HAZMAT

COmedic17

Forum Asst. Chief
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The MSDS for Clorox bleach does recommend drinking milk or water as layperson first aid, but because bleach is not even particularly toxic and ingestion generally requires no treatment at all, this is really a moot point. Give it or not, it doesn't matter.

If we are talking about more caustic agents - the kind that actually does require medical treatment - attempts at dilution or neutralization are contraindicated because it increases the risk of aspiration and thermal injury.

This article from Medscape is well-referenced:




Poison control, the CDC, and other government websites say to consume milk, but not induce vomiting.


And milk is not used to counteract a base or acid, or to simply dilute. Perhaps your confused why it's recommended. It coats the stomach, which needs lactase to digest lactose, which in turn slows down absorption in the stomach (since this digestion requiring the enzyme lactase takes longer), this slowing down absorption of what is swallowed. Hence why it's used for chlorine ingestion as well. Here's some resources recommending milk for ingestion poisonings.



http://m.medlineplus.gov/ency/article/002488.htm


http://azpoison.com/sites/default/files/poisonology_bleach.pdf


http://www.atsdr.cdc.gov/MMG/MMG.asp?id=927&tid=192
 

Carlos Danger

Forum Deputy Chief
Premium Member
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Poison control, the CDC, and other government websites say to consume milk, but not induce vomiting.


And milk is not used to counteract a base or acid, or to simply dilute. Perhaps your confused why it's recommended. It coats the stomach, which needs lactase to digest lactose, which in turn slows down absorption in the stomach (since this digestion requiring the enzyme lactase takes longer), this slowing down absorption of what is swallowed. Hence why it's used for chlorine ingestion as well. Here's some resources recommending milk for ingestion poisonings.



http://m.medlineplus.gov/ency/article/002488.htm


http://azpoison.com/sites/default/files/poisonology_bleach.pdf


http://www.atsdr.cdc.gov/MMG/MMG.asp?id=927&tid=192

You are just repeating what I already said. All those links did was restate what I already wrote about the MSDS for bleach. That is not a true caustic ingestion.

But, I suppose your references to outdated layperson first aid recommendations trump my references to professional clinical recommendations based on current research. Did you even look at the references in the Medscape article?

What would I know?

And milk "coats" the stomach? Lol
 

46Young

Level 25 EMS Wizard
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The biggest thing is if you aren't trained to play in the hot zone, stay back and let us "glow worms", "glow sticks", or what ever you want to call us play. I think I may have had a question on that back when I took my NREMT.
-Park Units upwind and uphill
-Don't do this:

That's hilarious, that's where I work. Rt. 50 and West Ox Rd is right up the road from the fire academy.

I'm a Hazmat Tech, this thread caught my attention
 

46Young

Level 25 EMS Wizard
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As far as questions, I haven't taken an EMT cert exam since 2002, and I took my NR-P in 2007. Having said that, I would think that the questions would be on the ERG and an awareness of what a MSDS is.

I have an app for the ERG. Surprisingly, it's called "ERG 2012." You can download the app and reference the yellow, green, blue sections, etc, as well as placards and the different types of trailers, inter modals, etc.

If I had to guess, I would think that the focus would be to know what the hot/warm/cold zones mean, what a decon line is and how it functions, what a BLEVE is, that IDLH in Hazmat means respiratiory protection (SCBA, PAPR, etc.), what PPE lvl A/B/C means, Alpha/Beta/Gamma radiation and what protects against each one, how to determine isolation distance for day and night if given the reference page, what the hazards are (respiratory, flammability, etc.), and perhaps the general hazard classifications and what they mean, class 1-9 and its divisions. That's getting deep into the weeds for an EMT exam; that material is what you would cover in a Hazmat Ops class, which you would get OTJ, which is more intensive than what you would be expected to see in EMT school.

Hope this helps.
 
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