AGR-FIRE51-04 · Lesson 10 · 16 clock hours · lab
Decontamination Principles and Emergency Decon
Objective. Students will set up an emergency decontamination corridor and perform decontamination on a simulated ambulatory and non-ambulatory victim using water dilution, following a written decon SOP.
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Why Decontamination Matters
When a person or a piece of equipment contacts a hazardous material, that contamination must be removed before it causes further harm — to the victim, to responders, or to the surrounding environment. Decontamination (decon) is the physical or chemical process of reducing or removing hazardous substances from people, equipment, and the environment. At the Hazmat Operations level, your job is to perform emergency decon and support gross decon corridors, not to identify or neutralize the agent — that is the Technician level task.
Decon is a life-safety function. A delay of even a few minutes in washing a corrosive chemical from skin can mean the difference between minor irritation and severe chemical burns. Emergency decon prioritizes speed over thoroughness; full technical decon adds thoroughness once the immediate threat is controlled.
Types of Decontamination
Emergency decon is the rapid removal of a contaminant to save life. It is set up immediately, often before a full corridor is established. The primary method is water dilution: large amounts of water flushed over the victim for a sustained period. Most authorities recommend a minimum flush of 15–20 minutes for chemical exposure to the skin or eyes unless a specific agent SOP directs otherwise.
Gross decon (technical decon) is a more systematic process performed in a dedicated corridor with multiple stations. It follows emergency decon when resources and time allow.
The Decontamination Corridor Layout
A standard emergency decon corridor moves victims from the hot zone toward the cold zone in a controlled, one-directional flow. Learn these zones and stations:
- Entry control point — the boundary between the hot zone and the corridor. Only properly PPE'd responders may enter toward the hot zone from this point.
- Primary decon station — the first wash station. Here the victim undergoes gross water dilution. Clothes are removed (cut away if necessary) because clothing can trap 70–80% of a liquid contaminant against skin. Removed clothing goes into a labeled containment bag or onto a collection tarp.
- Secondary decon station — a second rinse, sometimes with mild soap, to catch residual contamination before the victim leaves the warm zone.
- Medical evaluation area — located at the edge of the cold zone. EMS personnel assess and treat the victim here. No one enters this area who has not completed decon.
- Exit point — victims and decon'd responders leave into the cold zone. Equipment that cannot be decon'd is bagged and tagged for disposal.
Runoff water is a hazardous waste. Collection tarps, portable berms, or plugged drains keep contaminated water from spreading. Water management is a critical step — never allow runoff to flow into storm drains or waterways.
Setting Up the Corridor: Step-by-Step
1. Don appropriate PPE for the hazard. At minimum, decon personnel wear chemical-resistant gloves, eye protection, and splash-protective clothing. Level of PPE depends on the identified or suspected agent.
2. Mark each station with flags or cones so victims and team members navigate clearly.
3. Lay collection tarps under each wash station; slope them toward a collection point if possible.
4. Connect the portable shower system or prepare handheld shower wands with adequate water supply.
5. Place victim clothing containment bags and labeling supplies at the primary station.
6. Station personnel: at minimum, one person at entry control, two at the primary station, one at secondary, and EMS at the medical evaluation area.
Non-Ambulatory Victim Decon
When a victim cannot walk, the corridor process must come to them — or they must be moved through it on a backboard. Key points:
- Maintain spinal precautions throughout. Do not flex or rotate the spine during clothing removal or repositioning.
- Log-roll technique allows clothing removal and flushing of the back without compromising spinal alignment.
- Use a roller or wheeled backboard to move the victim through stations rather than carrying, which protects both victim and team.
- Two to three team members manage the victim while a fourth directs water flow to avoid pooling on the face or airway.
Safety Points
- Always confirm the hazard before entering. Do not freelance into the hot zone without proper PPE and authorization.
- Chemical-resistant decon gloves must be worn at all times during victim contact. Remove and bag them before touching clean equipment.
- Eye protection and face shield protect against splash-back during high-volume flushing.
- Hypothermia is a real risk during water decon, especially in cold weather. Move victims to shelter and warm them as soon as decon is complete.
- Decon personnel are themselves at risk of secondary contamination. Follow donning and doffing procedures carefully and have a buddy check your doffing sequence.
- If the agent is unknown, default to water dilution and maximum skin protection until identification is made.
Key terms9
Decontamination (decon)The physical or chemical process of reducing or removing a hazardous substance from people, equipment, or the environment to prevent further harm.
Emergency deconImmediate, rapid removal of a contaminant using large volumes of water, prioritizing speed to save life before a full corridor is established.
Decon corridorA designated, one-directional path with multiple stations that moves a contaminated victim from the hot zone to the cold zone in a controlled manner.
Primary decon stationThe first wash station in the corridor where gross water flushing and clothing removal occur to eliminate the bulk of contamination.
Secondary decon stationA second rinse station, sometimes using mild soap, that removes residual contamination after primary decon before the victim reaches the clean zone.
Runoff containmentThe use of tarps, portable berms, or blocked drains to prevent contaminated wash water from spreading into storm drains or the environment.
Non-ambulatory victimA victim who cannot walk and must be moved through the decon corridor on a backboard or wheeled device while maintaining spinal precautions.
Spinal precautionsTechniques used during decon and patient movement to prevent flexion, rotation, or compression of the spine in a victim who may have a spinal injury.
Water dilutionThe primary emergency decon method in which large volumes of water are flushed over the victim to physically dilute and remove the hazardous substance.
In class: Instructor demonstration of full corridor decontamination setup including entry control, primary decon station, secondary decon station, medical evaluation area, and exit; students diagram the layout and label each zone. · Team drill — ambulatory victim decon: student teams of four set up a corridor and walk a mannequin or student volunteer (in training suit) through emergency decon using handheld shower wand and collection tarps, following the SOP sequence. · Non-ambulatory victim drill: teams use a backboard and roller to move a mannequin through the corridor, performing decon without breaking spinal precautions; instructor evaluates sequencing and water management.
Materials: Portable decon shower system or garden sprayer equivalents, collection tarps, decon SOP laminated cards, mannequin or training dummy, backboard, chemical-resistant decon gloves, marking flags for station identification, stopwatch.
Check: Team performance checklist: corridor set up correctly within 8 minutes, both ambulatory and non-ambulatory decon sequences completed in correct order with no critical steps omitted; all teams must score satisfactory on every critical step.
Practice check8
Answer each question, then check it. Nothing is recorded; this is your own practice.
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