chapter 64 - Response to hazmat incidents Flashcards

1
Q

acids

A

materials that have a pH value less than 7 (ex hydrochloric acid, sulfuric acid)

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2
Q

acute exposure

A

an exposure that occurs over a short timeframe (less than 24 hrs) usually occurs at a spill or release

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3
Q

air reactive materials

A

materials that react with atmospheric moisture and rapidly decompose

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4
Q

alpha particle

A

a positively charged particle emitted by certain radioactive materials

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5
Q

asphyxiants

A

chemicals that impair the body’s ability to either get or use oxygen

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6
Q

autoignition point

A

the temperature at which a material ignites and burns without an ignition source

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7
Q

bases

A

materials with a pH value greater than 7 (ex sodium hydroxide, potassium hydroxide)

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8
Q

beta particle

A

a negatively charged particle emitted by certain radioactive materials

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9
Q

boiling liquid expanding vapor explosion

A

an explosion that can occur when a vessel containing a pressurized liquid ruptures

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10
Q

boiling point

A

the temperature at which the vapor pressure of the material being heated equals atmospheric pressure (760 Hg); water boils to steam at 100 C (212 F)

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11
Q

bulk containers

A

large containers and tanks used to transport large quantities of hazardous materials

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12
Q

carboys

A

glass or plastic bottles commonly used to transport corrosive products

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13
Q

chemical asphyxiants

A

chemical that prevent the transportation of oxygen to the cells or the use of oxygen at the cellular level

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14
Q

chronic exposure

A

an exposure to low concentrations ocer a long period

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15
Q

cold zone

A

a safe area isolated from the area of contamination; also called the support zone. This zone has safe and easy access. It contains the command post and staging areas for personnel, vehicles, and equipment. EMS personnel are stationed in the cold zone

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16
Q

contamination

A

the deposition or absorption of chemical, biological, or radiologic materials onto personnel or other materials

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17
Q

contamination reduction zone

A

see warm zone

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18
Q

corrosive

A

any liquid or solid that can destroy human flesh on contact or has a severe corrosion rate on steel

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19
Q

cryogenic

A

pertaining to extremely low temperatures

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20
Q

cylinders

A

nonbulk containers that normally contain liquefied gases, nonliquified gases, or mixtures under pressure; cylinders also may contain liquids or solids

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21
Q

decontamination

A

the physical and chemical process of reducing and preventing the spread of contamination from persons and equipment used at a hazardous materials incident; also referred to as contamination reduction

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22
Q

emergency decontamination

A

the process of decontaminating people exposed to and potentially contaminated with hazardous materials by rapidly removing most of the contamination to reduce exposure and save lives, with secondary regard for completeness of decontamination

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23
Q

explosive

A

any chemical compound, mixture, or device, the primary or common purpose of which is to function by detonation or rapid compustion ; found in liquid or solid forms

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24
Q

flammable

A

the capacity of a substance to ignite

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25
Q

flammable gases

A

any compressed gas that meets requirements for lower flammability limit, flammability limit range, flame projection, or flame propagation as specified in CFR title 49, sec 173.300 (b) (ex butane, acetylene, hydrogen, propane)

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26
Q

flammable range

A

the concentration of fuel and air between the lower flammable limit or lower explosive limit and the upper flammable limit or upper explosive limit; the mixture of fuel and air in the flammable range supports combustion

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27
Q

flammable solids

A

a solid material other than an explosive that is liable to cause fires through friction, retained heat from manufacturing or processing, or that can be ignited readily; when ignited, they burn so vigorously and persistently that they create a serious transportation hazard (ex phosphorus, lithium, magnesium, titanium, calcium resinate)

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28
Q

flashpoint

A

the minimum temperature at which a substance evaporates fast enough to form an ignitable mixture with air near the surface of the substance

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29
Q

gamma rays

A

a type of electromagnetic radiation that can travel great distances; can be stopped by heavy shielding, such as lead

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30
Q

half-life

A

the measure of the rate of decay of a radioactive material; indicates the time needed for half of a given amount of a radioactive material to change to another nuclear from or element

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31
Q

hazard communication standard

A

HAZCOM - OSHA standard regarding worker protection when handling chemicals

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32
Q

hazardous materials

A

a substance (solid, liquid, or gas) capable of posing an unreasonable risk to health, safety, environment or property

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33
Q

Hazardous waste operations and emergency response

A

HAZWOPER - OSHA and EPA regulations regarding worker safety when responding to hazardous materials emergencies

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34
Q

hot zone

A

the area in which contamination currently exists or area that may be contaminated in a short period; also called the exclusion area. Patients are removed from this area to the warm zone for decontamination. Entrance to the hot zone requires proper PPE

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35
Q

immediately dangerous to life or health concentrations

A

IDHLs - maximal environmental air concentration of a substance from which a person could escape within 30 mins without symptoms of impairment or irreversible health effects

36
Q

ionizing radiation

A

particles or pure energy that produces changes in matter by creating ion pairs

37
Q

lethal concentration 50 %

A

LC50 - the air concentration of a substance that kills 50% of the exposed animal population’ this denotes the concentration and the length of exposure time that results in 50% fatality in the exposed animal population; also commonly noted as LCt50

38
Q

half-life

A

the measure of the rate of decay of a radioactive material; indicates the time needed for half of a given amount of a radioactive material to change to another nuclear from or element

39
Q

hazard communication standard

A

HAZCOM - OSHA standard regarding worker protection when handling chemicals

40
Q

hazardous materials

A

a substance (solid, liquid, or gas) capable of posing an unreasonable risk to health, safety, environment or property

41
Q

Hazardous waste operations and emergency response

A

HAZWOPER - OSHA and EPA regulations regarding worker safety when responding to hazardous materials emergencies

42
Q

hot zone

A

the area in which contamination currently exists or area that may be contaminated in a short period; also called the exclusion area. Patients are removed from this area to the warm zone for decontamination. Entrance to the hot zone requires proper PPE

43
Q

immediately dangerous to life or health concentrations

A

IDHLs - maximal environmental air concentration of a substance from which a person could escape within 30 mins without symptoms of impairment or irreversible health effects

44
Q

ionizing radiation

A

particles or pure energy that produces changes in matter by creating ion pairs

45
Q

lethal concentration 50 %

A

LC50 - the air concentration of a substance that kills 50% of the exposed animal population’ this denotes the concentration and the length of exposure

46
Q

lethal dose 50%

A

LD50 - the oral or dermal exposure dose that kills 50% of the exposed animal population in 2 weeks

47
Q

local damage

A

damage present at the point of chemical contact

48
Q

lower flammable limit

A

the minimal concentration of fuel in the air that will ignite; below this point too much oxygen and not enough fuel to burn (too lean) are present; also called the lower explosive limit

49
Q

material safety data sheet

A

MSDS - a document that contains information about the specific identity of a hazardous chemical; information includes exact name and physical properties and emergency telephone numbers

50
Q

melting point

A

the temperature at which a solid changes to a liquid (ex ice melting to water at 0 C or 32 F)

51
Q

mydriasis

A

dilation of the pupils

52
Q

mational fire protection association

A

NFPA - international voluntary membership organization that promotes improved fire protection and prevention and establishes safeguards against loss of life and property by fire; writes and publishes national voluntary consensus standards

53
Q

neutron radiation

A

penetrating radiation that can result in whole body irradiation

54
Q

olfactory fatigue

A

desensitization of the sense of smell

55
Q

occupational safety and health administration

A

OSHA - a unit of the us department of labor that establishes protective standards, enforces those standards, and reaches out to employers and employees through technical assistance and consultation programs

56
Q

oxidation ability

A

the ability of a substance to readily release oxygen to stimulate combustion

57
Q

permissible exposure limit

A

allowable air concentration of a substance in the workplace as established by OSHA; these values are legally enforceable

58
Q

personal protective equipment

A

PPE - clothing and equipment worn to protect against environmental hazards

59
Q

placards

A

diamond shaped signs placed on the sides and ends of bulk transport containers that carry hazardous materials

60
Q

poisonous

A

describes gases, liquids, or other substances of such nature that exposure to a very small amount is dangerous to life or is a hazard to health; also know as toxic (cyanide, arsenic, pesticides, phosgene, aniline, methyl bromide, insecticides)

61
Q

pounds per square inch

A

psi - the amount of pressure on an area that is 1 inch square

62
Q

pyrophorics

A

substances that form self-ignitable flammable vapors when in contact with air

63
Q

radioactive

A

the ability to emit ionizing radioactive energy

64
Q

radioactive substances

A

any material or combination of materials that spontaneously emit ionizing radiation and have a specific activity greater than 0.002 (plutonium, cobalt, uranium 235, radioactive waste)

65
Q

radioactivity

A

the spontaneous disintegration of unstable nuclei accompanied by the emission of nuclear radiation

66
Q

secondary contamination

A

the risk of another person or healthcare provider becoming contaminated with a hazardous material by contact with a contaminated victim

67
Q

secondary device

A

an explosive, chemical, or biologic device hidden at the scene of an emergency and set to detonate or release its agent after emergency response personnel are on scene

68
Q

simple asphyxiants

A

inert gases and vapors that displace oxygen in inspired air (ex carbon dioxide, nitrogen)

69
Q

specific gravity

A

the ratio of a liquid’s weight compared with an equal volume of water (which has a constant value of 1); materials with a specific gravity of less than 1 float on water, and materials with a specific gravity greater than 1 sink

70
Q

systemic damage

A

damage remote to the site of exposure or absorption

71
Q

threshold limit value

A

the airborne concentrations of a substance; represents conditions under which nearly all workers are believed to be repeatedly exposed day after day without adverse effects. Exposed day after day without adverse effects.

72
Q

tube trailers

A

trailers that carry multiple cylinders of pressurized gases

73
Q

upper flammable limit

A

the concentration of fuel in the air above which the vapors cannot be ignited; above this point too much fuel and not enough oxygen are present to burn (too rich) ; also called the upper explosive limit

74
Q

vapor density

A

the weight of a volume of pure gas compared with the weight of an equal volume of pure dry air (which has a constant value of 1); materials with a vapor density less than 1 are lighter than air and rise when released; materials with a vapor density greater than 1 are heavier than air and sink when released

75
Q

vapor pressure

A

the pressure exerted by a vapor against the sides of a closed container; a measure of volatility

76
Q

volatility

A

a measure of how quickly a material passes into the vapor or gas state; the greater the volatility, the greater its rate of evaporation

77
Q

warm zone

A

area surrounding the hot zone that functions as a safety buffer area, decontamination area, and as an access and egress point to and from the ot zone; also called the contamination reduction zone

78
Q

water reactive materials

A

materials that violently decompose and or burn vigorously when they come in contact with moisture

79
Q

water solubility

A

the degree to which a material or its vapors are soluble in water

80
Q

five levels of training are

A

awareness, operations, technician, specialist, incident commander

81
Q

NFPA levels

A

level 1 is patient care in cold zone

level 2 is patient care using ppe in warm zone

82
Q

what are the 9 classes of haz materials

A

explosives, gasses, flammable or combustible liquids, flammable solids, oxidizing substances, poisonous and infectious substances, radioactive, crossive materials, miscellaneous haz materials

83
Q

what are the routes of exposure

A

inhalation, exposure, injection, skin or eye absorption (inhalation being the quickest and most common route of chemical exposure)

84
Q

CAMEO

A

computer aided management of emergency operations - allows first responders to assist in the response to chemical emergencies and can be used to access, store, and evaluate information critical for developing emergency plans

85
Q

what is the order of patient care in the warm zone

A

ABC2DE - airway, breathing, circulation, cervical spine stabilization, decontamination, evaluate for systemic toxicity

86
Q

what are the signs and symptoms seen after exposure to pesticide chemicals

A

SLUDGEBBM - salivation, lacrimation, urination, defecation, gastrointestinal distress, emesis, bradycardia, bronchoconstriction, miosis

87
Q

denial criteria into a hot zone include

A

body temp greater than 99.2, pulse is greater than 110/min, bp is greater than 150/90, RR is greater than 24/min, new onset of: cardiac complaints, respiratory, hypertension, nausea, vomiting, diarrhea