Personal protective equipment and decontamination of adults and children

Emergency Medicine Clinics of North America

Volumn 33, Issue 1, 2015, Pages 51-68

  Holland, Michael G ^a,b,c   Cawthon, David ^c  

^a SUNY UPSTATE MEDICAL UNIVERSITY   (United States)

^b Glens Falls Hospital   (United States)

^c Center for Toxicology and Environmental Health   (United States)

Author keywords

Chemical contamination; Decontamination; HAZMAT; Levels A, B, C, D; Personal protective equipment (PPE)

Indexed keywords

DANGEROUS GOODS; EMERGENCY HEALTH SERVICE; EMERGENCY TREATMENT; GLOVE; HAZARD ASSESSMENT; HUMAN; MEDICAL CARE; PREVENTION AND CONTROL; PRIORITY JOURNAL; PROTECTION; PROTECTIVE CLOTHING; PROTECTIVE EQUIPMENT; RADIATION EXPOSURE; RADIOACTIVE CONTAMINATION; RADIOACTIVE WASTE DISPOSAL; RADIOACTIVE WASTE STORAGE; RESPIRATORY EQUIPMENT; REVIEW; RISK ASSESSMENT; SAFETY; SHOE; SKIN DECONTAMINATION; SPECTACLES; STRATEGIC PLANNING; WOUND; ADULT; CHILD; DISASTER PLANNING; INTOXICATION; NUCLEAR ACCIDENT; ORGANIZATION AND MANAGEMENT; PROCEDURES; WASTE MANAGEMENT;

DANGEROUS GOODS;

ADULT; CHILD; DECONTAMINATION; DISASTER PLANNING; EMERGENCY SERVICE, HOSPITAL; HAZARDOUS SUBSTANCES; HUMANS; PROTECTIVE CLOTHING; RADIOACTIVE HAZARD RELEASE; SAFETY MANAGEMENT;

EID: 84921841540     PISSN: 07338627     EISSN: 07338627     Source Type: Journal    
DOI: 10.1016/j.emc.2014.09.006     Document Type: Review

References (29)

1. Occupational Safety and Health Administration Personal protective equipment 2003, Occupational Safety and Health Administration, Washington, DC, OSHA 3151-12R.
2. Hick J.L., Hanfling D., Burstein J.L., et al. Protective equipment for health care facility decontamination personnel: regulations, risks, and recommendations. Ann Emerg Med 2003, 42(3):370-380.
3. Occupational Safety and Health Administration Best practices for hospital-based first receivers of victims from mass casualty incidents involving the release of hazardous substances 2005, Occupational Safety and Health Administration, Washington, DC, OSHA 3249-08N.
4. Occupational Safety and Health Administration Eye and face protection 2014, Occupational Safety and Health Administration, Washington, DC, Available at:. https://www.osha.gov/SLTC/eyefaceprotection/index.html.
5. Parker J.S. Hazardous materials personal protective equipment options for the Fort Thomas, Kentucky Fire Department 2009, University of Cincinnati, Cincinnati (OH), Available at:. http://ceas.uc.edu/content/dam/aero/docs/fire/Papers/Personal_Protective_Equipment.pdf.
6. Yeung R.S., Chan J.T., Lee L.L., et al. The use of personal protective equipment in Hazmat incidents. Hong Kong J Emerg Med 2002, 9(3):171-176.
7. Available at: . Accessed July 28, 2014. http://https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS%26;p_id=9767.
8. Agency for Toxic Substances and Disease Registry Managing hazardous material incidents (MHMI). Volumes 1, 2, and 3. Agency for toxic substances and disease registry (ATSDR) 2001, US Department of Health and Human Services, Public Health Service, Atlanta (GA), Available at:, Accessed July 15, 2014. http://www.atsdr.cdc.gov/MHMI/index.asp.
9. Daugherty E.L. Health care worker protection in mass casualty respiratory failure: infection control, decontamination, and personal protective equipment. Respir Care 2008, 53(2):201-212. [discussion: 212-4].
10. DHHS REMM. Radiation Emergency Medical Management: Guidance on Diagnosis and Treatment for Healthcare Providers. Available at: . Accessed July 28, 2014. http://www.remm.nlm.gov/radiation_ppe.htm.
11. DHS/DHHS. (Draft Document). Patient decontamination in a mass chemical exposure incident: national planning guidance for communities. Available at: . http://www.regulations.gov/#!documentDetail;D=DHS-2014-0012-0002.
12. Hick J.L., Penn P., Hanfling D., et al. Establishing and training health care facility decontamination teams. Ann Emerg Med 2003, 42(3):381-390.
13. Brent J. Water-based solutions are the best decontaminating fluids for dermal corrosive exposures: a mini review. Clin Toxicol 2013, 51(8):731-736.
14. Wormser U., Brodsky B., Sintov A. Skin toxicokinetics of mustard gas in the guinea pig: effect of hypochlorite and safety aspects. Arch Toxicol 2002, 76(9):517-522.
15. Schwartz M.D., Hurst C.G., Kirk M.A., et al. Reactive skin decontamination lotion (RSDL) for the decontamination of chemical warfare agent (CWA) dermal exposure. Curr Pharm Biotechnol 2012, 13(10):1971-1979.
16. Nehles J., Hall A.H., Blomet J., et al. Diphoterine for emergent decontamination of skin/eye chemical splashes: 24 cases. Cutan Ocul Toxicol 2006, 25(4):249-258.
17. Donoghue A.M. Diphoterine® for alkali splashes to the skin. Clin Toxicol (Phila) 2014, 52(2):148.
18. Available at: . Accessed October 11, 2014. http://www.easydecon.com/easydecon/index.html.
19. Merrit N., Anderson M. Case review malathion overdose: when one patient creates a departmental hazard. JEmerg Nurs 1989, 15(6):463-465.
20. Huff S. Lessons learned from hazardous materials incidents. Emerg Care Q 1991, 7(3):17-22.
21. Nozaki H., Hori S., Shinozawa Y., et al. Secondary exposure of medical staff to sarin vapor in the emergency room. Intensive Care Med 1995, 21(12):1032-1035.
22. Okumura T., Suzuki K., Fukuda A., et al. The Tokyo subway sarin attack: Disaster management, Part 2: hospital response. Acad Emerg Med 1998, 5(6):618-624.
23. Geller R.J., Singleton K.L., Tarantino M.L., et al. Nosocomial poisoning associated with emergency department treatment of organophosphate toxicity-Georgia, 2000. Clin Toxicol 2001, 39(1):109-111.
24. Zeitz P., Berkowitz Z., Orr M.F., et al. Frequency and type of injuries in responders of hazardous substances emergency events, 1996 to 1998. JOccup Environ Med 2000, 42(11):1115-1120.
25. Horton D.K., Orr M., Tsongas T., et al. Secondary contamination of medical personnel, equipment, and facilities resulting from hazardous materials events, 2003-2006. Disaster Med Public Health Prep 2008, 2(2):104-113.
26. Scanlon J. Chemically contaminated casualties: different problems and possible solutions. Am J Disaster Med 2010, 5(2):95-105.
27. Burgess J.L. Hospital evacuations due to hazardous materials incidents. Am J Emerg Med 1999, 17(1):50-52.
28. Heon D., Foltin G. Principles of pediatric decontamination. Clin Pediatr Emerg Med 2009, 10(3):186-194.
29. Yamamoto L.G. Risks and management of radiation exposure. Pediatr Emerg Care 2013, 29(9):1016-1026.