US

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Module 3 Personal Protective Equipment (PPE)
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Terminal Objective

• Upon completion of this module, students will be
  able to discuss the importance of respiratory
  protection and recognize medical interventions
  for exposures.

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Enabling Objectives

• 3-1 Students will be able to recognize
• the importance of wearing the appropriate
  respiratory protection
• 3-2 Students will be able to identify levels of
  respiratory protection and Personal
  Protective Equipment
• 3-3 Identify medical interventions available for
  exposure to hazardous materials/CBRNE

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Overview

• FEMA USR CBRNE equipment cache
• Scott respiratory equipment
• Chemical Protective Clothing (CPC)
• Hazmat related pharmaceuticals
• Communications Equipment

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MMWR Report September 2002

• World Trade Center Related Cough
• 332 Firefighters
• One Emergency Medical Service Worker

Each had four or more weeks of medical leave
Morbidity and Mortality Weekly Report
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Centers for Disease Control and
Prevention Morbidity and Mortality Weekly
Report September 2002
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2010 FDNY Medical Office Study 9/11 Effects

• 5,000 rescue workers tested
• ALL had lung impairments
• Average 10 impairment
• 30 40 persistent symptoms
• 1,000 permanent respiratory disability

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Respiratory Protection

• OSHA 29 CFR 1910.134 compliant
• Facepiece with Kevlar head piece
• Facepiece allows for
• Air Purifying Respirator (APR)
• Powered Air Purifying Respirator (PAPR)
• Self Contained Breathing Apparatus (SCBA)

Scott AV3000 Sure Seal facepiece
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Protection Factors

• N95 Particulate Mask 101
• APR Half-Face 101
• APR Full-Face 501
• PAPR 1,0001
• SCBA 10,0001
• A Factor of 11 No respiratory protection in
  place

Limiting Factors for Each PPE Must be Understood
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Half-facepiece Respirator

• Good particulate protection
• High Efficiency Particulate Air (HEPA) Cartridges
  Only
• Easy to change cartridge
• Eye Protection Required

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APR

• Fits into Scott Full facepiece
• CBRN Adapter (200423-01) allows NATO threaded
  cartridge
• NIOSH Approved CBRNE Cartridge
• Meets/exceeds NIOSH
• Adapter (805622-01) allows the use of 2 quarter
  turn cartridges

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PAPR

• Two - MPC40PF canisters
• Slight positive pressure
• 10 hour battery life
• Batteries in cache are for deployment
• Can be used off shelf without charging

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SCBA

• 60 minutes carbon cylinder
• Each Task Force
• 30 SCBAs
• 8 Spare Cylinders
• Each HEPP
• 30 spare cylinders
• 14 harness assemblies

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Communication System

• Ten per TF

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Hazards of Working in CPC

• Physiological (heat stress)
• Reduced mobility
• Limited vision (poor peripheral vision)
• Reduced dexterity
• May promote claustrophobia

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Damage to CPC

• Mechanicalcuts, tears, punctures
• Thermalno fire protection
• Chemicalno ideal suit to protect against all
  chemicals
• Permeation, penetration, and degradation

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Damage Protection for CPC

• Selection
• Application
• Behaviors
• Conditions

Overalls can be used to protect CPC from
mechanical damage
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Personal Protective Equipment

• Level A CPC
• Meets 1994 Class 1
• Hazmat Equipment
• Push Package
• (HEPP) Only

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Personal Protective Equipment
NFPA 1994 Class 2

• Multi Threat Suit
• Blauer
• OR
• Lion Apparel

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Personal Protective Equipment

• Level B
• Requires SCBA

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Personal Protective Equipment

• Level C

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Personal Protective Equipment

• Level D

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Personal Protective Equipment
AirBoss Overboot
Tingley Boots
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Personal Protective Equipment

• Gloves

Nitrile
Leather
Viton
Cotton
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Hazmat related pharmaceuticals
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Nerve Agent Antidote Kit (NAAK)DuoDote
Auto-Injector

• Treatment for symptoms of some insecticide and
  nerve agent exposures
• Self aid or Buddy aid

Includes Atropine 2.1mg and 2-PAM Chloride 600mg
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DuoDote Auto Injector

• Indications and Dosing
• A single NAAK dose may be given for mild symptoms
• 2 additional doses may be required for Severe
  or persistent symptoms

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Severe Nerve Agent Symptoms

• Strange or confused behavior
• Severe difficulty breathing or copious airway
  secretions
• Severe muscular twitching and general weakness
• Urination or defecation (Involuntary)
• Convulsions or unconsciousness

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Side Effects of NAAK

• Loss of visual acuity and confusion
• Dry mouth and eyes, urinary retention
• Headache and abdominal pain
• Dangerous hypertension and arrhythmias
• Increased temperature and flushing
• All can be severe in some cases

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Convulsant Antidote for Nerve Agent
(CANA)Diazepam Auto-Injector,

• One CANA per individual
• Should be used for buddy-aid only

Diazepam 10mg
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Injection Site

• Inject in large muscle of thigh
• Area hand width below hip to hand width above
  knee
• Hold in place 10 seconds

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Site Location
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Alternate Location

• Thin persons inject in buttocks
• Avoid nerve and bone

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Misuse

• Mishandling that may result in accidental
  self-injection
• Another danger is unnecessary self-injection. Do
  not use unless
• You show signs and symptoms,
• You know you are exposed, or
• You are directed

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Radioactive Iodide Prophylaxis

• Potassium Iodide for thyroid protection during
  some nuclear emergencies
• Daily dose of one tablet given every 24 hours.
  Must be given prior to exposure

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Module 3 Activity, Hands-on PPE/CPC and
Respiratory Protection
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Summary

• FEMA USR CBRNE equipment cache
• Scott respiratory equipment
• Chemical Protective Clothing (CPC)
• Hazmat related pharmaceuticals
• Communications Equipment

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Review and Examination