Purging Instruction
Purging Instruction
Purging Instruction
for Responding
to a
Chemical Weapons
Incident
Preface
iii
L126/QRG-B
Guidelines for Responding to a
Chemical Weapons Incident
iv
L126/QRG-B
Guidelines for Responding to a
Chemical Weapons Incident
Table Of Contents
Preface....................................................... iii
Table of Contents .....................................................v
9-1-1 Operators .................................................... 1-1
Dispatch Notifications.......................................... 2-1
Actions On Arrival............................................... 3-1
Fire Department................................................... 4-1
Incident Command .............................................. 5-1
Fire Department Sector Assignments................. 6-1
Casualty Rescue ................................................... 7-1
Decontamination .................................................. 8-1
Technical Decontamination................................. 9-1
HAZMAT Team................................................. 10-1
Emergency Medical Services............................. 11-1
Patient Segregation ............................................ 12-1
Hospital Notification.......................................... 13-1
Off-Site Triage, Treatment, and Transportation
Center.................................................................. 14-1
L126/QRG-C
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Guidelines for Responding to a
Chemical Weapons Incident
i
vi
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Guidelines for Responding to a
Chemical Weapons Incident
9-1-1 Operators
1-1
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Chemical Weapons Incident
1-2
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Chemical Weapons Incident
1-3
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Chemical Weapons Incident
Dispatch Notifications
Dispatch
• Fire
2-1
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Guidelines for Responding to a
Chemical Weapons Incident
Notifications
− Agent information
− Patient signs and symptoms
− Number of casualties
− Notify hospitals, clinics, and healthcare
facilities
2-2
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Guidelines for Responding to a
Chemical Weapons Incident
2-3
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Guidelines for Responding to a
Chemical Weapons Incident
Actions on Arrival
− Preserve evidence
• Avoid contact with liquids
• Request
− HAZMAT, EMS, rescue, police, bomb
squad, mutual aid, and other resources
3-2
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Guidelines for Responding to a
Chemical Weapons Incident
Fire Department
4-1
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Guidelines for Responding to a
Chemical Weapons Incident
4-2
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Guidelines for Responding to a
Chemical Weapons Incident
Incident Command
The decisions that the Incident Commander (IC)
makes during the first 10 to 15 minutes of the
response are the key to both protecting responders
and saving lives of the victims of the attack. The
ability to recognize critical needs and prioritize the
limited resources available to perform them requires
a thorough knowledge of chemical incident response
procedures and the threats and dangers of the
potential agents. It is also critical to the safety of
everyone on the incident and overall success of the
incident response that all agencies operate as a
Unified Command, not a series of individual agency
command posts.
5-2
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Guidelines for Responding to a
Chemical Weapons Incident
5-3
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Guidelines for Responding to a
Chemical Weapons Incident
• Safety
• EMS and triage
• Water
• HAZMAT
• Public Information Officer (PIO)
• Decontamination
• Accountability
• Rehabilitation
• Staging
• Operations
• Police liaison
6-1
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Guidelines for Responding to a
Chemical Weapons Incident
Casualty Rescue
The threat of cross-contamination of victims through
contact with liquid agent or residue continues even
after the initial agent release. The rapid removal of
casualties from the contamination, triage, and
decontamination areas is essential to reducing
additional agent-related injuries. ICs must make
rapid decisions on casualty rescue based on
protective equipment available and an evaluation of
the contamination threat. As many ambulatory
casualties as possible should be removed from the
area without rescuers entering the incident site. It
should be expected, though, that live, nonambulatory
casualties will be present at any chemical incident.
7-1
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Guidelines for Responding to a
Chemical Weapons Incident
7-2
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Chemical Weapons Incident
7-3
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Chemical Weapons Incident
Decontamination
8-1
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Chemical Weapons Incident
8-2
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Chemical Weapons Incident
8-3
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Chemical Weapons Incident
8-4
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Chemical Weapons Incident
8-5
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Chemical Weapons Incident
8-6
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Guidelines for Responding to a
Chemical Weapons Incident
Types of Decontamination
• Passive (clothing removal)
• Dry agents
− Dirt − Flour
− Baking powder − Sawdust
− Charcoal − Silica gel
• Wet agents
8-8
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Chemical Weapons Incident
8-9
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Chemical Weapons Incident
8-10
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Guidelines for Responding to a
Chemical Weapons Incident
Technical Decontamination
• Firefighters
• EMS providers
• HAZMAT technicians
• Bomb squad
• Law enforcement
• Civilian workers
9-1
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Guidelines for Responding to a
Chemical Weapons Incident
• Evidence
• Equipment
• Vehicles
9-2
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Guidelines for Responding to a
Chemical Weapons Incident
HAZMAT Team
10-1
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Chemical Weapons Incident
• Establish
10-2
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Chemical Weapons Incident
11-1
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Chemical Weapons Incident
• Establish
11-2
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Chemical Weapons Incident
11-3
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Chemical Weapons Incident
Patient Segregation
Decontamination Prioritization
• Casualties closest to the point of release
12-1
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Chemical Weapons Incident
12-2
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Guidelines for Responding to a
Chemical Weapons Incident
Hospital Notification
• Notify
− Staff
− Doctors
− Nurses
− Security
− Emergency department (ED)
− Maintenance department
• Estimate number of casualties
13-1
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Guidelines for Responding to a
Chemical Weapons Incident
Casualty Processing
• Patient identification and tracking
13-2
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Guidelines for Responding to a
Chemical Weapons Incident
• Patient transport
Hospital Actions
• Lock down the hospital to avoid contamination
and subsequent hospital shutdown
• Establish ICS
13-3
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Chemical Weapons Incident
13-4
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Guidelines for Responding to a
Chemical Weapons Incident
14-1
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Chemical Weapons Incident
Activate OST3C
• Determine facility and location
• Appoint staffing
− Administrative
− Operational
− Support
• Equipment, supply, and antidote caches
• Security
14-2
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Guidelines for Responding to a
Chemical Weapons Incident
• Cafeteria
• Auditorium and large open room area for
briefings
• Locker rooms; showers for males and females
• Parking facilities and large fields
• Good access roads
• Telephones and electricity
• Heat and air-conditioning
14-3
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Chemical Weapons Incident
14-4
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Chemical Weapons Incident
15-2
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Chemical Weapons Incident
15-3
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Chemical Weapons Incident
Law Enforcement
16-1
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Chemical Weapons Incident
• Begin investigation
16-2
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Chemical Weapons Incident
16-3
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Chemical Weapons Incident
• Security
− Site access
− Responders and victims
− Victim’s personal belongings
− Law enforcement sensitive equipment
17-1
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Chemical Weapons Incident
− Evidence
• Crime scene processing
• Witness interviews
• Multiagency communications
• Suspect detention
17-2
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Chemical Weapons Incident
Patrol
18-1
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Chemical Weapons Incident
18-2
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Chemical Weapons Incident
Bomb Squad
19-1
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Chemical Weapons Incident
19-2
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Chemical Weapons Incident
20-1
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Chemical Weapons Incident
20-2
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Chemical Weapons Incident
Intelligence
21-1
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Chemical Weapons Incident
Investigation
• Witness interviews
• Suspect interrogations
22-1
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Chemical Weapons Incident
Emergency Management
23-1
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Chemical Weapons Incident
23-2
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Chemical Weapons Incident
On-Scene Communications
24-1
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Chemical Weapons Incident
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Guidelines for Responding to a
Chemical Weapons Incident
Media
• Symptoms
25-1
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Guidelines for Responding to a
Chemical Weapons Incident
Media Arrival
• Local, national, and international
− Radio stations
− Television stations
− Newspapers
− Other news agencies
− Tabloids
Public Notification
• Establish a single POC
− Self-decontamination
− Information on and directions to alternative
treatment centers
− Chronology of the event
− Public safety information
− Instructions for the victims
− Locations that the public needs to avoid
• Give regular media and public updates
25-3
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