PREVIEW OF

HAZMAT TECHNICIANPATIENT SUPPORT

POWERPOINT TRAINING PRESENTATION

GOALS

To prevent injury to personal coming in contact with exposed patient

To understand treatment of the exposed patient

INTRODUCTION

Every year emergency responders become ill due to being exposed to a contaminated patient

The initial decontamination and treatment at the scene can reduce the possibility of others becoming ill from treating the patientInitial on scene treatment can improve the

outcome of the patient

PPEEmergency responders

need to wear the proper PPE when treating patients who have been exposed to hazardous materials

Photo courtesy USCG

PPE

VisibilityFace masks cause

Reduced field of visionDistortion of view from curvature of shield

HEALTH RISKS

Heat injuriesPPE may cause user to overheat Risk can be reduced by:

HydrationControl of work schedulesHeat stress monitoring

PRE-ENTRY ASSESSMENT

Exclusion should be considered if:If pulse > 100Blood pressure > 150/90Body temp >99o F

PRE-ENTRY ASSESSMENT

Check for recent history of:Illness including diarrhea or vomitingSunburnMedications that could affect safety

AntihistaminesNarcoticsStreet drugsAlcohol in last 24 hours

REHAB BREAKS

PulseIf heart rate > 110 next entry should be reduced

by 1/3If after 3 minute rest pulse >90 work load should

be considered too strenuousIf pulse is regular physician should be consulted

POST ENTRY ASSESSMENT

Hydration should be checked & 8-16 ounces of fluid should be given

Critical Incident Stress Debriefing should be considered if an injury or death is involved incident

DECONTAMINATION

In partially contaminated patients sometimes only the affected area needs to be decontaminated

DECONTAMINATION

In most cases the affected area should be washed in soap and water for at least 15 minutes depending on the contaminant

GENERAL TREATMENTWhen possible use disposable

equipment on patients

This eliminates the need for disposal or decontamination of expensive equipment

SUPPORTIVE CARE

CardiopulmonarySupport patient with high flow oxygen or assist

with BVM as indicatedNever perform mouth to mouth or pocket mask

ventilations when inhaled toxins are suspected

SUPPORTIVE CARE

NeurotoxinsSigns & Symptoms may vary depending on toxin

HeadachesChanges in mental statusAltered sensation or muscle controlSeizuresLoss of consciousnessCNS functions may be affected

Speech, balance, memory, & personality

SUPPORTIVE CARE

NeurotoxinsTreatment

Monitor symptomsTake vital signs frequentlyAssess fine motor controlTreat life symptoms as notedKeep patient quiet and minimize stimuli

SIMPLE ASPHYXIANTS

Asphyxiants cause low oxygen in the atmosphereCommon examples

Nitrogen UN 1066 Guide # 121Carbon Dioxide UN 1013 Guide # 120Argon UN 1066 Guide # 121

ASPHYXIANTS

Carbon monoxide (CO) UN 119 Guide #119

Most common chemical asphyxiant

CO binds to hemoglobin in red cells preventing oxygen glow in the blood stream

Poisoning commonly caused by malfunctioning heaters or leaking engine exhaust systems

RESPIRATORY IRRITANTS

Broad range of chemicals may cause irritationPrimarily causes inflammation of the trachea &

bronchi causing upper airway obstruction, pulmonary edema, pneumonia, & hypoxia

Examples are:Ammonia Chlorine gasAcetic acid Phosgene gasNitrogen oxides FormaldehydeSulfur dioxide Hydrogen halides

ORGANOPHOSPHATE INSECTICIDES

Signs & Symptoms use acronym DUMBELSDiarrheaUrinationMiosis (pinpoint pupils)Bronchospasm (wheezing)EmesisLacrimation (tearing of the eyes)Salvation

Some symptoms may be delayed

TRANSPORT

All supplies and equipment that comes in contact with patient should be adequately protected from contamination OR be disposable

Hospitals are now using many disposable one patient use items to reduce cross contamination between patients and reduce cleaning costs

To purchase this presentation go to www.bravetraining.com

Or tap the above link