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CBRNE Training Academy

CBRNE Training Academy. Introduction and Overview. What Will You Get From This?. Recognize your importance Appreciate that you have the knowledge necessary to: Understand your personal risk Minimize that risk Minimize the risk to others Understand your role in an event Demystify terrorism

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CBRNE Training Academy

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  1. CBRNE Training Academy Introduction and Overview

  2. What Will You Get From This? • Recognize your importance • Appreciate that you have the knowledge necessary to: • Understand your personal risk • Minimize that risk • Minimize the risk to others • Understand your role in an event • Demystify terrorism • Have fun

  3. C hemical B iological R adiological N uclear E xplosive

  4. Who are you?

  5. Who is this for? • Who has direct contact with the public? • Who is likely to witness or discover a hazardous substance? • Who can initiate an emergency response (call for help)? Everyone YOU

  6. Program Outline • Understanding your environment • Recognizing hazards • Safety and Response • Relating the Exotic to the Mundane • Decontamination • Personal Protective Equipment (PPE) • Risk Assessment

  7. What we ask of you • Please ask questions • Multi faceted approach to learning • Not everything works for everyone • Comments and suggestions • Please fill out the evaluation forms • Enjoy yourself and have fun

  8. Questions ?

  9. CBRNE Training Academy Understanding your environment

  10. Lecture Goals Help You To: • Define awareness • Understand your environment • Recognize an event has occurred • Understand your role

  11. Awareness, defined • Watchful, vigilant, cautious, on one's guard. • Informed, cognizant, conscious, sensible, to know. • The Oxford English Dictionary, 2nd Ed.

  12. Awareness continued • Healthy suspicion without paranoia • When something happens . . . • Recognize that it is out of the ordinary • Ensure safety (your own, and others) • Identify the problem • Isolate the problem • Control the event • Prevent further harm

  13. Just like the subway . . .

  14. Just like the subway . . . • “If you see something, say something” • Clues • Evidence that helps solve a problem • Odors, colors, patterns of injury or disease, similar complaints, etc. • Don’t rely on just one sense or source of information • If there is any suspicion, ask for help

  15. What is going on here? • Many people are covered in paint • One person is seizing • Two people are seizing • You register someone named Michael Jackson

  16. Why be aware? • Know normal, know abnormal • Allows you to “sound the alarm” • What do you encounter every day? • Participate through normal job function

  17. Practical awareness • Conscious of work environment • Cautious and vigilant • Watchful and on guard • React sensibly • Know what to do

  18. Awareness prepares Disaster An event where. . . Needs > Resources Mass Casualty Incident A disaster where. . . Healthcare needs > Resources

  19. The “T” Word “The unlawful use of force against persons or property to intimidate or coerce a government, the civilian population, or any segment there of, in the furtherance of political or social objectives.” It is not nuclear, biologic or chemical. It is fear.

  20. Intent Northridge earthquake vs. WTC

  21. Intent Food poisoning (spoiled meat) vs. Salmonella sprayed on a salad bar

  22. Intent Lake Nyos, Cameroon vs. Tokyo subway

  23. Demystify • Terrorism is fear • Can’t prepare for everything • Minimize fear through knowledge • Knowledge is preparedness • Preparedness applies to everything

  24. You are already ready • Take what you know everyday • Apply it to what you don’t know • Same professional, logical, organized outcome • You have the ability, knowledge and understanding necessary to respond

  25. Remember this Prepared for the mundane = prepared for the exotic

  26. Questions?

  27. CBRNE Training Academy Recognizing Hazards

  28. Lecture Goals • Define what a hazard is • Define “all hazards” approach • Describe where hazards exist • Explain hazard recognition

  29. What is a hazardous substance? • Any substance . . . • Solid • Liquid • Gas • Other • Capable of harming . . . • People • Property • Environment

  30. What is a hazardous substance? • Any substance to which exposure • “Results or may result in adverse affects on the health or safety of employees” • “Any chemical which is a physical hazard or a health hazard” • OSHA 29 CFR 1910.1200 (c) • Bottom line: Adversely affects health or safety (not only chemicals . . .)

  31. “All Hazards”

  32. “All Hazards” • Knowledge that you have • Applied to unknown situations • Common, standard approach • Instills confidence • Quells fear • Ensures safety, always Prepared for the mundane = Prepared for the exotic

  33. Hazards = Potential Events • Awareness identifies hazards • “Guns don’t kill people . . .” • Potential depends on scale and scope • Spill coffee • Spill sarin • Spill oil (tanker)

  34. Lab Pharmacy OR Building Services Engineering Environmental Services Bio-med Central Supply Respiratory Dietary Radiology Nuclear Medicine Oncology Laundry EMS ED Med Air / O2 What’s in your hospital?

  35. Where do hazards exist? EVERYWHERE • Setting is artificial distinction • Familiarity creates false comfort • Things we know, context we don’t • Medical O2 vs. Industrial O2 • Location doesn’t modify nature* • Awareness recognizes potential harm

  36. All Hazards • People at risk = hazard • Site independent • Preparation and prevention is the same • Scale and scope is different • Intent is the confounding factor • Remove intent, left with event

  37. Specific hazards • Things that are infectious • Things that explode • Things that burn, shock • Things that are corrosive • Things that are radioactive • Things that cause cancer • Things that are poisonous through other means • “Others”

  38. D.O.T. Classification

  39. Specific examples • Scale, scope and intent • Things that are familiar • Things in unfamiliar context • Things with malicious intent

  40. Flammable liquids • Found in all environments • Often overlooked, ignored as risk • Fire and explosive risk • Let’s take a look at a familiar example…

  41. Flammable liquids Ethyl alcohol

  42. Flammable liquids Gasoline

  43. Flammable liquids

  44. All Hazards • Everything is a potential hazard • Hazards have many faces • Recognize the potential exists • Remove the intent • Prepared and ready

  45. Gases • Found everywhere in a hospital • Flammable, compressed • Boiling Liquid Expanding Vapor Explosion (B.L.E.V.E.) • Some are toxic • Let’s take a look at another familiar example…

  46. Normal chest x-ray ARDS chest x-ray Chlorine gas • Severe pulmonary toxin • Causes delayed lung injury Cl2 + =

  47. HCl + HOCl Cl2 My bathroom January 10, 2005

  48. South Carolina January 6, 2005

  49. Ypres, Belgium April 22, 1915

  50. Other gas examples Oxygen & other compressed gases

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