(MCD) Guidelines

More documents

Recommendations

Info

Guidelines for Military Mass Casualty Decontamination Operations During a Domestic HAZMAT/Weapon of Mass Destruction Incident guidance established by Incident Command. One example would be using fire service pike poles or the water spray of a handline to hold people at bay. The media may also attempt to access the area, seeking to report information. Establish an area close enough to the site to meet the media’s needs for information but far enough away to keep them safe and from interfering with operations. Media personnel should be able to operate their equipment self-sufficiently. Power, lighting, sound, and other such equipment are not the responsibility of the responding agencies. The Public Information Officer should regularly report to this location to provide situational updates. This action can help place the responding agencies and the circumstances around the response in a more positive light. 8.1.7. Casualty Collection Point INTENT: Begin to evacuate casualties from the hot zone in an organized and systematic manner. Taking control of the situation as soon as possible after arriving on the scene is a high priority for responders. First, separate those who can walk from those who cannot to begin triage, decontamination, and treatment prioritization. A public address system on most emergency vehicles is sufficient to direct those who can walk to go to a location away from the immediate release. An example statement includes, “If you can walk, go stand by the light pole, so the fire department can wash you off.” Among these casualties, separate those who are displaying symptoms and those who are not. Decontamination can then occur based on the priority system established by the Incident Commander. 15 MCD Principles for Casualty Collection DHS UTL Tasks • ResB2b 6.1 and 6.2 • ResC1a 6.1, 6.2, 6.2.1, 6.2.2, 6.2.3, and 6.3 • Res.C4a 4.3.1 and 4.3.2 USACBRNS Tasks • 03-2-5124 Step 6b, 7a, and 7b • 03-2-6591 Step 9f • 03-2-6593 Steps 1b, 1d, 1e, 2c, and 3b • 03-3-5128 Step 5b The initial triage, sometimes called decontamination triage, separates the ambulatory casualties from the nonambulatory casualties who cannot walk unassisted. From the nonambulatory casualties, find those who can follow simple directions from those who cannot. 2 Use a statement such as, “If you cannot walk and can hear my voice, raise a hand.” Because not all casualties will be able to walk, operational priorities may change based on the number of these casualties. Nonambulatory casualties require coordinated transport by litter through the decontamination processes. This demands a large number of personnel and resources. To control the casualty collection point, use engineer tape, “caution” tape, or existing obstacles to maintain entry-and-exit routes. This ensures casualties do not bypass 38 Original
Guidelines for Military Mass Casualty Decontamination Operations During a Domestic HAZMAT/Weapon of Mass Destruction Incident the decontamination corridor. This process also assists in maintaining casualty accountability. Tracking casualties begins at the casualty collection point. For casualties that are responsive, collect information on the incident and their identity. Ask for name, date of birth, home address, phone number, location at the moment of release, and next of kin. If the casualty is unresponsive, perform an inspection of his/her personal effects to attempt to identify him/her, and assign him/her a number. The information gathered on all casualties is documented at the log-in and log-out station. This station is located at the rear of the decontamination area. At all points during casualty collection and decontamination, basic medical care and triage are provided to ensure that the casualty is/remains stable to enhance survivability during decontamination. 15 8.1.8. Collection of Casualty Personal Effects INTENT: Collect and track personal effects from a casualty through the MCD process. As casualties go through the decontamination processes, they will remove clothing, watches, wallets, purses, shoes, and belts. Do not collect personal effects into one large pile, as reuniting owners with their personal effects will then be virtually impossible. Such personal effects should be bagged and definitively marked with the casualty’s name, a barcode, a unique serial number, or another method to indicate from whom the personal effects were collected. This helps later when claiming personal effects or for evidence accountability purposes if required by further investigation. 54 MCD Principles for Runoff Control DHS UTL Tasks • ResC4a 1.6.4, 1.6.5, 6.5.8, 6.6.1, 6.6.2, 6.6.5 USACBRNS Tasks • 03-2-5124 Steps 14f and 14i Bags, such as onion bags, 58 empty sand bags, or large plastic bags, may be provided to casualties. Also, homemade “Trash Bag Decon” kits can be made ahead of time and could be constructed using trash bags and zip-top-style bags. Each item within a kit should be pre-numbered with a number unique to that kit for tracking purposes. The Connecticut Capitol Region Metropolitan Medical Response System recommends the following items for Trash Bag Decon: 48 • Pre-numbered casualty armband taped to the outside of the bag or near the inside top. • Pre-numbered gallon-size, medium zip-lock bag for valuables (for example, watch, keys, jewelry, and/or wallet). • Pre-numbered large zip-lock bag (at least 24” x 24”) for clothing. • Pre-numbered large zip-lock bag (24” x 30”) to store these items. o This bag is used to double-bag the clothes and valuables. • Black lawn-type trash bag (at least 59 gallon, 2.0 mil thickness). Original 39 Table of Contents Introduction MCD Equipment Comparison Decontamination Overview MCD Operations Summary Appendix A References Appendix B Acronym List Appendix C Glossary Appendix D MCD Cross- Reference Guide Appendix E CBR Guide Appendix F MCD Decision Trees Appendix G ARNORTH Guidance
Page 1 and 2: GUIDELINES FOR MILITARY MASS CASUAL
Page 3 and 4: Guidelines for Military Mass Casual
Page 43: Guidelines for Military Mass Casual
Page 55 and 56: 6. Put ladder across trucks, protec
Page 89 and 90: Appendix A - References Guidelines
Page 95 and 96:
Guidelines for Military Mass Casual
Page 97 and 98:
Appendix B - Acronym List Guideline
Page 99 and 100:
Page 101 and 102:
Appendix C - Glossary Guidelines fo
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Systems List Guidelines for Militar
Page 121 and 122:
Systems List 6.27 Folding tables (4
Page 123 and 124:
Sub-Systems List Guidelines for Mil
Page 125 and 126:
Sub-Systems List 6.18.12 A sub pair
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Table 19: Biological Agent Properti
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Point -- The following is part of s
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
c. ____ Installs plumbing for decon
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Conduct Incident Tracking 1. ____ O
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Establish a Platoon Command Post Gu
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
show all

(MCD) Guidelines

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?