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Hazmat /ERP > ERP ADD 4- RADIOLOGICAL OPERATIONS > Flashcards

ERP ADD 4- RADIOLOGICAL OPERATIONS Flashcards

1
Q

Radioactive contamination :

A

presence of an UNWANTED radioactive source that has been RELEASED (Intentional or unintentional ) from its specified container…results are people contaminated and/or radiation exposure

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2
Q

Routes of Exposure:

A
  • INHALATION
  • ingestion
  • absorption
  • penetration/injections
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3
Q

Alpha:

A

-inhalation
-1-2 inches
SHIELDING - INTACT SKIN, INCHES OF AIR, SHEET OF PAPER

(least dangerous)

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4
Q

Beta:

A
  • inhalation, penetration of skin up to 1/4”(includes eyes)
  • up to 10 feet
  • shielding - approx 1 inch of : plastic/glass/aluminum
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5
Q

Gamma

A

-WHOLE BODY HAZARD
-several HUNDRED FEET
Shielding: SEVERAL INCHES OF : LEAD, CONCRETE, STEEL—FOOT OF DIRT, WATER

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6
Q

NEUTRON

A

-whole body
Several hundred feet
Shielding: HIGH HYDROGEN content material: 3 feet of water, 1 foot of concrete, 10 inches of plastic

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7
Q

For ALL RADIATION,,, PPE:

A

SCBA/BUNKER GEAR/HOOD/GLOVES

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8
Q

ACUTE DOES:

A

large does in SHORT period of time…example: sun burn

smaller does of sun over longer period will not cause burn

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9
Q

IMMEDIATE BIOLOGICAL effects of radiation (acute does):

A

burns
reddening
nausea, vomiting, diarrhea, fatigue, hair loss, decreased organ function

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10
Q

Long Term biological effects:

A

-cancer
genetic defects
reproductive effects
death

burns on the scene or days after may be CHEMICAL or THERMAL in nature….radiation burns take longer and will not appear right way

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11
Q

Any readings relayed MUST include proper unit:

A

mR or REM versus mR/hr or REM/hr

operating at RADIOLOGICAL EMERGENCY requires RESPIRATORY PROTECTION

Note: one SCBA bottle last less than half hour…therefore, the dose of member will receive operating for DURATION OF ONE SCBA BOTTLE will be less than the rate number on the METER READOUT…EXAMPLE: 50 mR/hr will receive a dose of 50 mr if operating an hour…..member will only receive 25 mR operating for 1/2hour

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12
Q

DOSE:

A

AMOUNT of radiation deposited or absorbed in the body (example: TOTAL MILES FOR ODOMETER READING)

  • MEASURED in uR- microrem….mR-millirem. or Rem
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13
Q

Rate:

A

how FAST RADIATION IS DEPOSITED (EXAMPLE: MPH- SPEedometer reading)

-measured in uR/hr, mR/hr, Rem/hr

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14
Q

RAD 50 will saturate at :

A

50 mR/hr (RATE) (RAD 50 can measure radiation levels up to 50mR/hr–this is well below the rate at which signs and symptoms of acute radiation exposure is observable

HOTLINE : 2 mR/hr

Alarms: 1 mR/hr

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15
Q

Normal background radiation for NYC area?

A

.02mR/hr to .05mR/hr (mentioned in RAD 50) OR 20uR/hr to 50uR/hr

  • carry RAD 50 when:
  • OUT OF QUARTERS
  • afid
  • complaints
  • during the assessment of emergencies and fires
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16
Q

RADIOLOGICAL INCIDENT:

-Average annual does or radiation people receive from background sources is 360 mr per year /1 mR PER DAY

A

radiological meter readings are ABOVE BACKGROUND from a legit source and the source HAS NOT BEEN RELEASED from its container…may also be NATURALLY EMITTING SOURCE
to establish this situation as an INCIDENT, readings must be confirmed from SECOND METER

Radiological Incidents may have background readings from:

  • occupancies- MEDIcal, research, industry/construction sites
  • containers/packages–ship/store radioactive materials
  • PEOPLE who received radiological medical treatment (RAD 50 may alarm near someone…such as thallium stress test)
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17
Q

Managing Radiological Incident:

A

A. CONFIRM initial readings with SECOND METER
B. Determine location of SOURCE
C. verify situation involves legitimate source , that has NOT BEEN RELEASED from its container
D. TRANSMIT appropriate 10-80 code
**special call HAZ-MAT tech unit to respond with radiological metering devices for events involving legitimate sources emitting radiation levels GREATER than RAD 50 can detect—-example: over 50mR/hr)
E. ZERO OUT and don DOSIMETER

note: for example, a package shipped according to DOT guidelines can emit radiation levels as high as 200mR/hr and a different meter with greater detection may be needed on scene to determine if the ventilation is a Incident or Emergency

18
Q

Radiological EMERGENCY:

A

involves source that is OUT OF ITS CONTAINER, either ACCIDENTALLY OR INTENTIONALLY…also encompasses situation where radiological readings are above WHAT IS EXPECTED FOR A SPECIFIC LOCATION
-readings MUST BE CONFIRMED by SECOND METER to establish EMERGENCY (same as incident)

TRANSMIT 10-80 FOR RADIOLOGICAL EMERGENCY

19
Q

ACCIDENTAL RADIOLOGICAL EMERGENCY:

A

-Released from container:
Examples:
A. release or spill at medical or research facility/construction site
B. RELEASE in Transport : package breached,inappropriate packaging..readings ABOVE TRANSPORT INDEX
C. package containing radiological material INVOLVED IN FIRE
D. Orphan source- ABANDONED SOURCE–OWNERSHIP NOT KNOWN and NO CRIMINAL INTENT

20
Q

INTENTIONAL radiological EMERGENCY:

A

A. RDD-radiological dispersal device-solid/liquid/gas

  • Dirty Bomb-can involving explosives
  • above background readings at MULTIPLE LOCATIONS
  • expect contamination;internal/external exposures
B. RED- radiological EXPOSURE DEVICE
-involves pOINT SOURCE to intended to expose specific person or population to doses of radiation
-smaller, MORE LIMITED HOT ZONE than RDD
-may be securely hidden
-contamination is NOT EXPECT if material is contained ...expect external exposure 
C. RID-radiological INCENDIARY DEVICE
-dirty fire
-DELAY FIRST RESPONDERS 
-greatest dangers from expanding fire
-contamination..external/internal
D. IND-Improvised Nuclear Device
-HIGH LEVELS
-EXTENSIVE CASUALTIES
-HIGHER DOSES
-MODIFIED OPS
21
Q

If a RADIOLOGICAL EMERGENCY is considered SUSPICIOUS/INTENTIONAL, consider ?

A

SECONDARY DEVICES

22
Q

DECISION DOSE: WHOLE BODY:

A

50 REM–LIFESAVING FOR CATASTROPHIC EVENT

25 REM- LIFESAVING OR PROTECTION OF LARGE POPULATIONS

10 REM- PROTECTION OF MAJOR PROPERTY

5 REM- GENERAL OPERATIONS AT RADIOLOGICAL EMERGENCY

23
Q

Units responding to an IND , SHOULD NOT enter the area of DETONATION FOR AT LEAST _____minutes ?

A

15 minutes POST -DETONATION

24
Q

Isolate:

A

isolate area and RESTRICT ACCESS TO HOT ZONE…

members shall NOT operate beyond HOT ZONE, EXCEPT FOR LIFE SAVING PURPOSES

25
Q

CONTAIN:

A

protect exposures

  • initially shut down air intakes for surrounding buildings
  • reevaluate for HVAC systems being restarted
26
Q

Evacuate:

A

evacuate civilians from buildings and surrounding areas

projected dose- 5 for general population

10 REm- for non ambulatory –hospital/prison/nursing home

-time permits evacuation civilians before a radioactive plume arrives (in an incident involving radioactive material aerosolized through fire or other means of dispersal)

SHELTERING in place may be viable option if RAPid evacuation is impeded and or is not feasible …building materials provide substantial protection against radiation….actions involving evacuation or sheltering in place should be taken before the anticipated dose is realized

27
Q

DECON:

A

decon and implement DRY DECON MEASURES to expedite transfer of patients to EMS for treatment and transport

28
Q

In almost all cases of public contamination resulting from ACCIDENTS or RDD and RID attacks, LIFE THREATENING INJURIES should be addressed PRIOR to the DEcON of the injured..

A

LEVEL OF RADIATION to First Responders would NOT POSE SIGNIFICANT immediate threat to FIRST RESPONDERS during the time needed to treat life threats

(treat life threats over decon)

29
Q

If members and equipment are sufficient, they shall be rotated ?

A

1 SCBA TANK EXPENDED OR 5 Rem

30
Q

OPERATING TIME: ENTRY/WORKING/EXIT TIME:

A

100 R/hr- 15 min
50 R/hr-30 min
25 R/hr- 60 min
16.7 R/hr- 90 min

  • LEVLS OF RADIATION DECLINE exponentially as distance from the source increases, if the distance from the radiological source is DOUBLED , the rate will drop 1/4 of its original rate
    example: 1 foot goes 2 feet /doubled, then 100 rem/hr drops to 25 rem/hr (1/4)
31
Q

Contamination Spread:

A

upon CONFIRMATION of a release from a RADIOLOGICAL dispersal device or RADIOLOGICAL INCENDIARY DEVICE, units in SURROUNDING BOROUGHS SHOULD IMMEDIATELY MONITOR their RESPONSE AREA FOR any changes in the LEVELS OF BACKGROUND RADIATION using RAD Documentation forms…..FORWARD TO FDOC to assist OPERATIONS SECTION CHIEF

32
Q

Rad 50:

A

on at ALL TIMES, when responding and returning from alarms …BISP, MUD, other outside activities
-when device reads 1mR/hr…it will SOUND ALARM…any alarm requires SECOND METER CONFIRMATION

33
Q

If radiological EMERGENCY involves FIRE:

A

EXTINGUISHING FIRE is HIGH PRIORITY , to facilitate rescue, evacuation and radiological contamination control

34
Q

RAD 50 takes ________for a change to be indicated on LCD display/readout?

A

FULL MINUTE

35
Q

ZONES:

ACTION LEVEL : 1 MR/HR

HOT ZONE established rate of : 2 mR/hr—life saving operations and major property protection/marked with RED hazardous materials tape

A
  • HOTLINE is edge of HOT ZONE and point after which NO CONTAMINATION is present
  • GREATER than 2mR/hr is HOT ZONE
  • less than 2mR/hr is COLD ZONE
  • WARM ZONE is specific area near edge of hotline , USUALLY superimposed in the cold zone
  • WARM ZONE does NOT ENCIRCLE source of radiation, rather it is a SMALL DEFINED LOCATION used for DECONTAMINATION or as SAFE REFUGE AREA , where radiation levels are as low as possible
  • command post in COLD ZONE

*if radioactive material is dispersed, removal of PPE should not be initiated until the member is evaluated AND DECONTAMINATION VERIFIED *

36
Q

Radiation detector?

A

at least 1 PER TEAM

DOSIMETER- ONE PER POSITION

  • when a members dosimeter reads 5 REM:
  • NOTIFY OFFICER and if staffing permits , leave HOT ZONE and proceed to WARM ZONE FOR DECON…if not staffing, continue LIFE SAFETY OPERATIONS and monitor dosimeter
  • continue to notify officer for each additional 5 REMS dose received :
  • LOCATION
  • ACTIVITY PERFORMED
  • RADIOLOGICAL RATE AND DOSE

L.A.R.D

37
Q

FACTORS to consider when selecting Decon Site:

A
  • Proximity to incident
  • Wind direction
  • Terrain
  • Water run off
38
Q

Priority of DECON:

A
  1. PATIENTS with LIFE THREATS (INJURIES AFFECTING ABC’S)
  2. Patients SEVEReLY contaminated, but are not symptomatic
  3. remaining patients: A. PREGNANT WOMEN
    B. CHILDREN
    C. SENIOR CITIZENS
    D. NON LIFE THREATS
39
Q

DeCon Procedurs:

A 
Dry Decon(remove clothes/brushing with tape)..clothes will remove LARGE AMOUNTS
-Wet Decon--large scale/quick way
40
Q

Label Packages:

A

Radioactive White I-almost NO RADIATION present
max level of surface- .5mR/hr
-instruments/material low level

Radioactive Yellow II- LOW LEVELS of radiation

  • max- 50mR/hr–surface
  • max level - 1mR/hr—one meter from package
Radioactive Yellow III- HIGHER LEVELS 
MAX LEVEL- 200mR/hr-surface
max level- 10mR/hr --one meter
required for following: LARGE QUANTITY 
-special permit Dept. of TRANSPORTATION
-hazardous characteristics associated with 
RADIOACTIVITY

TRANSPORT INDEX: GAMMA ONLY
-PACKAGE should not exceed 10 mr/HR

TOTAL SHIPMENT may not exceed 50 mr/HR

41
Q

Members must wear SCBA while operating in hOT ZONE, however if all hazards have been identified and the atmosphere has sufficient oxygen , the OPERATIONS CHIEF may decide members can operate with APR PAPR, N95

A

APR may be useful when members are :

  • operating in WARM ZONE performing DECON
  • members SCBA near empty but are out of immediate hazard area or out of an area involved in fire

-EACH MEMBER MUST DON DOSIMETER WHILE OPERATING AT RADIOLOGICAL EMERGENCY

42
Q

GAMMA stopped by concrete or lead several inches thick

A

BETA stopped by wood, aluminum , plastic inch thick

ALPHA stopped by material thin as paper

Hazmat /ERP (16 decks)

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