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Back PROTECTION OF FOOD AND WATER | Up Hospital Corpsman 1 & C - Advanced Navy Nursing manual for hospital training purposes | Next DECONTAMINATION STATIONS |
the preparation of water for large numbers, the
boiling procedure should be supervised. Water
boiling may, of necessity, become an individual
responsibility and may be so directed.
For small groups of people, the Lyster bag is
provided as a suitable container for the storage
of water that has already been treated for use in
the purification process. Water that has not been
made potable previously is purified in the Lyster
bag by means of chemicals. Water purification
procedures are discussed in detail in chapter 11
of the HM 3 & 2 Rate Training Manual.
Food
In the event of a known or suspected biological
attack, all exposed or unpackaged foods not in
critical supply should be destroyed. In most
instances, food can be rendered safe for con-
sumption by application of moist-heat cooking
procedures. In some instances, deep fat cooking is
adequate. Some foods, however, cannot be
sterilized because the treatment would render them
unacceptable for consumption.
DECONTAMINATION
The extent to which personal decontamination
can be carried out following actual or suspected
exposure to biological agents will depend upon
the existing tactical situation and the facilities
available. If the situation permits, con-
taminated clothing should be carefully removed
and the body washed thoroughly with soap and
water before donning fresh clothing. Specific
attention should be given to decontamination and
the treatment of skin lesions.
Normally, each individual is responsible for
his or her own decontamination. If a person is
physically unable to decontaminate himself or
herself, this process has to be performed by other
available personnel, including medical personnel.
Since illness resulting from exposure to biological
warfare may be delayed because of the incuba-
tion period, decontamination may occur before
the individual becomes ill. Decontamination
of the wounded, however, will not have been
carried out and is the responsibility of Medical
Department personnel. In the management of the
wounded, a problem of priority may exist. When
the situation and the condition of the casualty
permit, decontamination should come first.
However, massive hemorrhage, asphyxia, or other
life-endangering conditions naturally receive
priority.
In general, all candidates for decontamination
should first have all exposed areas thoroughly
washed with soap and large amounts of water,
the mask adjusted, and all contaminated clothing
removed. The casualty may then be moved to a
clean area where the wounds can be treated.
Decontamination procedures are the same as
those used for casualties of chemical warfare.
RADIOLOGICAL DEFENSE
Teams entering contaminated areas to remove
casualties and those working in decontamination
stations have two major concerns. One is the
prevention of their own contamination and the
other is preventing or reducing radioactive
exposure. Contamination can be avoided by
decontaminating patients and equipment prior to
handling, wearing appropriate protective clothing
and equipment, avoiding highly contaminated
areas, and strictly observing personal decon-
tamination procedures. Exposure to radiation
should also be avoided or minimized. Alpha
and beta particles and gamma rays are emitted
from radioactive contaminants and present a
direct risk to the health and safety of personnel
in the contaminated area. This risk can be avoided
or minimized by following some simple guidelines
and using common sense. Time, distance, and
shielding are the major principles that guide
actions to avoid exposure.
Radioactive decay and the deposition of
fallout products progresses rapidly in the early
hours after a nuclear blast, and the hazards to
rescue workers can be reduced considerably if
operations can be delayed until natural decay
has reduced the level of radioactivity. If teams
trained in the use of survey instruments are
available, guesswork can be eliminated since they
will determine the intensity of radiation with their
instruments and mark perimeters of danger zones.
Limiting the time of exposure is essential if
total avoidance is not possible. Rotating person-
nel entering an exposure risk area, planning
actions to minimize time in the area, and prompt
decontamination reduce the total time the in-
dividual is exposed and therefore reduces the dose
of radiation absorbed by the body.
Both radioactive particles and electromagnetic
waves (gamma rays) lose energy and consequently
lose their ability to harm tissue as they travel
away from their source. Therefore, the further
one is from the source, the danger of an exposure
is minimized.
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