-
What is the definition of an Aerosol?
Finely divided particles of liquids or solids that are suspended in air and which behave as a gas.
-
What are the six types of infectious biological agents?
- 1. Bacteria
- 2. Rickettsiae
- 3. Viruses
- 4. Fungi
- 5. Protozoa
- 6. Prions
-
What types of infectious biological agents are potential biological warfare agents?
-
What are the methods of pathogen transmission?
- 1. Aerosol spray
- 2. Direct contact
- 3. Food and water
- 4. Vectors
-
How can shipboard personnel protect themselves from infectious biological agents?
- 1. Personal hygiene
- 2. Area sanitation
- 3. Immunizations up to date
- 4. MCU-2/P mask
- 5. JSLIST (Joint Interservice Light Weight Integrated Suit Technology) and CBR IPE
-
What is the purpose of the Chemical Survey & Monitoring Team?
- 1. Locate, Mark, and Isolate areas of concentration.
- 2. Colored signs with grease pencil info on the back.
- 3. Hang the signs to prevent access to contaminated area
-
What is the composition of a Chemical Survey & Monitoring Team?
- 1. Team Leader
- 2. 2 Surveyors
- 3. Messenger/Marker
-
What is the composition of a Biological Detection Sampling Team?
- 1. 1 Sampler (Team Lead)
- 2. 1 Assistant Sampler
- 3. 1 Boundaryman/Packager
-
What is the typical makeup of a Topside Decon Team?
- 1. Team Leader
- 2. 2-4 Hosemen
- 3. 4-6 Scrubbers
- a. Can be augmented with surveyors & monitors after monitoring is complete
-
What are the employment advantages of biological toxins over chemical agents?
- 1. Smaller payload required
- a. Deadlier than nerve agents
- 2. Greater area coverage
- a. Downwind hazard = 150nm
- 3. Limited detection capability
- 4. Little to no medical protection
-
What are the different sources of toxins?
- 1. Mycotoxins (Fungi)
- 2. Bacterial
- 3. Algal (from algae)
- 4. Animal (venoms)
- 5. Plant
-
What are the two types of biological agents and what are they?
- 1. Infectious Agents (Pathogens) - Bacterial or virus
- 2. Toxins - Non-living, comes from plants or animals
-
What passive defense steps exist to combat infectious biological agents before the attack?
- 1. DCA with the XO
- a. Personal hygiene and area sanitation.
- 2. DCA with the XO and Medical
- a. Immunizations up to date and vaccines/immunizations not expired
- 3. Training
-
What passive defense steps exist to combat infectious biological agents during the attack?
- 1. Don Individual Protection
- a. MCU-2/P Mask
- b. JSLIST and CBR IPE
- 2. Activate Shipboard Protective Measures
- a. Avoidance
- b. Circle William
- c. CMWD
- d. CPS
-
What passive defense steps exist to combat infectious biological agents after the attack?
- 1. Decontaminate personnel (showers)
- 2. Decontaminate the ship
- a. HTH (Primary)
- b. Soap & Water (Secondary)
- 3. Decontaminate Food
- a. Prepared (discard)
- b. Unopened (if possible)
- 4. Decontaminate Water
- 5. Quarantine Potentially Exposed Personnel
-
What is the preferred agent used for decontamination of a ship?
HTH
-
What is the preferred decontamination method for a ship?
Counter Measure Washdown
-
What positions constitute the Outer Clothing Undressing Area?
- 1. Position 1 - JSLIST Overgarment Removal
- 2. Position 2 - Trouser and Overboot Removal
- 3. Position 3 - Gloves (Outer Shell Only) Removal
-
What positions constitute the Decontamination Station?
- 1. Position 4 - Removal of inner clothing (all clothing being worn)
- 2. Position 5 - Thorough shower (potable or salt)
-
What positions constitute the Dressing Area?
- 1. Positon 6 - Doffing of mask if clear (CO permission)
- a. Check by medical personnel
- b. Get issued clothing
- c. Contamination purge lock for CPS decontamination stations
-
What are the manning requirements for a Casualty Decon Station?
- 1. 1 Triage Officer
- 2. 2 Corpsman
- 3. 3 Decon Personnel
- 4. 8 Cutters
- 5. 2 Senior Corpsman
- 6. 1 Non-Medical Attendant (NMA)
- 7. (Optional) Master at Arms
-
What are the manning requirements for a standard Decon Station?
- 1. 1 Team Leader
- 2. 1-2 Cutters
- 3. 1 Medical Dept. Rep
- 4. 1 Monitor
- 5. (Optional) Master at Arms
-
What is the effective life span of the MCU-2/P, 2A/P mask?
- 1. Fresh Air: 60 days
- 2. CW Environment: 30 days
-
What is the lifespan of the Joint Service Lightweight Integrated Suit Technology (JSLIST)?
- 1. 5 Year Shelf Life
- 2. 45 out of 120 Day wear time
- 3. 24 hours in a contaminated environment
-
What are the Chemical Detection and ID Categories? What do they do and what is the source?
- 1. Standoff
- a. Provides advanced warning
- b. Source: Intel
- 2. Point
- a. Identify the physical arrival of chemical agents at designated location
- b. Sources: IPDS-LR (Automatic), M8/M9 Paper (Manual)
- 3. Monitoring
- a. Establishes the presence or absence of a chemical agent in vapor form in the atmosphere or in liquid form on a surface.
- b. Source: M8/M9 paper, M256-A1/A2, Draeger Tubes
-
What is the response time of M8 and M9 paper?
- 1. M8 - 20 sec
- 2. M9 - <10 sec
-
What Pathogen are you (as DCA) most concerned with and why?
Virus because they can get through our filters.
-
What is an Infectious Agent (Pathogen)?
A microorganism that is capable of producing disease.
-
What are some general characteristics of a pathogen?
- 1. Low Agent Concentrations Required
- 2. Delayed Effects
- 3. Pervasive
- 4. Difficult to Detect
- 5. Easy to Produce
- 6. Does Not Destroy Material
- 7. Highly Weather Dependent
-
What are some weather effects of pathogens?
- 1. Sunlight = Death (UV)
- 2. Temperature > 170°f Generally Kills
- 3. Humidity Needed for Longer Life
- 4. Wind Affects Dispersal
- 5. Rain Washes Agents Out
-
What is the downwind hazard distance for a Biological Agent?
150nm
-
What is the definition of a toxin?
- 1. Non-living organism.
- 2. Chemical compounds of biological origin that may be lethal, when inhaled or ingested, or incapacitating on skin contact…by-products of living organisms, or their lab-produced synthetic equivalents.
-
What is the definition of a Dose?
The amount of biological or chemical agent administered (or received) per body weight, in a given period of time.
-
What is the definition of an Infective Dose?
A minimum number of organisms (pathogens) required to produce infection in a human host.
-
What is the definition of a Lethal Dose?
- 1. The dose at which a “normal person” is expected to die.
- 2. LD50 – Median Lethal Dose. Dose at which 50% of exposed, unprotected personnel are expected to die.
- 3. LD100 – Dose at which 100% of exposed, unprotected personnel are expected to die.
-
What are some general properties of Biological Toxins?
- 1. Deadlier than Chemical Nerve Agents
- a. Up to 100 times
- 2. Variable Persistencies
- a. Short or long
- 3. Easy to produce
- a. Stable
- b. Long term storage
- 4. Dual use equipment
- a. Production
- b. Dissemination
-
What are the methods of dissemination for Biological Toxins?
- 1. Aerosol Spray
- a. Line Source
- 2. Munitions
- a. Point Source
- b. Multiple Point Source
-
What ways are toxins produced?
- 1. Naturally Occurring
- 2. Artificially Produced
- 3. Genetic Engineering
- 4. Laboratory Synthesis
-
What are the different ways to detect a Biological Warfare Agent?
- 1. Joint Biological Point Detection System (JBPDS)
- 2. Dry Filter Unit (DFU) with Hand Held Assays (HHA)
- 3. Biological Response Kit (BRK) with Hand Held Assays (HHA)
- 4. Joint Biological Identification and Diagnostic System (JBAIDS)
-
What are the three identification levels for a Biological Warfare Agent?
- 1. Presumptive ID (e.g. DFU/BRK & HHA)
- 2. Confirmatory ID (e.g. Med Lab with JBAIDS)
- 3. Definitive ID (Shore Facility)
-
How long can the Joint Biological Point Detection System (JPBDS) operate?
- a. 12 hours of continuous detection, collection, and identification of Biological Warfare Agents.
- b. Also allows for rapid detection, collection and identification of unknown biological events in less than 20 minutes.
-
Where should you consider DFU deployment?
- 1. All Ships:
- a. Quarterdeck Area in Foreign Port & During Transit of Straits/Rivers
- b. Flight Deck or Helo Hangar in Foreign Port or while at Sea
- c. Mail Room while Overseas
- d. Decon Stations
- e. CPS Fan Rooms
- 2. Amphibious Ships:
- a. Troop Passageways & Well Deck Areas during Marine & Material Onload
-
How do you conduct surveillance with a DFU?
- 1. Allow a minimum 15 minute run time before testing.
- a. 15 minutes – 12 hours: Collect sample at 12 hour mark from DFU filters
- b. 2 min: Allow for sample prep using DFU Kit
- c. 15 min: Presumptive Identification using HHA’s
- d. Transport sample to LAB for Confirmatory Sample
-
How many types of CBR Hazard Markings are there and how many are provided for each?
-
What is the definition of a Nerve Agent?
Disrupts the transmission of nerve impulses and produce systemic effects.
-
What is the definition of a Blister Agent?
(Vesicant) Can produce both damage to body tissue in the area of contact, causing severe pain, and systemic effects.
-
What is the definition of a Blood Agent?
Attack an enzyme that is important in the transfer of oxygen from the bloodstream to the cells of the body, causing cells to be starved for oxygen (anoxia).
-
What is the definition of a Choking Agent?
Causes lungs to fill with fluid, producing an oxygen deficiency (anoxia) and severe systemic effects.
-
What is the definition of a Psychochemical Agent?
Suppresses or overstimulates the central nervous system.
-
What is the definition of a Physiochemical Agent?
Synthetic products similar to chemicals released by the central nervous system in response to strong emotional stimulus.
-
What is the definition of a Vomiting Agent?
Riot control agent causing a series of symptoms from eye irritation to vomiting (e.g. OC Spray).
-
What is the definition of a Tear Agent?
Riot control agent which causes tears to flow and may also irritate the skin, especially moist parts of the body.
-
What are some general characteristics of a Chemical Agent?
- 1. Higher Concentrations Required
- 2. Immediate Effects
- 3. Less Pervasive
- 4. Difficult to Detect
- 5. Easy to Produce
- 6. Highly Weather Dependent
- 7. Temperature Influences Volatility
- 8. Wind Affects Dispersal
- 9. Rain Prevents Some Absorption
-
What is the downwind hazard area for Chemical Agents?
35nm
-
What are the Chemical Agent methods of dissemination?
- 1. Aerosol Spray
- a. Line Source
- 2. Munitions
- a. Point Source
- b. Multi Point Source
-
What are the two types of Nerve Agents?
- 1. G Series: Tabin (GA), Sarin (GB) and, Soman (GD)
- 2. V Series: VX, VR-55
-
What is the pre-treatment option for a Nerve Agent?
- 1. Pyridostigmine Bromide (PB) pills
- 2. 1 blister pack of 21 pills per person. 1 pill every 8 hours.
-
What are the post-exposure treatment options for a Nerve Agent?
- 1. Atropine Sulfate (Atropine)
- a. 3 auto injectors (2mg each)
- b. Remaining 10 mg in ampoules maintained by medics
- 2. Pralidoxime Chloride (2 pam Cl)
- a. 3 auto injectors 300mg each
- 3. CANA (Diazepam, Valium) injectors administered by Medical.
-
What is the Reactive Skin Decontamination Lotion (RDSL) used for and what is the ship's allowance?
- 1. A broad spectrum skin decontamination product personal use after exposure or suspected exposure to certain nerve agents, blister agents.
- a. 3 individually packaged sponges per pack.
- b. Authorization is 138% SMD
- c. 1 pack per person
- d. 33% for training
-
When encountering a Nerve Agent, what are your immediate steps?
- 1. Protect Yourself
- a. Stop breathing & don mask
- b. Remove any liquid or skin contamination (RSDL)
- 2. Protect Others
- a. Sound alarm
- b. Mask Victim
- 3. Identify Symptoms
- a. Mild case in self
- b. Severe case in others
- 4. Treat symptoms accordingly (Buddy Aid/Self Aid)
- a. Self: 1 Atropine/2 pam-Cl, wait 10-15 min. Administer remaining 2 if symptoms persist
- b. Buddy: All 3 Atropine/2 pam-Cl
- 5. Report locations of injured
- 6. Move injured if time permits
- 7. Continue with mission
-
When encountering a Blister Agent, what are your immediate steps?
- 1. Protect Yourself
- a. Stop breathing & don mask
- b. Remove any liquid (RSDL)
- c. Remove from eyes by flushing with water
- 2. Protect Others
- a. Sound alarm
- b. If contaminated report to CCA
- c. Treatment same as conventional chemical burns
- 3. Continue with mission
- 4. Additional Medical Action
- a. Antibiotics, rest & ointments
-
When encountering a Blood Agent, what are your immediate steps?
- 1. Protect Yourself
- a. Stop breathing & don mask
- 2. Protect Others
- a. Sound alarm
- b. Buddy Aid
- c. Report to Decon Station upon exposure
- 3. Additional Medical Treatment (if available)
- a. Assisted Ventilation, methemglobin, sodium nitrite, triphosphate, oxygen, antibiotics
- 4. Continue with mission
-
When encountering a Choking Agent, what are your immediate steps?
- 1. Protect Yourself
- a. Stop breathing & don mask
- 2. Protect Others
- a. Sound alarm
- b. Place casualty in upright seated position
- c. Report to Decon Station
- 3. Additional Medical Treatment (if available)
- a. Steroids (Corticosteroids), Rest, Oxygen, Antibiotics
- 4. Continue with mission
-
Group Biological Toxins by physiological effects.
- 1. Neurotoxin (Systemic Central Nervous System Effects, Botulinum Toxin, Tetanus Toxin, and Saxitoxin)
- 2. Cytotoxin (Cell Destruction, Ricin Toxin)
- a. Necrotoxin (skin cells)
- b. Hemotoxin (blood cells)
- 3. Enterotoxin (food poisoning, Staphylococcal Enterotoxin B (SEB))
- 4. Dermatoxin (skin damage, tricothecene mycotoxins)
-
What is the US Policy regarding Chemical Weapons?
- 1. Prohibits:
- a. Development, production, acquisition, stockpiling, retention or transfer of chemical weapons
- b. Use of chemical weapons
- c. Engagement in Military preparations to use weapons
- 2. Allows:
- a. Research & development for industrial, agricultural, medical or pharmaceutical activity
- b.Defensive research related to the protection against chemical weapons
- c. Agents used for riot control purposes (Riot Control Agents – RCA)
-
What is the US Policy regarding Biological Warfare?
- 1. Prohibits:
- a. Offensive research
- b. Stockpiling agents
- c. Development of weapons systems
- d. Use under any conditions
- 2. Allows:
- a. Defensive research
- b. Stockpiling of Antidotes
-
What MOPP levels exist and what does it stand for?
- 1. MOPP 0 - No MOPP
- 2. MOPP 1 - Suspected Threat
- 3. MOPP 2 - Possible Threat
- 4. MOPP 3 - Probable Threat
- 5. MOPP 4 - Imminent Threat
Mission Oriented Protective Posture
-
What agents, and in what form, can the IPIDS-LR detect?
- 1. Blister Agent - Vapor
- 2. Nerve Agent - Vapor
- 3. Blood Agent - Vapor
-
What agents, and in what form, can the M256A1/A2 kit(s) detect?
- 1. Blister Agent - Vapor/Liquid/Solid (A2 only)
- 2. Nerve Agent - Vapor/Liquid/Solid (A2 only)
- 3. Blood Agent - Vapor/Liquid
-
What agents, and in what form, can the M8/M9 paper detect?
- 1. Blister Agent - Liquid
- 2. Nerve Agent - Liquid
-
What section of the RPM contains the CBRD Bill?
Chapter 7
-
What are some roles of the DCA in CBR?
- 1. Advise the CO on all matters concerning CBRD
- 2. Supervise CBRD Training
- 3. Propose suitable battle problems to evaluate the crew
- 4. Be responsible for the custody and issuance of all CBRD equipment not maintained by other departments
- 5. Designate and ensure decon stations are equipped
- 6. Supervise training of DCTT in combat of a CBR casualty
- 7. Maintain stock of personnel detection and decon equipment
- 8. Log issuance of personnel dosimeters
- 9. ***CBR efforts shall not impair efforts to control immediate hazards of major damage, fire or flood.
- 10. Establish CBRD coordination with embarked units
-
Where can you find a sample CBRD Bill?
NTTP 3-20.31 Appendix B
-
What degrades the C1A1 and M61 filter canisters?
-
What are the four levels of shipboard decontamination?
- 1. Personnel and Patient (Immediate)
- a. Self/Buddy Aid
- 2. Limited Operational (Operational)
- a. Mission essential areas; prevent the spread
- 3. Operationally Complete (Thorough)
- a. Highest level a ship can obtain; reduces MOPP level
- 4. Chemically Complete (Clearance) Decontamination
- a. All contamination removed; industrial facility
-
What are the methods of decontamination? How do we clean the ship externally?
- 1. Physical Removal
- a. CMWD System (#1 method)
- b. Fire hose flush
- c. Scrubbing
- 2. Natural Decay
- a. Weathering
- 3. Chemical Neutralization
- a. Calcium Hypochlorite (HTH)
-
What are the methods of decontamination? How do we clean the ship internally?
- 1. HTH Solution (IAW NSTM 470)
- 2. GP Cleaner
- 3. Soap and Water (#1 for people and sensitive electronics equipment)
-
Describe the doffing stations for JSLIST and IPE.
- 1. Gross Decon Area
- 2. Outer Clothing Undressing Area
- 3. Inner Clothing Undressing Area
-
How do we prioritize contaminated casualties at a Casualty Decon Station?
Triage, Decon, and Treat
-
What options are available to manage ventilation?
- 1. Before the Attack:
- a. Set Circle William
- 2. After the Attack:
- a. Leave contaminated area
- b. Test Intakes - Perform Operational Decon (as necessary)
- c. Relax Circle William
- d. Purge Ship (Rule of 6)
- e. Retest with M256A2 to confirm decon is complete.
- f. If all clear, initiate unmasking procedures (Per CO direction)
-
What are the key actions undertaken at MOPP 0?
- Sizing and issue of CBRN Individual Protective Equipment (IPE)
- a. With exception of masks, maintained in storerooms, workspaces, etc.
-
What are the key actions undertaken at MOPP 1 (Suspected Threat)?
- 1. Inventory of CBR equipment
- 2. Verify CBRN teams identified
- 3. Conduct CBRN training
-
What are the key actions undertaken at MOPP 2 (Possible Threat)?
- 1. Issue Mask/Carrier (wear)
- 2. Designate decon stations
- 3. Preposition CBR equipment
- 4. Operational test of CMWDS
- 5. Operational test of alarms
-
What are the key actions undertaken at MOPP 3 (Probably Threat)?
- 1. Install new mask canisters
- 2. Don JSLIST trousers and smock
- 3. Don protective overboots
- 4. Initiate PB (if directed)
- 5. Set General Quarters
- 6. Set Material Condition Zebra
- 7. Activate CMWDS intermittently (every 15 min)
- 8. Strike below all porous materials
-
What are the key actions undertaken at MOPP 4 (Imminent Threat)?
- 1. Sound alarm
- 2. Don mask, hood, and gloves
- 3. Implement mandatory water drinking
- 4. Set Circle William
- 5. Initiate continuous monitoring
- 6. Continuous CMWD
-
Describe the persistency and downwind hazard of chemical agents in each state of matter.
- 1. Solid/Thick - Persistent - Possible DW hazard
- 2. Liquid - >24 hrs - Probably DW hazard
- 3. Gas/Vapor - Non persistent to <24 hours - Definite DW hazard
-
What are the protection levels afforded by CPS in the Total Protection Zone?
- 1. Level I (Shelter Envelope)
- a. Safe Haven
- b. Berthing, messing, sanitary, battle dressing for 40% of crew
- 2. Level II (Min. Operational Envelope)
- a. Surprise Attack
- b. Also key operational areas/mission critical
- 3. Level III (Max. Operational Envelope)
- a. All mission areas except troops & aircraft
-
What is the purpose of CPS?
- 1. Toxic free environment
- 2. Total Protection vs. liquid, solid, and gaseous CBR agents
- 3. Personnel safe without protective clothing or masks
-
What is the service life of a CPS filter?
4 years
-
What are the components of a CPS filter?
- 1. Pre-Filter (sock)
- 2. HEPA Filter
- 3. Carbon Filter
-
How can you detect if Soman is in the area?
Fruity or camphor smell
-
What are some symptoms of mild exposure to a nerve agent?
- 1. Sudden headache
- 2. Reduced vision
- 3. Unexplained runny nose
- 4. Drooling
- 5. Difficulty breathing
- 6. Stomach cramps
- 7. Nausea
- 8. Muscular twitching
-
What are some symptoms of severe exposure to a nerve agent?
- 1. Strange/Confused Behavior
- 2. Gurgling Sounds
- 3. Pinpointed Pupils
- 4. Red Eyes/Tears
- 5. Vomiting
- 6. Severe Muscle Twitching
- 7. Involuntary Urination & Defecation
- 8. Convulsions
- 9. Breathing Stopped
Note: Death can occur in as little as 15 min!
-
What might be encountered if you smell garlic or horseradish?
Mustard Agent
-
What might be encountered if you smell geraniums?
Arsenicals
-
What might be encountered if you smell a disagreeable odor?
Urticants
-
What are two blood agents and what are their uses?
- 1. Hydrogen Cyanide
- a. Capital punishment
- 2. Cyanogen Chloride
- a. Union Carbide
-
What might be encountered if you smell crushed peach kernals?
Hydrogen Cyanide
-
What agents cause "Dry Land Drowning"?
-
What type of agents can be detected with a sweet odor like musty hay, fresh cut grass, or fresh corn?
Choking agents
-
What are the treatment methods available for personnel afflicted by a biological agent?
- 1. Palliative/Supportive Treatment for Symptoms
- 2. Intensive Care - Life Support
-
What are the four categories of Casualty Causing Agents? Provide an example of each.
- 1.Nerve (skin and inhalation hazard)
- a. G-series (Sarin, Soman, Tabun)
- b. V-series (VX and others)
- 2.Blister (skin and inhalation hazard)
- a. H-series (Mustards)
- b. L- series (Arsenicals)
- c. CX (Urticants)
- 3.Blood (inhalation hazard)
- a. Hydrogen Cyanide (AC)
- b. Cyanogen Chloride (CK)
- 4.Choking (inhalation hazard)
- a. Phosgene (CG)
- b. Chlorine (CL)
-
What are the phases of a CBR attack?
- 1. Preparatory (MOPP 0-3)
- 2. Attack (MOPP 4)
- 3. Recovery
-
What are the requirements for a Mask Only posture?
- 1. Non-CPS ships
- a. CO can authorize if:
- 1. No liquid contamination present
- 2. No blister vapors present
- 2. CPS ships
- a. Be cautious of hull penetrations
-
What is the definition of Virulence?
The relative ability of infectious agents to produce disease
-
What is an antigen?
Foreign substance capable of producing immune response when introduced into a host (i.e. toxins, bacteria, etc.).
-
What is an antibody?
Molecules found in blood and tissue produced in response to a given antigen. Facilitates removal of antigen by binding onto it.
-
What types and how many of each CBR hazard marking signs do you have? How big are they?
- 1. 4 types
- 2. 10 each
- 3. 8" x 11.5"
-
Why types of hazards does the M8 paper detect?
- 1. Blister Agents (H & L)
- 2. Nerve (G and V series)
-
What types of chemical surveys can be conducted? When and with what?
- 1. Periodic Monitoring (Point Detection)
- a. Prior/During attack (M8/M9, IPDS, IPDS-LR)
- 2. On-Station Monitoring
- a. During attack (M256A1/A2/M8/M9)
- 3. Rapid Internal Survey
- a. After attack (M256A1/A2)
- 4. Rapid External Survey
- a. After RIS (M8/M9)
- 5. Supplemental Surveys
- a. As required/as time permits
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