101
Who, What, Where
Eww
Triage
Technicalities
100

PPE for daily use

What is LEVEL D

100
Triage, Trident, Showers / Tent

What is the warm zone

100

Group of signs and symptoms that develop after irradiation at doses greater than 100 rads over a short period. 

What is Acute Radiation Syndrome

100

36 year old male

can walk

spontaneous breathing at 36rpm

open L radial fracture

R radial pulse of 118

obeys commands

What is green.

100
Removes 60-80% of contaminates immediately.

What is gross decon

200

Primary: 

Protect the hospital, staff, patients and visitors from contamination and harmful substances. 

Secondary: 

Thoroughly decontaminate patients so that they can receive uninterrupted care, medical interventions, and support.  The key to successful mass decontamination is to use the fastest approach that will cause the least harm and do the most good for the majority of the people. 

What is the mission of the Orlando Health Decontamination Team

200

Active Drying and Emergency Department

Cold Zone

200

One of our most common patient contaminants, can be difficult to remove with just water

Gasoline, Kerosene, & Diesel (fuels)
200

You must seek secondary validation from a clinical team member of an RN level or higher

What is making the decision to assign a patient a black acuity. 

200

Performed before entering the facility. Ensures that a patient is clean. Uses a minimum of 2 decon team members. Spray from head to toe.

What is secondary decon

300

Exposure to a hazardous substance.

What is contamination? 

300

Activated in response to anything that stretches our ability to provide care to our patients.

What is Hospital Incident Command System (HICS)

300

SLUDGEM

What are effects of organophosphate poisoning? 

Salivation

Lacrimation

Urination

Diarrhea

Gastric Distress

Emesis

Miosis (pinpoint pupils)


MUST BE IN LEVEL C PPE AT ALL TIMES

300
52 year old female with skull fracture and brain matter presenting


cannot walk

no spontaneous breathing present

blocked airwayR radial pulse of 24

does not obey commands

What is Black Acuity (Expectant)

300

Performed by our staff, on our staff. Imperative for a thorough cleaning of suits and equipment prior to doffing. 

What is technical decon? 

400

Methods used to reduce the hazard of a contaminant

 What is decontamination

400

To do the most good for the most people

An ongoing process that continues throughout the incident

What is triage

400

Theme Parks

Rail Lines

Agriculture

Roadways

Chemical Plants

Weapons Manufacturers (Lockheed Martin)

Radioactive source transportation

Shuttle launches

Exposures (fentanyl, etc.)

What is potential hazardous materials risks in central Florida? 

400

36 year old male screaming in pain

cannot walk

spontaneous breathing at 24rpm.

Open fracture with controlled bleeding L FA.

Pulse at right wrist.

Obeys commands.

What is Yellow Acuity

400
Targets a specific area. Can be done through guided decon.

What is spot cleaning

500

PPE used for decontamination 

What is level C
500

Works closely with the Operations Section Chief in HICS

Who is the Decon Unit Leader
500

Causes direct tissue destruction, damaging if ingested or inhaled, severity depends on chemical and concentration, if on skin or clothing, can continue to cause chemical burns to the skin and other tissues. Some can cause a respiratory risk. 

What is acids, bases, and corrosives

500

20 year old complaining of severe abdominal pain. Can't walk, but is talking.

Spontaneous breathing at 20rpm.

Difficulty finding pulse at wrist.

Capillary refill of 4 seconds.

Obeys commands. 

What is Red Acuity

500

A severe flood. To inundate with a great quantity of something

What is deluge