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Guide 2 NEW JERSEY HAZMAT EMERGENCY RESPONSE COURSE STUDENT GUIDE COURSE NUMBER Emegency Department Operations Hazmat WMD Hospital Provider PRESENTED THROUGH NEW JERSEY STATE POLICE-HOMELAND SECURITY BRANCH SPECIAL OPERATIONS SECTION TECHNCIAL RESPONSE BU

NEW JERSEY HAZMAT EMERGENCY RESPONSE COURSE STUDENT GUIDE COURSE NUMBER Emegency Department Operations Hazmat WMD Hospital Provider PRESENTED THROUGH NEW JERSEY STATE POLICE-HOMELAND SECURITY BRANCH SPECIAL OPERATIONS SECTION TECHNCIAL RESPONSE BUREAU HAZARDOUS MATERIALS RESPONSE UNIT HMRU STUDENT GUIDE th Edition CTABLE OF CONTENTS Instructions for Scantron Forms Introduction Planning for the Hazmat WMD Incident Personal Protective Equipment Emergency Department Decontamination Toxicology Treatment Protocols Hazardous Materials Contamination Chemical Agent Contamination Biological Agent Contamination Explosive Agents Radiological Agents Appendices CFUNDING FOR THE DEVELOPMENT OF THIS MANUAL WAS PROVIDED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY FEMA UNDER THE TERRORISM CONSEQUENCE MANAGEMENT PREPAREDNESS ASSISTANCE GRANT The NJOEM Domestic Preparedness Hazardous Materials Emergency Response Planning Unit would like to acknowledge the following agencies individuals for their assistance in the development of this manual Dr William Gluckman DO Emergency Department Physician University of Medicine Dentistry of NJ ??University Hospital Federal Emergency Management Agency Emergency Response to Terrorism Job Aid Military Medical Operations O ?ce Armed Forces Radiobiology Research Institute Naval School of Health Sciences Management of Chemical Warfare Injuries U S Military Field Manual Treatment of Biological Warfare Agent Casualties NJ Department of Health and Senior Services Epidemiology Environmental Occupational Health Mr Eugene J O ? Neill NREMT-B University of Medicine Dentistry of NJ ??University Hospital Although the information set forth in this program is presented in good faith and believed to be correct persons or agencies using this information must make their own determination as to its suitability for their purposes This document may be reproduced in part or entirely provided its use clearly indicates that it was prepared by the Domestic Preparedness Hazardous Materials Emergency Response Planning Unit New Jersey O ?ce of Emergency Management Division of State Police C C C C C C C C C C CINTRODUCTION The presence of hazardous materials or toxic chemicals at an incident location or other emergency situation adds a new dimension of risk to those handling and treating casualties The fundamental di ?erence between a hazardous materials incident and other emergencies is the potential for acute risk from contamination to both patient and responder In some cases traditional practices must be altered to avoid compounding a critical situation Hospital emergency departments must protect their personnel and other people within the hospital while providing the best care for the chemically contaminated patient This guide is intended to help hospital emergency departments plan for incidents that involve hazardous materials and improve their ability to respond to these incidents appropriately To ensure appropriate and timely patient care as well as optimal worker protection emergency personnel must have an understanding of decontamination procedures and personal protective equipment that they do not generally receive in the course of their routine professional training They should also be aware of community resources that could be called upon to assist in emergency response Current training curricula for emergency physicians nurses and emergency medical technicians EMTs often do not adequately prepare these professionals to either manage the contaminated individual or decontaminate patients exposed to