Bleach, clothing decontamination

Skin Contact Don respiratory mask and gloves remove victim from source immediately and remove contaminated clothing decontaminate the skin immediately by flushing with a 5% solution of liquid household bleach wash off with soap and water after 3-4 min to remove decon agent and protect against erythema seek medical attention immediately to prevent systemic toxicity, decontamination should be done as late as 2 or 3 h after exposure even if it increases the severity of the local reaction further cleans with soap and water. 

Action rate Delayed—usually four to six hours until first symptoms appear Physiological action Blisters destroys tissue injures blood cells Required level of protection Protective mask and clothing Decontamination Bleach, fire, DS2, M258A1, M280... 

Required Level of Protection Protective mask and clothing Decontamination Bleach, fire, DS2, M258A1. M280... 

In the NSLIJHS protocol, victim decontamination is accomplished with soap and water (for 10 minutes), whereas fomite (i.e., contaminated clothing) decontamination is performed with a 1 10 dilution of bleach and water. Ambulatory victims decontaminate themselves. 

Treatment of skin lesions also follows decontamination and removal of clothes. Decontamination should be completed within 15 min after exposure to minimize any systemic effects. Contaminated hair should be shaved off. The decontaminating solutions should be washed off within 3-4 min to prevent additional skin injury. Sodium hypochlorite (5%) or liquid household bleach can be used. If erythema is already present, soap and water are preferred. Blisters should be left intact, but if broken, should be debrided to prevent secondary infection. Cleansing with tap water or saline and the application of dressings is done when needed. Silver sulfadiazine or mafenide acetate can be applied and the wounds treated as burn wounds. Infected skin wounds require antibiotics as appropriate. 

Remove all clothing decontaminate with straight household bleach then incinerate at an appropriate facility. Wash cadaver with a bleach solution insuring the solution is introduced into the ears, nostrils, mouth, and any wounds. Pay particular attention to hair, scalp, pubic areas, fingernails, and folds of skin where agent may get trapped. The solution should be no less... 

Skin Contact Don respiratory mask and remove contaminated clothing wash contaminated skin with copious amounts of soap and water immediately using 10% sodium carbonate solution, or 5% liquid household bleach rinse well with water to remove decontamination if local sweating and muscular symptoms occur, administer an intramuscular injection with the MARK I Kit seek medical attention immediately. 

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