Personnel Decontamination And Casuality Response

Question 1

Which Instruction governs management of Irradiated or Radioactively Contaminated Personnel?

Answer 1

BUMEDINST 6470.10C

Question 2

What Enclosure of the 10C provides guidance to commands on supplies for personnel decontamination?

Answer 2

Enclosure 13

Question 3

Four Methods of exposure

Answer 3

• External Irradiation
• External Contamination
• Internal Contamination
• Wound Contamination

Question 4

What is the primary objective of skin decontamination?

Answer 4

Prevent Internal contamination through ingestion or inhalation.

Question 5

What are approved methods for external wound decontamination? (CHECK TO SEE IF THIS APPLIES TO NONWOUND)

Answer 5

• Soap & Water
• Waterless hand cleaner
• Taping
• mild abrasive soap and water
• Sweating/skin sloughing

Question 6

What entity do you receive guidance for responding services that may be to a radiological casualty?

Answer 6

BUMED Radiation Effects Advisory Board.

Question 7

NAVMED 6470/18

Answer 7

Personnel monitoring and decontamination

Question 8

NAVMED 6470/19

Answer 8

Detailed Personnel Monitoring Survey

Question 9

NAVMED 6470/20

Answer 9

Detailed Face Monitoring Survey

Question 10

NAVMED 6470/21

Answer 10

Detailed Hand Monitoring Survey

Question 11

NAVMED 6470/22

Answer 11

General Contamination, Radiation, and Airborne

Question 12

What is the order of priority for external contamination?

Answer 12

• Remove the clothes
• Decontamination any contaminated open cuts or wounds
• Decontamination external and external areas of the face
• Decontamination front and back of hands
• Decontamination all other contaminated areas of the body.

Question 13

You should immediately contact REAB if an estimated internal contamination dose exceeds what limit?

Answer 13

50 rem to any organ or 5 rem whole body in a single incident.

Question 14

What the stages associated with ARS?

Answer 14

• Prodromal
• Latent
• Manifest Illness
• Recovery or Death

Question 15

What are the classes of ARS?

Answer 15

• Hematopoietic/Bone Marrow Syndrome
• GI Syndrome
• CV/CNS Syndrome

Question 16

What are some considerations for external skin contamination?

Answer 16

• What is the extent of contamination on the skin?
• Is it there a chance internal contamination?
• Are there any clinical s/s expected?
• Is this an acute health problem?

Question 17

What is the main objective of external decontamination?

Answer 17

• Prevent internal contamination from ingestion and inhalation
• Minimize the dose to the eyes and skin

Question 18

How do you evaluate for internal contamination?

Answer 18

Gather data to estimate the amount of the contamination and expected dose from the following;
* Nasal swabs
* Throat swabs
* Saliva swabs
* Internal monitoring
* Compare estimated intake to DAC and ALI values

Question 19

In accordance to what, will you report and document the occurrence of internal contamination?

Answer 19

Chapter 5 of the P-5055.

Question 20

How do you evaluate external contamination?

Answer 20

• Treat Life, limb, eyesight first
• evaluate the extend of the external contamination and the possibility of internal contamination
• Gather a hx from the patient and witnesses to document the events leading up.

Question 21

If external irradiation exceeds federal exposure limits, what shall be done?

Answer 21

• Contact REAB and a submit a report with measured/estimated dose within 24 hours
• Conduct a SE RME
• Bio-dosimetry dose calculations
• Document the determined dose on a NAVMED 6470/1 and submit to NDC and REAB within 30 days of exposure

Question 22

An individual survival for external irradiation should not be question unless

Answer 22

• Dose to body exceeds 200 Rad
• Dose to a major segment of the body e.g. head or thoracic region is several hundred to thousands rad.
• Combination of serious physical injury and dose

Question 23

Four Cs of high neutron exposure

Answer 23

• Collect 10ml of blood and 100ml of urine
• Collect 1/2 gram of hair
• Collect any metal objects the individual wore during exposure and document
• Consult BUMED REAB

Question 24

Neutron exposure greater than ___ should initiate the 4Cs

Answer 24

25 Rad

Question 25

How long do you slough a wound?

Answer 25

6 to 9 hours.

Question 26

How does internal contamation occur?

Answer 26

Via
* Inhalation
* Ingestion
* Absorption
* Wound

Question 27

Survivability is questionable at what whole body deep does rate?

Answer 27

350-400 Rad

Question 28

What timeframe for soap and water, waterless, hand cleaner, and mild abrasive soap, and water?

Answer 28

1-3 minutes

Question 29

What enclosure provides information and guidance for isotopes likely to be involved in an incident in the Navy and the Marines Corps?

Answer 29

Enclosure 12

Question 30

What is LD 50/60?

Answer 30

50% of a exposed population will die within 60 days w/o medical treatment

Question 31

What is the detectable count for Alpha emitters?

Answer 31

50 uuCi/direct frisk

Question 32

What is the dectable count for beta-gamma emitters?

Answer 32

100 CCPM or 450 uuCi/Direct frisk

Question 33

What is used for beta/gamma monitoring?

Answer 33

IM-271 w/ 304 Probe

Question 34

What is used for Alpha monitoring?

Answer 34

MFR w/ DT 681 probe

Question 35

An effective decon attempt is marked by what?

Answer 35

Reduction of survey count by 50% or more