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Clandestine Meth Labs V. June 2012
Methamphetamine Lab Course Tabletop Exercise
ACMT / BIA Meth Lab Working Group
Tabletop Exercise
l Quick Questions – Provides immediate audience survey
l Discussion Questions – An opportunity for others to benefit from your
experience and background – Open discussion with no right or wrong answers
Clandestine Meth Labs V. June 2012
The Situation
l Fire units with a hazmat team are dispatched to a small explosion in a residential area
l The explosion occurred in a shed and was self-limited. There is no residual fire.
l Investigation reveals equipment suspicious for a meth lab in the shed and subsequently in the house
l The house shares a common fence with an elementary school Clandestine Meth Labs
V. June 2012
At the Scene
Clandestine Meth Labs V. June 2012
What type of cook is taking place?
1. Red P / HI
2. “Nazi” Cook
3. P2P “Biker” Cook
Clandestine Meth Labs V. June 2012
Discussion Questions
l What, if any, chemicals from the lab would likely make it to the school?
l What additional information would you like to know? – Winds / weather – Condition of people at the scene
Clandestine Meth Labs V. June 2012
SW @ 5 mph
Clandestine Meth Labs V. June 2012
The School
l A 10 year-old child in the classroom with windows overlooking the scene sees the officers dressed in PPE
l Shortly thereafter, he begins to complain of a headache
l Within about 30 minutes several children are complaining of headaches, dizziness and nausea
l One child vomits Clandestine Meth Labs V. June 2012
Discussion Questions
l What exposures are of concern to the children in the school?
l What are the health risks associated with
acute/chronic exposure to these chemicals?
Clandestine Meth Labs V. June 2012
How likely is it that these complaints are related to chemical exposures from the lab?
1. Absolutely 2. Possibly 3. Unlikely 4. No Way!!
Clandestine Meth Labs V. June 2012
Discussion Questions
l Should the administration decide to close the school, at what point would you recommend that the building be safe for re-occupancy?
l How would you handle concerns of re-
exposure or recurrence of adverse health effects?
Clandestine Meth Labs V. June 2012
People at the Scene
• Four people are removed from the home by fire / rescue personnel
• Those involved include: • David – 32 y/o male • Miranda – 29 y/o female • Amber – 3 y/o female • Emily – 4 m/o female
• Each person will be discussed individually Clandestine Meth Labs
V. June 2012
David
l 32 y/o Unemployed laborer l Agitated and paranoid l Very thin; Terrible dentition l Superficial burns to right hand and arm and also to
right side of face l Mild cough l Not cooperative with physical exam l Was seen outside near shed just prior to explosion l Known meth user / dealer
Clandestine Meth Labs V. June 2012
Miranda
l 29 y/o unemployed store clerk l David’s girlfriend and mother of children l Agitated but has no complaints of injuries l Inside home at the time of the explosion l Known meth user / dealer
Clandestine Meth Labs V. June 2012
Discussion Questions
l What sort of decontamination is needed? l What immediate on-scene medical
interventions are appropriate? l Do these people require transport to the ED?
If so, by what method (ambulance, police car, etc.)?
l What recommendations might you make for hospital management?
l What do you believe is the best disposition for these people? Clandestine Meth Labs
V. June 2012
Amber
l 3 y/o female l Clothed only in a dirty diaper l No visible injuries l Does not appear bothered by numerous
emergency personnel coming in and out of the house
l Dirty and unkempt
Clandestine Meth Labs V. June 2012
This child is at risk for which of the following?
1. Physical abuse
2. Lack of appropriate feeding
3. Lack of appropriate medical care
4. Toxic exposures
5. All of the above Clandestine Meth Labs
V. June 2012
Emily
l 4 m/o female l Covered with blanket in cradle; no diaper l No apparent trauma l Sunken anterior fontanelle l Lethargic
Clandestine Meth Labs V. June 2012
Has this child likely sustained a toxic exposure?
1. Yes 2. No
Clandestine Meth Labs V. June 2012
Discussion Questions
l What sort of decontamination is appropriate? l What immediate on-scene medical
interventions are appropriate? l Does this person require transport to the ED?
If so, by what method (ambulance, police car, etc.)?
Clandestine Meth Labs V. June 2012
Emergency Personnel
l Processing, sampling and evidence collection are accomplished using standard practices
l No injuries or illnesses are reported amongst the emergency personnel or crime scene workers
l A third-party specialty company has removed the chemicals and equipment
Clandestine Meth Labs V. June 2012
Discussion Questions
l What sort of decontamination is appropriate? l What sort of immediate medical testing is
indicated for each of the personnel involved in the investigation?
Clandestine Meth Labs V. June 2012
Tyler
l 8 y/o son of woman arrested at lab scene l Poor attendance and scholastic achievement l Thin with ill-fitting clothing; poor hygiene l Affect is generally withdrawn l PMH of asthma l Has no acute complaints
Clandestine Meth Labs V. June 2012
Discussion Questions
l Does this boy pose a toxicity risk to the other children?
l Should he be decontaminated? If so, how? l Does he require transport to the hospital or ED?
If so, by what means (ambulance, police car, etc.)?
Clandestine Meth Labs V. June 2012
The Property
l The home is a rental property l All of the lab equipment and chemicals have
been removed l Authorities have finished their investigation
and the home is no longer a crime scene l Essentially all of the family’s personal effects
are still in the home
Clandestine Meth Labs V. June 2012
The Property
l The owner of the property would like to put this whole incident behind her and rent the home to another tenant
l She is unsure what she must do in order to safely and legally return the property to service
l She is also very concerned about who will bear the costs of repairing the damage to the property, the investigation and the clean-up
Clandestine Meth Labs V. June 2012
What personal items (clothing, toys, etc.) may be kept by the family?
1. Nothing can be safely returned
2. Everything may be safely returned
3. Selected items may be returned
Clandestine Meth Labs V. June 2012
Discussion Question
l According to your local protocols, whom would you advise her to contact regarding cleanup?
l How would you address her concerns about the costs of repair and cleanup?
l Do you think it is likely that the property can be re-inhabited?
Clandestine Meth Labs V. June 2012
Questions?
Clandestine Meth Labs V. June 2012
Thank you!
Clandestine Meth Labs V. June 2012
