1 click here to continue 2 directions: this is a self-paced course on the use of a mk1 kit after...

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Directions:

This is a self-paced course on the use of a MK1 Kit after exposure

to GB nerve agent.

Proceed through the course by clicking on the

Take the exam at the end of the training.

When you reach “THE END” you have satisfactorily completed the course.Click here t

o continue

Click here to continue icon.

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If you have any questions on this topic during or after this training, please contact William Allen at:

(870) 850-1419

or

[email protected]

Click here to continue

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The Terminal Performance Objective (for this training module)…

If given a Mk1 auto-injector Kit and after being exposed to nerve agent in a terrorist attack, you should be able to give a victim or yourself a shot of Atropine and 2-PAM Chloride. Click here to cont

inue

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Testable Enabling Objectives…

1. Recall the originally intended use of nerve agent

2. Recall the symptoms of exposure to nerve agent

3. Recall how many symptoms of nerve agent exposure you need to see before giving a victim an injection using the MK1 auto-injector kit


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Types of G-type Nerve Agent…

o GA (also know as Tabun)

o GB (also know as Sarin)

o GD (also know as Soman)

o GF (also know as cyclosarin) Click here to conti

nue

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Accidentally discovered in Germany in 1936 by a Dr. Gerhard Schrader.

Dr. Schrader and his research team had been assigned to develop a

new and better insecticide.Within minutes of spilling a

drop of Tabun (GA) on his work bench, everyone in lab was the first to experience symptoms

of exposure to GA.


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How toxic is GB vapor nerve agent??

If 10 people inhaled GB vapor at a concentration of 35 mg-min/m3, 5 of them would die.A m3 is a cube of air about 3 feet by

3 feet by 3 feet

To visualize 35 milligrams (mg)…a gram is equivalent to about 17 grains of sand…so 35 mg is about ½ grain of sand distributed evenly in a 3 foot by

3 foot by 3 foot cube of air


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How toxic is GB liquid nerve agent??

If 10 people got 1700 mg of GB liquid on their skin, 5 of them would die.

To visualize 1700 milligrams (mg)…a gram is equivalent to about 17 grains

of sand…so 1700 mg is about 28 grains of sand


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1700 mg or 28 grains of sand


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How nerve agent kills you(click on picture to repeat video)

************************


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GB nerve agent is classified as non-persistent…

That means it easily evaporates and is primarily a vapor

(inhalation) hazard

Nerve agent VX and incapacitating agent HD (mustard gas) are “persistent” (don’t readily evaporate)

and primarily a liquid (skin) exposure

hazard


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Symptoms of Mild Exposure to GB Vapor

_ _ _ _ _ _ _ _ _ _ - Miosis (pinpointed pupils) –

- A headache (pain behind the eyes) –

- Dim or blurred vision –

- Runny noise –

- Excessive salivation –

- Chest tightness -


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Symptoms of Mild Exposure to GB Liquid (skin

contact)_ _ _ _ _ _ _ _ _ _

- Localized sweating –

- Localized muscle twitching -


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Symptoms of Moderate Exposure to GB Vapor/Liquid

_ _ _ _ _ _ _ _ _ _ - Mild signs of exposure –

plus

- Increase shortness of breath –

- Coughing/Wheezing –

- Nausea/Vomiting –

- Diarrhea -


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Symptoms of Severe Exposure to GB Vapor/Liquid

_ _ _ _ _ _ _ _ _ _ - Moderate signs of exposure –

plus

- Generalized weakness/Twitching –

- Loss of consciousness –

- Convulsions –

- Severe respiratory distress –

- Flaccid paralysis and apnea -


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Emergency/1st Aid Procedures****************************

** Protect yourself first by donning a gas mask **

Then - IMMEDIATELY mask and remove victim from contaminated area - Remove all contaminated clothing - Decontaminated the victim with soap and water - If victim is showing at least two (2) symptoms of exposure to GB, use one (1) Mk1 Kit on the victim


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The Mk1 auto-injector Kit************************


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Each Mk1 Auto-injector kit contains - 1 small Atropine

injector- 1 large 2-PAM Chloride injector


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Referring back to the video…

The first shot you will give a victim is Atropine (smaller auto-injector…

yellow cap)Needle End

Safety Cap End


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CAUTION!!

DO NOT touch the needle-end (colored end) of the

injector; injector can function into the

fingers or hand if any pressure is applied to this

end of the ejectorClick here to continue

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1st Injection (Atropine)…

Remove yellowyellow safety cap Carefully grasp auto-injector at the middle section Place the injector on the thickest part of the thigh and press hard until injector functions Hold auto-injector in place about 10 seconds


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For small-framed personnel, the injection point is the upper portion of the buttocks

Care must be taken to prevent needle injection into bone


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2nd Injection (2-PAM Chloride)… IMMEDIATELY repeat steps already covered

o Remove grey safety capo Carefully grasp auto-injector at the middle sectiono Place the injector on the thickest part of the thigh and press hard until injector functionso Hold auto-injector in place about 10 seconds


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Wait 5-20 minutes and repeat injections if

symptoms of agent exposure still exist

Get victim to medicalattention ASAP!!


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- For SEVERE Symptoms of Exposure to GB Vapor/Liquid (Moderate signs of exposure,

plus generalized weakness/twitching, loss of consciousness, convulsions, severe respiratory distress, flaccid paralysis and apnea)

IMMEDIATELY give the victim 3 Mk1 injector

kits Click here to continue

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Are you ready for the exam?


Click here to repeat training module

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Question #1 – What was the originally intended use for nerve agent? (Click on the appropriate answer)

a. For use as fertilizer for farming

b. For use as oven cleaner

c. For use as an insecticide

d. For use as suntan lotion

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INCORRECT!!

Click here to review the training material

applicable to this question again

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Accidentally discovered in Germany in 1936 by a Dr. Gerhard Schrader.

Dr. Schrader and his research team had been

assigned to develop a new and better

insecticide.Within minutes of spilling a drop of Tabun (GA) on his work bench, everyone in lab was the first to experience symptoms

of exposure to GA.

Click here to return to

Question #1

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GOOD JOB!! Your answer is CORRECT.

Continue to Question #2 Click here to

continue to Question #2

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Question #2 – What is a symptom of MILD EXPOSURE to VAPOR nerve agent?

a. Unconsciousness

b. Pinpointed pupils

c. Severe chest pain

d. Vomiting/Diarrhea

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INCORRECT!!

Click here to review the training material

applicable to this question again

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Symptoms of Mild Exposure to GB Vapor

_ _ _ _ _ _ _ _ _ _ - Miosis (pinpointed pupils) –

- A headache (pain behind the eyes) –

- Dim or blurred vision –

- Runny noise –

- Excessive salivation –

- Chest tightness -

Click here to return to Question #2

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Continue to Question #3 Click here to

continue to Question #3

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Question #3 – How many symptoms of exposure to nerve agent do you need to observe before you give a victim the shots of a MK1 auto- injector kit?

a. 1

b. 2

c. 3

d. 4

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INCORRECT!!

Click here to review the training material applicable to this question again

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Emergency/1st Aid Procedures****************************

** Protect yourself first by donning a gas mask **

Then IMMEDIATELY mask and remove victim from contaminated area Remove all contaminated clothing Decontaminated the victim with soap and water If victim is showing at least two (2) symptoms of exposure to GB, use one (1) Mk1 Kit on the victim

Click here to return to Question #3

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References:

All information and pictures used in this PowerPoint were copied from various existing Washington Demilitarization Company training modules at the Pine Bluff Arsenal Chemical Demilitarization Facility.

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The END!!

1 click here to continue 2 directions: this is a self-paced course on the use of a mk1 kit after...

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