Virtual Manikin™ — CBRN Chemical Exposure

The patient was part of an attack involving a chemical exposure. The potential settings include an industrial complex or urban environment with deployed military bag sets. There are no predetermined case-specific learning objectives, critical actions, states, or outcomes. Instead, the moderator will be able to select from two patients and then adjust vital signs and exam findings during the case. In other words, the patient can have various chemical exposure-related diagnoses and require any treatment depending on the moderator’s choices.

Learning Objectives

– Recognizes potential hazardous material exposure and calls for appropriate supplies for decontamination

– Appropriately mitigates exposure risk to minimize exposure and contamination:
a. Dons appropriate PPE, including an appropriate mask, and gloves
b. Identifies environmental threats including vapor hazard, liquid, confined space and low oxygen environments
c. Moves the casualty away from the threat or agent, using the principles of fresh air, upwind, uphill, upstream, time, distance and shielding

– Assesses casualty to determine agent of concern, conducting triage and recognizing symptoms
a. C – Consciousness
b. R – Respirations. Are they present, labored, or absent
c. E – Eyes, pupil size
d. S – Secretions. Are they increased or absent
e. S – Skin. Is there diaphoresis, cyanosis, is it dry and hot

– Evaluates the casualty at the point of injury for life threats and performs immediate interventions if indicated

– Performs a secondary assessment and efficient decontamination at the Dirty CCP
a. Evaluates circulation
b. Prevents hypothermia and evaluates for potential head injury
c. Prepares for extraction

– Performs a visual contamination and detector check before crossing the cold line