title: Personal protective equipment and decontamination of adults and children.
abstract: Accurate identification of the hazardous material is essential for proper care. Efficient hospital security and triage must prevent contaminated victims from entering the emergency department (ED) and causing secondary contamination. The decontamination area should be located outside the ambulance entrance. Decontamination priorities are protection of the health care worker, utilization of Level C personal protective equipment, and proper decontamination of the exposed patient. Decontamination proceeds in a head-to-toe sequence. Run-off water is a hazardous waste. Hospital and Community Management Planning for these emergencies is essential for proper preparation and effective response to the hazardous materials incident.
authors.affiliation: Emergency Medicine, Upstate NY Poison Center, SUNY Upstate Medical University, Syracuse, NY, USA; Center for Occupational Health, Glens Falls Hospital, Glens Falls, NY, USA; Center for Toxicology and Environmental Health, L.L.C., 5120 North Shore Dr., North Little Rock, AR 72118, USA. Electronic address: mholland@cteh.com.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Holland
authors.affiliation: Center for Toxicology and Environmental Health, L.L.C., 5120 North Shore Dr., North Little Rock, AR 72118, USA.
authors.forename: David
authors.initials: D
authors.lastname: Cawthon
mesh_terms: D000328:Adult; D002648:Child; D003666:Decontamination / Q000379:methods*; D004189:Disaster Planning / Q000458:organization & administration; D004636:Emergency Service, Hospital; D015386:Hazardous Substances / Q000506:poisoning*; D006801:Humans; D011481:Protective Clothing; D018788:Radioactive Hazard Release; D017751:Safety Management / Q000379:methods*
chemical_list: D015386:Hazardous Substances
keywords: Chemical contamination; Decontamination; HAZMAT; Levels A, B, C, D; Personal protective equipment (PPE)