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Guidelines for Military Mass Casualty Decontamination Operations During a Domestic HAZMAT/Weapon of Mass Destruction Incident PREFACE About these Mass Casualty Decontamination (MCD) Guidelines These Guidelines provide key information to military personnel who support civil authorities in a domestic incident involving hazardous materials (HAZMAT) and/or weapons of mass destruction (WMD). They address concepts, principles, and fundamentals for support to domestic agencies during HAZMAT/WMD incidents using common language. These Guidelines were developed using the most current policy, guidance, and tactics, techniques, and procedures, and accepted best practices and lessons learned from key military, federal, state, and civilian authorities. This document is designed to assist in bridging the gap between military and civilian personnel. It provides a direct comparison between the MCD principles, decontamination equipment, and language used by military and civilian personnel. Special features to these guidelines include: • Best practices and lessons learned from MCD exercises and responses. • Detailed steps and techniques for conducting MCD operations under various conditions, including variations in the hazard, time, number of casualties, environment, and available equipment, supplies, and human resources. • Text boxes identifying common military and civilian MCD tasks in key doctrine. • A cross-reference guide showing similarities and differences between military and civilian MCD equipment. • Clarification of military and civilian terminology regarding MCD operations. These Guidelines are formatted to allow the user to tab between the 15 different sections. Sections 1.0 – 9.0 focus on MCD operations and appendices A – G contain supporting information. Appendix A contains the references that are cited in these Guidelines, including each appendix. Appendix B and Appendix C contain the acronym list and glossary, respectively. Appendix D contains the cross-reference guide that compares military and civilian MCD equipment. Appendix E contains information related to chemical, biological, and radiological agents and detection equipment. Appendix F contains decision tree matrices and checklists. Appendix G contains U.S. Army North MCD operational requirements and associated external evaluation standards. These Guidelines use the term “casualty” instead of “victim” or “patient.” However, cited references may use the terms “victim” and/or “patient.” These terms will not be changed to “casualty” when quotes are taken from the cited references. Generally, “casualty,” “victim,” and “patient” can be used interchangeably. The term “mass decontamination” is referring to a type of decontamination conducted within the overall MCD process itself. vi Original
Guidelines for Military Mass Casualty Decontamination Operations During a Domestic HAZMAT/Weapon of Mass Destruction Incident Guidelines for Military Mass Casualty Decontamination Operations During a Domestic HAZMAT/Weapons of Mass Destruction Incident 1.0 Introduction and Background The information provided within these Guidelines is designed to supplement U.S. Army Chemical, Biological, Radiological and Nuclear School (USACBRNS) mass casualty decontamination standards and complement first responder best practices as provided in the Guidelines for Mass Casualty Decontamination during a HAZMAT/Weapon of Mass Destruction Incident Volumes I and II. 1 The USACBRNS Mass Casualty Decontamination Collective Tasks, also incorporated into these Guidelines, 2 will continue to reflect a unit’s mission essential tasks and training standards for conducting mass casualty decontamination (MCD) operations. However, Commanders and planners need to understand that there is no one perfect solution for every real world MCD event. These Guidelines provide key information to military personnel who are tasked to support civil authorities in a domestic incident involving hazardous materials (HAZMAT) and/or weapons of mass destruction (WMD). The Guidelines assist military personnel in planning for, responding to, recovering from, and mitigating the effects of HAZMAT/WMD incidents. Military personnel can use these Guidelines to plan and execute a variety of domestic decontamination missions. These Guidelines can also be used by personnel from local, state, and federal civilian response agencies, including: • Emergency Management Agencies • Public Health Agencies • Hospital, Clinic, and Physician Offices • Coroner’s Office and Mortuaries • Law Enforcement • Fire Service • Emergency Medical Service • Environmental Agencies • Public Works Offices • Jurisdictional Administrators This document was developed using the most current policy, guidance, and tactics, techniques, and procedures, and accepted best practices and lessons learned from the following military and local, state, and federal civilian authorities: • USACBRNS, U.S. Army, U.S. Army North (USARNORTH), U.S. Department of Defense (DoD) • National Fire Protection Association (NFPA) • U.S. Occupational Safety and Health Administration (OSHA) • U.S. Environmental Protection Agency (EPA) • U.S. Federal Emergency Management Agency (FEMA) • U.S. Department of Homeland Security (DHS) Original 1 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
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