CBRN Technician BE and CEX Role in Emergency Response

1
CBRN Technician (BE and CEX) Role in Emergency
Response

• Air Force Incident Management Course
• Maxwell AFB
• Maj Brian Peake
• Air Force Medical Operations Agency
• Bioenvironmental Engineering Division
• DSN 297-4318

2
Overview

• Foundations
• Capabilities
• Response Equipment
• Key Take-Aways

3

• Foundations

4
BE Vision and Mission

• Vision
• Optimize combat and operational capabilities by
  preventing casualties and enhancing performance
  in the deployed and in garrison environments
  through full spectrum threat health risk
  reduction
• Mission
• Provide operational health risk assessment
  expertise to enhance commander decision making
  and health service support capabilities

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Strategic Objective

• Garrison Deployed
• Common set of capabilities and skills for both
  garrison and deployed settings
• Consistent application of skills and execution of
  capabilities across operational spectrum
• Day-to-Day Response
• Anticipate, Identify, Evaluate, and Control
• Sense, Shape, Shield
• Recommend courses of action to improve operations
  and minimize health impacts

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CEX Transformation Purpose

• Increase CE Readiness EM-R and CBRN capability as
  it relates to UTCs solidifying an in-garrison
  equals deployed construct while aligning Tactics,
  Techniques, and Procedures
• Establish EM-R and CBRN capability requirements
  with achievable standards develop clear CBRN
  response TTPs align D-series UTCs to meet
  Combatant Commander and Homeland Defense needs
  adjust equipment allowance standards and prepare
  the force to posture/employ 5 year out
  modernization equipment

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• Capabilities

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CBRN Capabilities

• Capabilities span the full threat continuum
• Mission planning
• Attack response
• Mishap
• Natural disasters

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Capabilities

• Vulnerability Assessments
• TIC/TIM
• Drinking Water

10
BE Capabilities

• Occupational and Environmental Health Site
  Assessment (OEHSA)
• Workplace Community
• Feeds Longitudinal Exposure Record

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BE Capabilities

• Health Risk Assessment (HRA)
• Identify potential/actual health hazards
• Threat / Vulnerability assessments
• Evaluate potential/actual health hazards
• Quantify hazards
• Control potential/actual health hazards
• Recommend engineering controls
• Recommend protective equipment
• Recommend process change
• Communicate Health Risks

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CEX Capabilities

• Operational Risk Management (ORM)
• Planning for response activities
• Detection sense/shape the threat
• Identify potential/actual operational hazards
• Threat / Vulnerability assessments
• Control potential/actual operational hazards
• Recommend controls
• Recommend protective measures
• Recommend process change
• Communicate Operational Impact

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CBRN Technician Capabilities
H O Risk Management

• Capability Architecture

H O Risk Assessment
Planning
w
A
S
C
Modeling
B
Sampling
FSHTR AFEM
R
Reporting
N
E
Recommending
OEHSA - Plans
P
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Response Equipment
Previous Capability
More Capability
HHA ADM 300 Ion Chamber Staplex HVAS LEL/O2/
CO/H2S PID/FID Env Sample Collection Detector
Tubes M256, M272, M8/9
HAPSITEHAZMAT IDGamma SpectrometerXMX
Bio-aerosolHAZCAT KitDetector Tube SetsRADECO
HVASElectronic Dosimeters
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Detection/Quantification Capabilities
VX Vapor Detection Baseline Analysis
Roles
WOC
BE
CE
CAM/ICAM
(.1 mg/m
)
3
)
3
.1
-
ECt
(Miosis)
50
M256A1
Field
What We
(.02 mg/m
)
3
Detection
Know
Agent Concentration (mg/m
Capability
.04
-
OPERATIONAL IMPACT AND DECISION
M22 ACADA
(.04 mg/m
)
3
Baseline
.02
-
Risk
Residual
What We
Risk
Think
0
Time (Minutes)
Lead
Support

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Response EquipmentHAPSITE GC/MS

• Capabilities
• Identification of volatile (easily evaporated)
  organic vapors
• 170K named substances
• Quantification
• Detects at concentration levels never before
  achieved

• Limitations
• Unknown must contain C
• Chemical properties
• Robust skill development

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HAPSITE Screenshot
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Response EquipmentHAZMAT ID System

• Capabilities
• Identification of solid or liquid chemical
  compounds
• Provides real-time detection
• Excellent results in white powder responses
• Limitations
• Identifies presence
• of biological material
• Qualitative only
• Sensitivities

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Actual Response HAZMAT ID
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Response EquipmentHand-held Assay

• Capabilities
• Identification of certain biologic compounds
• 1st generation field kit used by USAF
• 15 minute test
• Limitations
• Presumptive only
• Sensitivities

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Response EquipmentGamma Spectroscopy System

• Capabilities
• Identifies multiple radionuclides
• Industrial source?
• Weapon source?
• Medical source?
• Calculates isotope-specific
• dose rate (treatment support)
• Limitations
• Operating temp range
• (-4F 122F)

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Response EquipmentDraeger Civil Defense Kit

• Capabilities
• Quick! (Yes/No answer)
• Agent-specific
• Cyanogen chloride
• Sulphur Mustard
• Phosgene
• Chlorine
• Nerve Agents
• Limitations
• Qualitative only

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Response EquipmentHigh Volume Air Sampler

• Capabilities
• Draws air through filter to collect particulate
  matter
• Useful in Broken Arrow and some radiological
  dispersion device (RDD) scenarios (improved
  capability)
• Limitations
• External power source
• required
• Small generator
• Tripod required
• Measure at breathing zone

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Response EquipmentElectronic Personal Dosimeters

• Gamma/Beta Radiation Dosimeter
• Replaces IM-143 yellow pocket dosimeters!
• Capabilities
• For individual use
• Responders into hot zone
• Calculates Dose
• Measures dose rate
• Displays on Dosimeter
• Limitations
• Operating temp range (15F - 105F)
• Quantity available

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Response Equipment

• Important Points
• Interpreting results is a developed skill
• Significant training and logistics tail
• Lower levels of detection
• Often below observable effect concentration
• Result determination times vary
• Immediate / 20 minutes / 1 hour
• Biological detection is presumptive
• Laboratory confirmation for definitive result
• Versatile use
• Garrison/deployeddeliberate/crisis response

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• Key Take-Aways

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Key Take-Aways

• BE and CEX provide sets of synergistic
  capabilities
• Comprehensive operational and health risk
  information
• From deliberate response thru catastrophic
  event
• Pre- , Trans- , Post-event
• Key capabilities for incident commander
• Vulnerability assessment (anticipate)
• Risk assessment (identify, evaluate, control)
• Understand advanced equipment capabilities/limits
• Interpreting results is a developed skill
• Recurring proficiency assessment required
• Significant training and logistics tail
• Identification/Quantification may take longer
  than expected

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• Questions?

AF Medical Operations Agency Bioenvironmental
Engineering Division DSN 297-4318 brian.peake_at_pent
agon.af.mil
AF Civil Engineering Support Agency EM
Division DSN 523-6142 mike.connors_at_tyndall.af.mil
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• BACK UP SLIDES

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Exposure Example
Previous Capability
New Capability
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VX Exposure Example
VX Vapor Detection Baseline Analysis
Roles
WOC
BE
CE
CAM/ICAM
(.1 mg/m
)
3
)
3
.1
-
ECt
(Miosis)
50
DETECTION
M256A1
Field
What We
(.02 mg/m
)
3
Detection
Know
Agent Concentration (mg/m
Capability
.04
-
OPERATIONAL IMPACT AND DECISION
M22 ACADA
(.04 mg/m
)
3
Baseline
.02
-
Risk
Residual
What We
ID QUANTIFICATION
Risk
Think
0
Time (Minutes)
Lead
Support

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Primary USAF Vapor Detection Capabilities (1 of 2)
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Primary USAF Vapor Detection Capabilities (2 of 2)