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Mission-Specific Competencies: Mass Decontamination
Mission-Specific Competencies: Mass Decontamination
Mission-Specific
Competencies:
Mass
Decontamination
9
Objectives (1 of 3)
• Describe the steps required to perform
mass decontamination on ambulatory and
nonambulatory victims
• Describe three ways to reduce or
eliminate contamination on victims
9
Objectives (2 of 3)
• Describe the reference sources available
for responders charged with performing
mass decontamination
• Describe methods for crowd control
• Describe how to evaluate effectiveness of
a mass decontamination process
9
Objectives (3 of 3)
• Describe the importance of completing
reports and documentation of mass
decontamination operations
• Describe the importance of evidence
preservation during mass decontamination
9
Mass Decontamination Is Like
Emergency Decontamination
• Important to identify contaminant
• Proper level of PPE must be selected
• Predetermined process to perform
decontamination
• Coordinated using Incident Command
System (ICS)
9
Mass Decontamination Is Unlike
Emergency Decontamination
• Same tasks addressed much more quickly
• Often without enough trained personnel
• Inaccurate/incomplete information
• People will be scared and looking for help
– Complicates your situation
– Effective communication is important
9
Priority for Both Emergency and
Mass Decontamination
• Life safety is number one priority
9
Mass Decontamination Overview
(1 of 2)
• Rapid assessment of situation
• Rapid assessment of number of victims
• Attempt to identify contaminant
• Set up process
• Wear proper type and level of PPE
9
Mass Decontamination Overview
(2 of 2)
• Can take place in:
– Street
– Parking lot
• Extent required driven by contaminant
– Efforts match properties
9
Mass Decontamination Procedure
Example 1 (1 of 2)
• Placing two vehicles side by side
• Fog-type nozzles
• Victims walk between the two vehicles
9
Mass Decontamination Procedure
Example 1 (2 of 2)
Nonambulatory Victims
• Require significant number of emergency
personnel to decontaminate
• Slower process
• Physically taxing on responders
9
Ambulatory Victims
• Pre-plumbed, rapid-deploy shelters
available
9
Three Ways to Eliminate
Contamination
• Dilution
• Isolation
• Washing
9
Dilution
• Adds water (or other substance) to
contaminant
• Decreases concentration of contaminant
• Fast and economical
• Will not work for viscous, oily liquids and
insoluble substances
9
Washing
• Effective for most harmful substances
• Simple
• Douse victims with soap-and-water
solution
• Rinse with water
9
Reference Sources (1 of 2)
• Information on released material can be
obtained from:
– Bystanders or witnesses
– Placards
– Normal occupancy of buildings at the scene
– Types of containers involved
9
Reference Sources (2 of 2)
Placards (1 of 2)
• Diamond-shaped indicators
• Must be placed on all four sides of
vehicles containing hazardous materials
– Highway transport vehicles
– Railroad tank cars
– Other forms of transportation
9
Placards (2 of 2)
Labels
• Relate to potential hazard inside particular
package
9
Crowd Control (1 of 2)
• Generally more frightened victims than
calm responders
• Responders must conduct themselves:
– In a way that commands respect
– In a way that establishes them as authority
figures
9
Crowd Control (2 of 2)
• Use naturally occurring barriers
• Use uniformed officers to direct flow of
victims
• Use megaphone or fire engine’s external
speaker for commands
• Retain control
9
Evaluating the Effectiveness of
Mass Decontamination
• At end of mass decontamination process
• pH paper for corrosive material
• Monitoring devices
• Radiological detection devices
• Health officials may assist
9
Evidence Preservation
• Life safety is first priority
• Preserve potential evidence
• Attempt to track victims’ valuables and
clothing
• Consider using small, tagged bags
• Follow incident plan for securing evidence
9
Summary (1 of 2)
• Mass decontamination quickly performs
emergency decontamination on large
number of victims
• Occurs in street, parking lot, other area
• Nature of contaminant drives
decontamination plan
9
Summary (2 of 2)
• Use dilution, isolation and disposal, and
washing
• Perform crowd control
• Evidence preservation, documentation,
and reporting are important