure to Ethylene Oxide. Applicability
More informationDEPARTMENT OF HEALTH RESEARCH INSTITUTE FOR TROPICAL MEDICINE LABORATORY EMERGENCY PROCEDURES
DEPARTMENT OF HEALTH RESEARCH INSTITUTE FOR TROPICAL MEDICINE LABORATORY EMERGENCY PROCEDURES OBJECTIVES Learn the minimum requirements for developing an Emergency Plan. Learn how to deal with Spills and
More informationDeveloping Safety Guidelines for Cryogenic Liquids.
Developing Safety Guidelines for Cryogenic Liquids. Purpose: Develop a reference document that can be used by a Principle Investigator or a designee to assist in the development of Safety Operating Procedures
More informationSKAGIT COUNTY AUTOMATED EXTERNAL DEFIBRILLATOR [AED] POLICY
SKAGIT COUNTY AUTOMATED EXTERNAL DEFIBRILLATOR [AED] POLICY Purpose: To provide guidance in the management and administration of the Skagit County AED program. Check ONE box only: X For treatment of victims
More informationIn an emergency the safety of all personnel and the public is of priority.
P272 : Emergency Planning & Response This DOCUMENT and any linked FORMS have been created to provide specific requirements under the Amalgamated Operating System. For additional information and guidance,
More informationFirefighters guidance note #6-XX: Hydrogen sulphide chemical suicides
Firefighters guidance note #6-XX: Hydrogen sulphide chemical suicides Special considerations for safely responding to incidents of suicide due to hydrogen sulphide exposure. Issued: December 2017 On this
More informationSTANDARD OPERATING PROCEDURES (SOP) FOR REPRODUCTIVE HAZARDS
STANDARD OPERATING PROCEDURES (SOP) FOR REPRODUCTIVE HAZARDS INTRODUCTION: Standard operating procedures (SOP) are intended to provide you with general guidance on how to safely work with a specific class
More informationSafety Data Sheet RESTROOM RESCUE
Safety Data Sheet RESTROOM RESCUE Section 1 - Chemical Product and Company Identification Supplier s Information: Superco Specialty Products 2541 Anza Drive Valencia, CA 91355 (661) 775-8877 Section 2
More informationHazardous Materials Management. Presented by. James E. Roughton, MS, CSP, CRSP, CHMM.
Hazardous Materials Management Presented by. James E. Roughton, MS, CSP, CRSP, CHMM. Hazardous Waste Operations And Emergency Response (HAZWOPER) 29 CFR 1910.120 Scope Clean-up Operations At Uncontrolled
More informationEmergency Response Plans
PO Box 2114 Woonona East NSW 2517 (WOLLONGONG) PTY LTD Ph: 0417 420 760 Fax: 02 4283 2216 A/H: 02 4283 7727 EPA Licence: 11788 ABN: 57 079 336 799 Unit 11 Lot 1 York Place Woonona NSW 2517 Emergency Response
More informationCOALITION FOR SAFE SCHOOLS AND COMMUNITIES SAN MATEO COUNTY THE BIG FIVE SCHOOL EMERGENCY GUIDELINES IMMEDIATE ACTION RESPONSE
COALITION FOR SAFE SCHOOLS AND COMMUNITIES SAN MATEO COUNTY THE BIG FIVE SCHOOL EMERGENCY GUIDELINES IMMEDIATE ACTION RESPONSE RESPONSE Response is the process of implementing appropriate actions while
More informationDisaster Medical Operations Part 1
Disaster Medical Operations Part 1 Unit 3 Spring 2017 Assumptions Need for CERT members to learn disaster medical operations is based on two assumptions:! Number of victims could exceed local capacity
More informationTEMPLE UNIVERSITY ENVIRONMENTAL HEALTH AND RADIATION SAFETY
Purpose In accordance with applicable regulations and Temple University, this policy was developed to minimize exposure to glutaraldehyde. Applicability This policy is applicable to all Temple University
More informationEye Injuries. Chapter 25
Eye Injuries Chapter 25 Anatomy of the Eye Eye Injuries Can produce severe complications Examine pupil for shape and reaction (if you can see it) Appearance of Eye In a normal, uninjured eye, the entire
More informationOffice of the Sheriff. Somerset County, Maryland. Chapter 20. Section 1. Rabies Control and Animal Bites
Office of the Sheriff Somerset County, Maryland General Order: 01 14 12 Effective Date: September 1, 2014 Revised Date: January 1, 2014 Chapter 20 Section 1 Rabies Control and Animal Bites 1. Policy A.
More informationEMERGENCY ACTION PLAN
EMERGENCY ACTION PLAN Emergency situations can occur at any time, and can arise from a number of causes such as: medical emergencies, fire, natural disasters and physical threats. While people may talk
More informationDismantling of Fuel Flask Group B
Dismantling of Fuel Flask Group B Evangelos Maragkos; Gabor Toth; John Marquez; Lucian Leonido Biro; Mitica Dragusin; Yuri Lobach; Phuong Hoai Pham Bruce Watson List of hazards when using A) mechanical
More informationDisaster Medical Operations Part 1
Disaster Medical Operations Part 1 Unit 3 Spring 2017 Assumptions Need for CERT members to learn disaster medical operations is based on two assumptions:! Number of victims could exceed local capacity
More informationChapter 38 Recognizing and Identifying Hazardous Materials Hazardous Materials Hazardous Materials (Haz Mat) are present in every city, county, and
1 2 3 4 5 Chapter 38 Recognizing and Identifying Hazardous Materials Hazardous Materials Hazardous Materials (Haz Mat) are present in every city, county, and state in the US Haz Mat can be generically
More informationHAZMAT. Advancement Module 03 Dallas CERT
HAZMAT Advancement Module 03 Dallas CERT Materials for this unit: You should have a copy of the Emergency Response Guidebook, either in print or online, plus - paper and a pen or pencil The current electronic
More informationSURVEYING THE HAZARDOUS MATERIALS INCIDENT
HAZARDOUS MATERIALS TECHNICIAN MANIPULATIVE SKILL OBJECTIVES SURVEYING THE HAZARDOUS MATERIALS INCIDENT 1. Given three hazardous materials, one of which is a solid, one a liquid and one a gas, and the
More informationAbstract Major Incident Medical Management and Support (MIMMS)
Abstract Major Incident Medical Management and Support (MIMMS) DEFINITION: a major incident is any incident where the location, number, severity or type of live casualties requires extra-ordinary resources
More information