Chemical, Biological, Radiological, and
Nuclear (CBRN) Injury Part I
T/F: Initial care of the CBRN casualty should be approached in the same manner as
other casualties. - answerTrue
In a CBRN situation, _____ and _____ is the foundation for further management, and is
key not only for initiating patient treatment but also for preventing contamination of
medical personnel, equipment, and facilities. - answerEarly recognition
Categorization
In a high-threat environment due to a CBRN attack, what military-issued personal
protective equipment (PPE) should personnel be aware of? - answerM50 Joint Service
General Protective Mask (JSGPM)
M61 filter, C2A1 canister
M40/M45, M53 mask
Joint Service Lightweight Integrated Suit Technology (JSLIST) Chemical and Biological
Protective Garment (24 hour protection)
All-purpose personal protective ensemble (AP-PPE)
Lion extended response team (XRT) suit (8 hour protection)
Butyl rubber gloves with cotton liner
Vinyl overboot
What is a CBRN evacuation planning consideration when incorporating a Military
Treatment Facility (MTF)? - answerDECON/Treatment Coordination. Ensure MTF is
prepared to receive dirty casualties and determine the most appropriate location for
DECON
Treatment Capabilities (Toxicology, Critical Care, Trauma Surgery). Determine whether
the MTF has the services necessary to care for and sustain the CBRN casualty on site
and/or establish telemedicine
Capacity: The CBRN casualty is far more resource intensive than a typical trauma or
critically ill casualty. Assess the MTF's capacity and capability to treat CBRN casualties
and ID potential alternate locations.
What is the first priority to be coordinated when a CBRN attack has occurred? -
answerSecurity
Any casualty with an area suspicious of having been exposed to a liquid chemical agent
is automatically medically triaged as immediate until? - answerImmediate until
immediate (local, spot) decontamination has been accomplished.
T/F: All CBRN agents will cause immediate symptoms, so you will know how to
categorize each patients during triage. - answerFalse
What does CRESS stand for? - answerConsciousness
Respirations
Eyes
Secretions
Skin
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