CBRNE Training Academy
HazardsHazardsHazardsHazards
Lecture Goals
• Define what a hazard is
• Define “all hazards” approach
• Describe where hazards exist
• Explain hazard re...
What is a hazardous substance?
• Any substance . . .
– Solid
– Liquid
– Gas
– Other
• Capable of harming . . .
– People
– ...
What is a hazardous substance?
• Any substance to which exposure
– “Results or may result in adverse affects
on the health...
“All Hazards”
“All Hazards”
• Knowledge that you have
• Applied to unknown situations
• Common, standard approach
– Instills confidence
...
Hazards = Potential Events
• Awareness identifies hazards
• “Guns don’t kill people . . .”
• Potential depends on scale an...
What’s in your hospital?
• Lab
• Pharmacy
• OR
• Building Services
• Engineering
• Environmental
Services
• Bio-med
• Cent...
Where do hazards exist?
EVERYWHERE
• Setting is artificial distinction
– Familiarity creates false comfort
• Things we kno...
All Hazards
• People at risk = hazard
• Site independent
• Preparation and prevention is the same
• Scale and scope is dif...
Specific hazards
• Things that are infectious
• Things that explode
• Things that burn, shock
• Things that are corrosive
...
D.O.T. Classification
Specific examples
• Scale, scope and intent
• Things that are familiar
• Things in unfamiliar context
• Things with malici...
Flammable liquids
• Found in all environments
• Often overlooked, ignored as risk
• Fire and explosive risk
• Let’s take a...
Flammable liquids
Ethyl alcohol
Flammable liquids
Gasoline
Flammable liquids
All Hazards
• Everything is a potential hazard
• Hazards have many faces
• Recognize the potential exists
• Remove the int...
Gases
• Found everywhere in a hospital
• Flammable, compressed
– Boiling Liquid Expanding Vapor Explosion
(B.L.E.V.E.)
• S...
Chlorine gas
• Severe pulmonary toxin
• Causes delayed lung injury
Normal chest x-ray ARDS chest x-ray
Cl2 + =
My bathroom January 10, 2005
HCl HOCl+
Cl2
South Carolina January 6, 2005
Ypres, Belgium April 22, 1915
Other gas examples
Oxygen & other compressed gases
In a different context
All Hazards
• Everything is a potential hazard
• Hazards have many faces
• Recognize the potential exists
• Remove the int...
Oxidizers
• Enhance / cause combustion of others
• Cause fire by itself, or by releasing O2
• Involved in reactive process...
Oxidizers
Ammonium nitrate
Oxidizers
Ammonium nitrate
Oxidizers
All Hazards
• Everything is a potential hazard
• Hazards have many faces
• Recognize the potential exists
• Remove the int...
Toxins or poisons
• Vast category, hard to generalize
• Found everywhere
– Especially in healthcare
– Home
– Industry
• Le...
Toxins or poisons
Toxins or poisons
Toxins or poisons
All Hazards
• Everything is a potential hazard
• Hazards have many faces
• Recognize the potential exists
• Remove the int...
Radioactivity
• Cause harm through energy
• Background radiation and specific
sources
– Radiology department
– Nuclear med...
Internal, External, Other
Internal, External, Other
Internal, External, Other
All Hazards
• Everything is a potential hazard
• Hazards have many faces
• Recognize the potential exists
• Remove the int...
Where can we learn more?
• On-scene personnel
– Police, Fire, EMS, HazMat, etc.
– Industrial Safety officer
• Poison Contr...
Questions?
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Module 3 Hazards

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    CBRNE Training Academy
  • <number>
    CBRNE Training Academy
  • <number>
    CBRNE Training Academy
  • <number>
    CBRNE Training Academy
  • Module 3 Hazards

    1. 1. CBRNE Training Academy HazardsHazardsHazardsHazards
    2. 2. Lecture Goals • Define what a hazard is • Define “all hazards” approach • Describe where hazards exist • Explain hazard recognition
    3. 3. What is a hazardous substance? • Any substance . . . – Solid – Liquid – Gas – Other • Capable of harming . . . – People – Property – Environment
    4. 4. What is a hazardous substance? • Any substance to which exposure – “Results or may result in adverse affects on the health or safety of employees” – “Any chemical which is a physical hazard or a health hazard” • OSHA 29 CFR 1910.1200 (c) • Bottom line: Adversely affects health or safety (not only chemicals . . .)
    5. 5. “All Hazards”
    6. 6. “All Hazards” • Knowledge that you have • Applied to unknown situations • Common, standard approach – Instills confidence – Quells fear – Ensures safety, always Prepared for the mundane = Prepared for the exotic
    7. 7. Hazards = Potential Events • Awareness identifies hazards • “Guns don’t kill people . . .” • Potential depends on scale and scope – Spill coffee – Spill sarin – Spill oil (tanker)
    8. 8. What’s in your hospital? • Lab • Pharmacy • OR • Building Services • Engineering • Environmental Services • Bio-med • Central Supply • Respiratory • Dietary • Radiology • Nuclear Medicine • Oncology • Laundry • EMS • ED • Med Air / O2
    9. 9. Where do hazards exist? EVERYWHERE • Setting is artificial distinction – Familiarity creates false comfort • Things we know, context we don’t – Medical O2 vs. Industrial O2 • Location doesn’t modify nature* • Awareness recognizes potential harm
    10. 10. All Hazards • People at risk = hazard • Site independent • Preparation and prevention is the same • Scale and scope is different • Intent is the confounding factor • Remove intent, left with event
    11. 11. Specific hazards • Things that are infectious • Things that explode • Things that burn, shock • Things that are corrosive • Things that are radioactive • Things that cause cancer • Things that are poisonous through other means • “Others”
    12. 12. D.O.T. Classification
    13. 13. Specific examples • Scale, scope and intent • Things that are familiar • Things in unfamiliar context • Things with malicious intent
    14. 14. Flammable liquids • Found in all environments • Often overlooked, ignored as risk • Fire and explosive risk • Let’s take a look at a familiar example…
    15. 15. Flammable liquids Ethyl alcohol
    16. 16. Flammable liquids Gasoline
    17. 17. Flammable liquids
    18. 18. All Hazards • Everything is a potential hazard • Hazards have many faces • Recognize the potential exists • Remove the intent • Prepared and ready
    19. 19. Gases • Found everywhere in a hospital • Flammable, compressed – Boiling Liquid Expanding Vapor Explosion (B.L.E.V.E.) • Some are toxic • Let’s take a look at another familiar example…
    20. 20. Chlorine gas • Severe pulmonary toxin • Causes delayed lung injury Normal chest x-ray ARDS chest x-ray Cl2 + =
    21. 21. My bathroom January 10, 2005 HCl HOCl+ Cl2
    22. 22. South Carolina January 6, 2005
    23. 23. Ypres, Belgium April 22, 1915
    24. 24. Other gas examples Oxygen & other compressed gases
    25. 25. In a different context
    26. 26. All Hazards • Everything is a potential hazard • Hazards have many faces • Recognize the potential exists • Remove the intent • Prepared and ready
    27. 27. Oxidizers • Enhance / cause combustion of others • Cause fire by itself, or by releasing O2 • Involved in reactive processes
    28. 28. Oxidizers Ammonium nitrate
    29. 29. Oxidizers Ammonium nitrate
    30. 30. Oxidizers
    31. 31. All Hazards • Everything is a potential hazard • Hazards have many faces • Recognize the potential exists • Remove the intent • Prepared and ready
    32. 32. Toxins or poisons • Vast category, hard to generalize • Found everywhere – Especially in healthcare – Home – Industry • Lets take a look at an example from the hospital lab . . .
    33. 33. Toxins or poisons
    34. 34. Toxins or poisons
    35. 35. Toxins or poisons
    36. 36. All Hazards • Everything is a potential hazard • Hazards have many faces • Recognize the potential exists • Remove the intent • Prepared and ready
    37. 37. Radioactivity • Cause harm through energy • Background radiation and specific sources – Radiology department – Nuclear medicine – Power plants – Industry • Lets take a look at an example from the nuclear medicine department . . .
    38. 38. Internal, External, Other
    39. 39. Internal, External, Other
    40. 40. Internal, External, Other
    41. 41. All Hazards • Everything is a potential hazard • Hazards have many faces • Recognize the potential exists • Remove the intent • Prepared and ready
    42. 42. Where can we learn more? • On-scene personnel – Police, Fire, EMS, HazMat, etc. – Industrial Safety officer • Poison Control Center • Labels • Material Safety Data Sheets (MSDS) • Emergency Response Guidebook (ERG) • Agency for Toxic Substance & Disease Registry (ATSDR) • Internet resources
    43. 43. Questions?

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