GTA 03-08-002 CASUALTY DECONTAMINATION SITE (EXAMPLE)

JAN 2017 WARM ZONE

HOT ZONE COLD ZONE
Contaminated
Wind Direction
Wind Direction
Shuffle Pit

Casualty Care
Ambulatory
Patient Decon Triage &
Monitor Check Medical
Monitor Check
Drop Off Patient Litter Treatment
Emergency
Point Decon Area Exchange
Medical
30 Treatment Skin Disposition
Meters Decon Area
Triage 45
Area Meters Triage
(Log In)
Clothing
Removal Litter
75-100 Exchange
Dirty Meters Monitor Check
Dump Litter Patient 60
Decon Monitor Check Shuffle Pit Meters Medical
Treatment

Hot Line Monitor Check

Equipment Equipment
Contaminated Liquid Control
Decon Vapor Re-issue
Waste Disposal Line
Control Line
APPROVED FOR PUBLIC RELEASE
DISTRIBUTION UNLIMITED

CENTER FOR ARMY LESSONS LEARNED PATIENT DECONTAMINATION RESPONSIBILITIES SPECIAL EQUIPMENT
10 Meade Avenue, Building 50
Fort Leavenworth, KS 66027-1350 * See ATP 4-02.7, Chapter 5, for detailed information on patient decontamination. Litters, litter stands, backboards and Colored tape (lane and boundary markings)
http://call.army.mil
Patient decontamination begins at the incident site. wheeled carriers
ASYMMETRIC WARFARE GROUP
Signage for stations
Self-aid. Perform immediate lifesaving self-aid and personal decontamination. Administer Voice amplifiers for pro mask
2270 Rock Avenue
antidotes (for nerve agent exposure) and assume the appropriate mission-oriented protective Stakes (to anchor tape and other markings)
Fort Meade, MD 20755-5355
posture (MOPP) level. Radios
http://www.awg.army.ml
Excavator to dig drainage pits
Buddy aid. The individual may be incapable of providing self-aid. Buddy aid actions include: Joint Chemical Agent Detector (JCAD)/
Improved Chemical Agent Monitor (ICAM) Toxicological Agent Ptortective (TAP) Apron
Treat immediate life-threating injuries (Tactical Combat Casualty Care [TCCC]): massive
hemorrhaging, airway, respiration, circulation, and hypothermia [MARCH]. Decontaminants (bleach)
VDR-2 or PDR-77 Radiac Set 3
Determine type of contamination (chemical, biological, radiological).
Chemical lights, engineer tape
Administer appropriate antidotes (use the casualtys own antidotes).
Decontaminate exposed skin and contaminated MOPP gear using:
References: Reactive Skin Decontamination Lotion or M291 Skin Decontamination Kit (chemical).
Army Techniques Publication (ATP) 4-02.7, Multi-Service Tactics,
Techniques, and Procedures (TTP) for Health Service Support
Soap and water (chemical, biological, radiological). NOTE: Refer to the Joint Acquisition CBRN Knowledge System (JACKS) website at
in a Chemical, Biological, Radiological, and Nuclear (CBRN)
Environment, 15 MAR 2016
Dry earth, bleach and water, etc. (chemical). https://jacks.jpeocbd.osd.mil; ATP 3-11.32, Multi-Service TTP for CBRN Passive Defense, 13 MAY
Field Manual 3-11.9, Potential Military Chemical/Biological Agents
and Compounds, 10 JAN 2005 2016; and the references listed in this GTA for the most current CBRN information.
Brushing or vacuum (radiological).
* Distribution restrictions may apply to some references.
APPROVED FOR PUBLIC RELEASE
DISTRIBUTION UNLIMITED Put the remaining protective clothing on the casualty.
Distributed by: Army Training Support Center
Move to decontamination point as soon as possible for more definitive care.
 INITIAL WOUND DECONTAMINATION DECONTAMINANTS
During thorough patient decontamination, all bandages suspected of contamination are
Type of Contaminant
removed and the wounds are flushed with isotonic saline solution or water.
Bandages are replaced only if bleeding begins after decontamination. Type of Application Chemical Biological Radiological/Nuclear
personnel:
Decontaminants/ surface/ personnel: surface/ personnel: surface/
Tourniquets suspected of being contaminated are replaced with clean tourniquets, and the (immediate and
techniques material/area (not time critical) material/area (less time critical) material/area
sites of the original tourniquets are decontaminated. time critical)
minimize minimize minimize
Both bandage replacement and tourniquet replacement are performed by medical personnel Misting hair/clothes
reaerosolization reaerosolization reaerosolization
in the warm zone before transferring to the cold zone (see the casualty decontamination site
remove outer remove outer remove outer
example). Physical removal
garments garments garments
Splints are thoroughly decontaminated but removed only by a physician or under a physicians
supervision. Water only X X X

Once the patient has been thoroughly decontaminated and enters the medical facility, the new
Soap and water X X X X X X
dressings are removed and submerged in 5 percent hypochlorite or sealed in a plastic bag.

Weathering X X

Individual equipment
equipment equipment
decontamination kit

M100 Sorbent Decontamination

X X X
System (SDS) reactive powder

RADIATION SICKNESS SIMILARITIES BETWEEN HEAT INJURIES OTHER CHEMICAL WARFARE

SYMPTOMS AND NERVE AGENT POISONING AGENT SYMPTOMS (BY AGENT TYPE)
Bleeding from the nose, HEAT INJURIES NERVE POISONING Blood Agent (hydrogen cyanide Incapacitating Agent Blister Agent (sulfur mustard Choking agent (chlorine
mouth, gums Heat Exhaustion: Mild Nerve Poisoning: [AC], cyanogen chloride [CK], (3-Quinuclidinyl benzilate [BZ], [H, HD], lewisite [L], phosgene [Cl], hydrochloric acid [HCl],
Nausea Nausea arsine [SA]): other): oxime [CX], nitrogen mustard phosgene):
Bloody stool
Dizziness Pinpoint pupils Confusion Dry mouth and skin [HN-series]): Eye and skin irritation
Bruising Nausea Altered consciousness, delusions Redness and blistering of the skin Airway irritation
Confusion Headache Runny nose
Gasping for air Lack of coordination Tearing, conjunctivitis Coughing
Weakness Sweating
Dehydration Seizures Hallucinations Mild respiratory distress Sore throat
Clumsy/unsteady walk Vomiting Chest tightness
Diarrhea Muscle cramps* Slight difficulty breathing*
Fainting
Heat Stroke: Severe Nerve Poisoning:
Fatigue
Loss of consciousness Loss of consciousness
Mild fever
Convulsions and chills Convulsions
Hair loss Vomiting ANTIDOTE TREATMENT-NERVE AGENT, AUTO-INJECTOR (ATNAA) AND
Loss of bodily fluid control
Mouth ulcers Profuse sweating Loss of breathing CONVULSIVE ANTIDOTE, NERVE AGENT (CANA) INSTRUCTIONS
Nausea and vomiting Confusion, mumbling* Muscle twitching* Administer ATNAA as soon as any signs or symptoms are noted.
Skin burns
Possibly combative* Paralysis* * Unique symptom to injury If symptoms of the nerve agent are not relieved, the Service member should be given two additional ATNAAs.
Administer the CANA after administering three ATNAAs to severely poisoned casualties or those obviously seizing.
Atropine and pyridine-2-aldoxime methiodide (2-PAM) chloride solutions freeze at about 30 F. Store in a MOPP pocket to keep warm during
BIOLOGICAL AGENT CONTAMINATION cold weather.
If biological agents are suspected, Soldiers should enter quarantine after they have been decontaminated. Most biological agents
would need an incubation period of several days (1 to 7) in order to cause sickness. Many biological agents can mimic symptoms
related to the flu, so the diagnosis of contamination is difficult. (New Injector) (Old Injector)