SOP Manual - Cleveland Fire Department

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Cleveland Fire Department Operations Manual Biological Incidents Most incidents involving biological agents will likely become noticeable through a public health emergency and will require the coordination of EMS responders, emergency room physicians, and the public health officials who notice the health effects of an exposure throughout the community. Though the involvement of emergency responders may still be significant, the deployment of resources should not require the type of scene management associated with a chemical incident. There are however those situations in which a threat to release a biological agent will require the action of emergency responders. A. Scene Management 1. If the incident is a situation in which a credible threat to initiate such an incident has been made, personnel should immediately contact the Battalion Commander for further guidance. An example of such a scenario would be the receipt of mail indicating that a biological agent (such as anthrax) has been spread. Some factors to consider in evaluating these situations include: a. Written content of the letter or package b. Appearance of the alleged agent (color, composition, density, etc.) as compared to a known substance. c. Odors (do not sniff the package) that are obvious to anyone in the affected area. 2. All verified or suspected WMD situations should be handled with caution. Always wear the appropriate PPE for the type of incident you are involved in. Be sure the suspected substance is packaged properly if it is to be submitted for testing or disposal and turned over to the proper agency (usually law enforcement). In the case of a biological threat there are available treatments for most biological agents and the time between exposure and the need for treatment is as long as 24 hours. This gives emergency responders the opportunity to accurately identify an agent before initiating treatment. Some elements to consider in possible contamination are: a. Whether the substance has the physical properties of the alleged agent. b. Whether the agent has been exposed to sunlight or the environment for more than three hours. c. Minimizing the number of persons exposed to the letter or package. d. Assessing the need for additional resources. e. Whether decon is necessary. Decontamination for a suspected biological agent should only be initiated if the victims came in physical contact with the substance. In this instance the victims should remove their outer clothing and personal articles and should shower with soap and water. (use of hazmat decon showers is discouraged for this decon; use of indoor showers is preferred and acceptable). Personal articles should be placed in doubled plastic bags and saved as evidence for low enforcement authorities. Effective: June 1, 1997 Revised: 5/14/2009 Page | 105 Approved by: Chief Chuck Atchley
Cleveland Fire Department Operations Manual f. Potentially exposed victims should not be transported to the hospital unless the substance is confirmed as a biological agent. Names and telephone numbers of exposed victims should be documented so that notifications can be made regarding the outcome of substance testing. Effective: June 1, 1997 Revised: 5/14/2009 Page | 106 Approved by: Chief Chuck Atchley
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Document Revision History 1. 3/24/1
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