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ąPublic€worksĢą0 ąą0 ąą0 ąe.ą0 ąWater€and€sewer€„€runoffĢą0 ąą0 ą6.ą0 ąEstablish€operational€zonesĢą0 ąą0 ąą0 ąa.ą0 ąHot€ZoneĢą0 ąą0 ąą0 ąą0 ą(1)ą0 ąArea€near€releaseĢą0 ąą0 ąą0 ąą0 ą(2)ą0 ąPerimeter€determined€initial€isolationĻdistances€in€Emergency€ResponseĻGuidebook.€€May€also€be€determinedĻor€adjusted€by€detecting€presence€ofĻproduct€using€detection€devicesĢą0 ąą0 ąą0 ąą0 ą(3)ą0 ąMay€require€specialized€clothing€andĻtrainingĢą0 ąą0 ąą0 ąą0 ąą0 ą(a)ą0 ąLevel€A€„€vapor€and€splashĻprotection€with€SCBAĢą0 ąą0 ąą0 ąą0 ąą0 ą(b)ą0 ąLevel€B€„€splash€protection€withĻSCBAĢą0 ąą0 ąą0 ąą0 ąą0 ą(c)ą0 ąLevel€C€„€splash€protection€withĻfilter€respiratorĢą0 ąą0 ąą0 ąą0 ąą0 ą(d)ą0 ąLevel€D€„€work€clothingĢą0 ąą0 ąą0 ąą0 ą(4)ą0 ąOnly€entry€personnel€permittedĢą0 ąą0 ąą0 ąą0 ą(5)ą0 ąSize€and€shape€of€zone€can€changeĻwith€ambient€temperature,€wind,€andĻhazardĢą0 ąą0 ąą0 ąb.ą0 ąWarm€ZoneĢą0 ąą0 ąą0 ąą0 ą(1)ą0 ąArea€next€hot€zoneĢą0 ąą0 ąą0 ąą0 ą(2)ą0 ąArea€used€for€contamination€reductionĻ„€size€dependent€on€space€neededĢą0 ąą0 ąą0 ąą0 ą(3)ą0 ąMay€require€specialized€clothing€„€oneĻlevel€below€clothing€worn€in€hot€zoneĢą0 ąą0 ąą0 ąą0 ą(4)ą0 ąDecontamination€and€backupĻpersonnel€only€permittedĢą0 ąą0 ąą0 ąc.ą0 ąCold€ZoneĢą0 ąą0 ąą0 ąą0 ą(1)ą0 ąOutside€warm€zoneĢą0 ąą0 ąą0 ąą0 ą(2)ą0 ąArea€used€for€staging,€incidentĻcommand,€medical€support,€andĻapparatusĢą0 ąą0 ąą0 ąą0 ą(3)ą0 ąNo€special€clothing€requiredĢĢą0 ąB.ą0 ąPart€of€the€Initial€ResponseĢą0 ąą0 ą1.ą0 ąRemain€in€the€cold€zoneĢą0 ąą0 ą2.ą0 ąBe€prepared€to€receive€patientsĢą0 ąą0 ąą0 ąa.ą0 ąDecontamination€may€be€limited€toĻemergency€measures€such€as€washingĻdown€with€booster€line€and/or€clothingĻremovalĢą0 ąą0 ąą0 ąb.ą0 ąIf€decontamination€is€in€place€and€beingĻoperated,€patients€should€beĻdecontaminated€prior€to€receiptĢą0 ąą0 ą3.ą0 ąTake€necessary€measures€to€reduceĻcontamination€to€personnel,€equipment,€andĻvehicleĢą0 ąą0 ąą0 ąa.ą0 ąPlace€victim€in€contamination€controlĻenvironment€(body€bag)Ģą0 ąą0 ąą0 ąb.ą0 ąProvide€personnel€with€necessary€personalĻprotective€clothing€based€on€universalĻprecautionsĢą0 ąą0 ąą0 ąc.ą0 ąMay€require€removal€of€equipment€andĻsupplies€not€needed€at€that€timeĢĢą0 ąC.ą0 ąOperating€with€a€hazardous€materials€teamĢą0 ąą0 ą1.ą0 ąProcess€personnel€through€medical€evaluationĻ„€generally€required€for€anyone€donningĻchemical€protective€clothingĢą0 ąą0 ą2.ą0 ąProcess€personnel€through€medical€evaluationĻupon€completion€of€assigned€decontaminationĻdutiesĢą0 ąą0 ą3.ą0 ąPrepare€to€receive€decontaminated€victimsĢą0 ąą0 ą4.ą0 ąPrepare€to€receive€injured€or€exposed€teamĻmembers€after€emergency€decontaminationĢą0 ąą0 ą5.ą0 ąIsolation€of€victim€until€transported€orĻevaluated€and€releasedĢą0 ąą0 ą6.ą0 ąMay€require€isolation€at€treatment€facilityĢÉÉŅŅÓ ` °šXÓAt€this€time,€you€may€want€to€review€the€following€emergency€care€skills€that€may€be€needed€on€theĻscene€of€a€hazardous€materials€emergency:ĢĢÓ` °ƒX™ –XÓą0 ą1.ą0 ąBurn€treatment€for€thermal€or€chemical€burnsĢą0 ą2.ą0 ąFrostbite€treatment€for€exposure€to€cold€productsĢą0 ą3.ą0 ąRespiratory€therapy€for€products€that€have€been€inhaled€or€absorbedĢą0 ą4.ą0 ąPoison€treatment€for€products€that€may€have€been€ingestedĢą0 ą5.ą0 ąSigns€and€symptoms€for€exposure€to€chemical€or€biological€exposureĢą0 ą6.ą0 ąTreatment€for€lacerations€and€punctures€from€projectiles€or€sharp€edgesĢÓ ` °šXÓĢYou€may€also€want€to€review€the€protective€clothing€that€is€available€to€your€EMS€providers,€theĻprotection€it€offers,€and€how€and€when€it€should€be€used.ĢĢIf€self„contained€breathing€apparatus€are€carried€on€your€ambulance€or€available€to€your€EMSĻproviders,€you€may€want€to€review€the€operation€of€those€units.€€A€separate€training€exercise€shouldĻbe€conducted€to€provide€time€for€everyone€to€demonstrate€their€knowledge€and€skills€with€theĻSCBA.ĢĒÖ€&Öņ ņņņŌ€¼ŌSUMMARY:ĢŌ€XŌóóĢReview:ĢĢó óņņą0 ąEMS€and€Hazardous€Materials€OperationsóóĢÓ` °ƒXN –XÓą0 ąššą0 ąRelationshipsĢą0 ąššą0 ąRecognition€and€IdentificationĢą0 ąššą0 ąEmergency€Response€GuidebookĢą0 ąššą0 ąRoles€and€ResponsibilitiesĢÓ` °‚X™ h•XÓĢņ ņRemotivation:ó óĢĢRemember,€one€of€the€first€things€that€is€addressed€in€emergency€care€training€is€to€make€sure€thatĻthe€scene€is€safe€so€that€you€do€not€become€a€victim.€€Look€as€you€approach€the€scene€and€look€atĻthe€whole€scene€as€you€get€closer.€€Focusing€on€the€patient€rather€than€scene€safety€can€haveĻtemporary€or€permanent€results.ĢĢņ ņAssignment:ó óĢĢĢĢ=================================================================Ģņņņ ņŌ€¼ŌEVALUATIONóó:ó óŌ€XŌĢ