Chp 15 "routine" Hazardous Materials Incidents

Question 1

Contaminated patients:

Regardless of the material, the best course of action for anyone contaminated by hazardous material is to be— from the scene of contamination.

Answer 1

Moved away

Question 2

Contaminated patients:

Most exposures are of – or—, and putting distance between the product and people likely reduces those levels of exposure.

Answer 2

Skin contact

Inhalation

Question 3

Contaminated patients:

Who should decide how far away any exposed patients need to be from the source?

Answer 3

First responders

Question 4

Contaminated victims:

You could use — to to divert a vapor or gas away from a victim.

You could minimize your exposure by using a – to grab hold of the victims clothing and move them to safety.

Answer 4

Fog stream

Long pike pole

Question 5

Contaminated patients:

The “hazardous materials guid for first responders” stated that — is usually the most important first aid action that can be initiated.

Answer 5

“Removal of hazardous material from the skin, eyes or clothing of a victim (decontamination)”

This guide also cautions first responders that some materials “are so toxic that first aid should not be performed on contaminated victims because he risk of serious injury to the responder

Question 6

Patient contamination:

In general, using — to rinse off materials is almost always the first choice for decontamination in the field.

Answer 6

Large quantities of water

Question 7

Patient contamination:

Before making entry for a rescue you must first do what?

Answer 7

Ensure a reliable water supply for gross decon

Pump engaged before making entry
caution with hot pump water

Question 8

Patient contamination:

If you don’t have time to construct a means for decon run-off where should docon be performed?

Answer 8

On a Porous surface, such as Grass or soil

As opposed to paved areas.

Question 9

Any response to investigate an Oder can quickly escalate into what?

Answer 9

An MCI

Question 10

“Spills from home heating oil tanks”

Indoor spills can enter floor drains. When this occurs first responders must:

Otherwise their role is to:

Answer 10

Determine if these drains are connected to local sewer systems for perhaps nearby septic tanks.

Ensure safety of individuals potentially exposed and CONTAIN the spread of the material.
Contact reps of local and state agencies for clean up

Question 11

“Contaminated patients”
*key words

Any first responder CONSIDERING Rescue..

When CONDUCTING a rescue…

When deciding whether to enter a contaminated area for rescue refer to the:

Answer 11

CONSIDERING a rescue- Determine if they will be exposed

CONDUCTING a rescue-
Acknowledge the potential fir serious injury or death.

DECIDING whether to enter-
Refer to the ERG

Question 12

Contaminated patients

Key notes*

Answer 12

Decon before receiving ANY level of EMS

DECON= most important first aid action

Using large quant of H20 is generally the first choice of Decon in the field

Before making entry, secure reliable water source for Decon

Question 13

Contaminated victims

ERG
key points

Answer 13

“Removal of solidified molten material from skin requires medical assistance”

“In case of contact with substance, wipe from skin immediately, the flush skin or eyes with RUNNING water for at least 20 minutes”

Question 14

Remember too that THOROUGH Decon requires:

Answer 14

Removal of patients contaminated clothing

Question 15

First responders role in:

Fuming trash contrainers and trash collection Trucks

Answer 15

ISOLATE and DENY entry to the affected area.

THEN: notify the company that owns the truck or trash bin and inform them that they have a problem and let them manage it.

Question 16

Suspicious odors in buildings

Procedures:

Answer 16

Assess the scene, evacuate affected buildings, account for all personnel, treat anyone who may be symptomatic

In addition to securing the scene and providing for medical care, first responders should attempt to CONTROL any ongoing release of a suspected hazmat that may be the source of the odor. But ONLY if it can be done safely.

-most often “controlled” at the metering device

Question 17

Role of first responders in:

Residential carbon monoxide detectors.

Answer 17

Treat occupants and protect themselves from potential exposure

Question 18

In order to determine the source of an odor in a building first responders are encouraged to:

Answer 18

Speak with occupants, building owners and those responsible for maintenance.

Question 19

When deciding on a defensive strategy for fires involving hazardous materials, the presence of nearby — must be considered along with the anticipated impact of any smoke plumes.

Answer 19

Exposures