ERP/HazMat Flashcards
Manifestation of a biological is
Not immediate
Bio toxins such as ricin or mycotoxins may present immediate symptoms and mimic exposure to a chemical agent
Manifestation of a chemical attack
Will be immediate
Can the department detect the presence of a biological agent instantaneously or in real time?
No, currently no devices available to the dept
Exposure to bio agents, patients may exhibit __________ signs and symptoms
Differing
Chemical agents will have fairly consistent signs and symptoms
Bio agents can be delivered in which 2 ways?
Liquid (opaque) - typically thicker than water, but not as thick as syrup
Dry (gray or brown in color)
initial exclusion zone is how many feet in all directions from the point or source of the release?
AT LEAST 300ft
avoid entry to the site for how long, to allow the biological to settle?
minimum 30 minutes to 1 hour
What is a top priority before establishing a command post?
protection from a secondary device
A biological agent released will have the same effect no matter what time of day.
Agree or disagree
Disagree
it will have greater impact at DAWN, DUSK or DURING THE NIGHT
Higher humidity is benefial for _______
Lower humidity is better for _______
HH = Liquid agent LH = Dried bio agent
What is the appropriate PPE for entry and rescue for a biological release?
SCBA OR AV 2000
bunker gear with hood
gloves
What are the 4 types of Chemical Agents of concern to First Responders?
- Nerve
- Blister
- Blood
- Choking agents
NERVE AGENTS
example?
odor?
signs?
Sarin, Tabun, Soman, VX
FRUIT odor
respiratory distress, convulsions, SLUDGEM
BLISTER
example?
odor?
signs?
Mustard, Lewisite
GARLIC odor
Mustards - do not appear for hours (skin blistering)
Lewisite - appear immediately severe irritation to skin, eyes, airways. tissue necrosis
BLOOD agents
example?
odor?
signs?
Hydrogen cyanide, Cyanogen chloride
BURNT ALMONDS
gasping for air, convulsions
CHOKING AGENTS
examples?
odor?
signs?
Cholrine, Ammonia (PHOSGENE delayed effects)
CHOLRINE OR GRASS odor
gasping for air, eye irritation
Hydrogen Cyanide is ______ than air?
LIGHTER
*only chemical lighter than air!
What are the only exceptions to chemical agents not resulting in immediate signs and symptoms?
MUSTARDS and PHOSGENE
takes hours
Chemical release occurs in train while in transit between stations. The MTA will contiue the train to the closest station and _______ the train HVAC system?
CONTINUE to operate the train HVAC system ON while in transit to dilute the contaminant in the railcar.
Members operating in bunker gear shoudl not proceed into the Exclusion Zone any further than_____________
the FARTHEST LIVE VICTIM when performing hazrd assessment or rescue of ambulatory victims
First alarm Trucks at a Chemical Attack
“Every Helmet Becker Uses Eventually Gets Salty”
1st Truck-team 1 = Evacuation + Hazard assessment
1st Truck-team 2 = Back Up
2nd Truck-team1 = Evacuation to Gross decon
2nd Truck-team2 = Site access control
First arriving Trucks at a Chemical Attack
“Every Helmet Becker Uses Eventually Gets Salty”
1st Truck-team 1 = Evacuation + initial Hazard assessment
1st Truck-team 2 = Back Up
2nd Truck-team1 = Evacuation to Gross decon
2nd Truck-team2 = Site access control
Who directs vicitims to the Safe Refuge Area?
Team 1 of the first ladder co
Who is in charge of establishing a communications relay to the IC?
Team 2 of first ladder co (Back Up team), until relieved by first arriving CPC equipped unit.
Who is in charge of establishing the initial Contamintation Reduction Zone?
2nd arriving Truck.
Remain outside the Exclusion zone and use barrier tape or utility rope to establish the zone and limit access.
the initial exclusion zone is defined by what?
Red Haz Mat barrier tape
Who directs patients who have been deconned to the Casualty Collection Point?
First due Engine
Does the First due Engine enter the subway?
No, remain outside the subway unless ordered by the IC
who provides the estimate of number of victims to the IC
First Engine
Who performs CFR-D duties?
second and third due Engine
who may perform Noxious-Stimulus Triage (NST)?
any CPC trained level member or above
If the victim responds to voice or touch?
likely to survive and should be removed immediately
if the victim only responds to painful stimulus?
the victim may survive but requires immediate advanced medical treatment.
if the vicitm doesnt respond to painful stimulus?
leave the victim in place and proceed
What is the Patient Relay Point?
when the distance or complexity of the removal is beyond the capabilities of a single unit
what is an orange tag?
Life threatening condition/urgent
what is a yellow tag?
non-ambulatory/delayed
Who handles evidence at a discovery of firearms, ammunition, and/or incendiary devices?
IC shall assign members to SAFEGUARD FROM A DISTANCE.
ONLY NYPD or BFI shall HANDLE evidence
HT’s shall not be used within _____ of a suspected device.
150 feet
Apparatus, Post and Marine radios should not be operated within _______ of a suspected device.
300 feet
the isolation zone around a suspected device generally ____________
exceeds 300 ft
What is the proper identification when reporting to the NYPD IC?
Rank, Unit, Name
Should members don their SCBA facepieces after a detonated explosive device?
they SHOULD NOT because it will inhibit vision.
Unless their is indications of respiratorty distress
If a suspicious device is discovered on a victim during patient assessment:
- immediately cease assessment
- notify IC, law enforcement, and ALL first responders in the area
- evacuate forthwith
How many times do you open the victim’s airway by repositioning their head?
ONCE
All viable, non-ambulatory victims must be moved to:
the Triage Transfer Point
What size hoseline is stretched at a confimed incendiary device blast?
2 1/2”. First engine stretches a precautionary 2 1/2” and when necessary to knock down fires threatening victims
Does the first due Engine Officer enter the POI?
if the first due truck is not on scene or delayed, while the engine is stretching a precuationary line.
Who should be tagged in the POI?
only deceased victims (black tag)
Where does the second due engine go for an incindiary blast?
Triage Transfer Point
What does the second due engine bring to the Triage Transfer Point?
Skeds
Meters
CFR-d equipment
What does the 2nd engine officer do at an incendiary blast?
Remain at the Triage Transfer Point, until relieved by a BC
Who enters the POI?
First Ladder Officer
First Engine Officer if the ladder officer is not on scene or delayed
Who establishes the Patient Relay Point?
1st due truck - they will transfer patients to the 2nd due truck, grabbing skeds from 2nd due truck
Numerous victims need removal to the Triage Transfer Point, as first due ladder co officer you:
must notify FDNY IC for assisstance. If IC is not on scene yet you can directly request assistance from 2nd truck or 1st due engine.
If the incident involves the subway, what is the job of the second ladder company?
2nd Ladder must now conduct recon of the POI.
the 1st ladder is responsible for the CORE relay
How long must the IC and Medical Branch Director be updated for red tag patients in the TRiage Transfer Point?
every 15 minutes
Upon the discovery of any type of lab, the following notifications will be made:
- Battalion chief
- Deputy chief
- Haz Mat to repsond
- NYPD
- BFI
in a “Challenge Situation” with an NYPD Officer:
- comply with all commands
- Remain motionless
- Do not turn your body UNLESS INSTRUCTE TO BY THE OFFICER
- verbally identify yourself by RANK and NAME
- await command
when the potential for secondary threats is suspected, sensitive information should be transmitted via:
cell phones
secure frequencies
MDT
When will members operate inside the warm zone at an active shooter incident?
When requested by NYPD
must be approved by a Deputy Chief, unless the NYPD IC requests entry for immediate lifesaving medical intervention.
An Active shooter incident is a _______ Command.
Single. With NYPD as the IC
In the Rolling T formation at an active shooter incident, 3 SRG members will lead and 1 will provide security in the rear. FDNY members will move in pairs at the ______ of the formation. the FDNY RTF leader will be ________?
center.
Closest to the rear security
How many members of the RTF shall monitor the TAC-U channel?
1 FD member
ALPHA radiation
hazard?
range?
shielding?
inhalation
1-2 inches
intact skin, inches of air, sheet of paper
BETA radiation
hazard?
range?
shielding?
inhalation penetration (beta particles can penetrate 1/4” of skin)
Up to 10 feet
Approx 1” of: plastic, aluminum, glass
GAMMA
hazard?
range?
shielding?
Whole body
Up to several hundred feet
Several inches of: Lead, Concrete, Steel
foot of dirt or water
the RAD50 is calibrated to alarm at _____
It is able to measure radiation levels up to _____
1 mR/hr
50 mR/hr
What is the average annual dose of radiation that people receive from background sources?
360 mR per year or 1 mR per day
What is the normal background radiation rate for the NYC area?
0.02 to 0.05 mR/hr
How do you manage a radiological incident?
- Confirm readings with a Second Meter
- determine the location of the source
- verify it involves a legit source, Which Has NOT been Released from its container
- Transmit appropriate 10-80 code
- zero out and don dosimeter
What is the difference between a radiological Incident and Emergency?
Incident = the source has not been released from its container
Emergency = a source that is out of its container, either intentionally or accidentally
What is the greatest dangers from a Radiological Incendiary Device (RID)?
the expanding fire
What is the max rate of the RAD50?
50 mR/hr
What is the max rate of the Ludlum?
100 Rem/hr*
What is the max rate of the Canberra?
999 Rem/hr*
When do you evacuate civilians from surrounding buildings at a radiological incident?
the projected dose inside is 5 Rem for general population
10 Rem for SPECIAL GROUPS
in almost all cases of public contamination resulting from accidents or RDD or RID attacks, Life Threatening injuries should be addressed ______ to the decontamination of the injured.
PRIOR
If manpower and equipment are sufficient, when should members be rotated in regards to members receiving absorbed doses?
dose levels of 5 Rem or when 1 SCBA is expended
If the distance of the radiological source is ________, the rate will drop to 1/4 its original rate.
DOUBLED
When will the RAD50 alarm?
when the dose exceeds 1 mR/hr
Any area that causes an alarm requires confrmation from a second meter
Ops for Radiological Incident:
- confirm with second meter
- determine location of source if possible
- verify legit source, which has not been released from container
- transmit proper 10-80 code
- don ppe
Ops for Radiological Emergency:
prior to operating:
- don ppe
- full respiratory protection
- BRING APR WITH ADAPTER
- zero out and don dosimeter
- monitor incident with metering equipment