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Hazardous Atmospheres

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Priority--uncover patient's face, chest; begin oxygen administration ... Lie flat, stand on planks to spread weight, avoid compressing patient's chest ... – PowerPoint PPT presentation

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Title: Hazardous Atmospheres


1
Hazardous Atmospheres
2
Confined Spaces
  • CFR 1910.146
  • Any space with limited access egress not designed
    for human occupancy or habitation

By definition, NOT safe for people to enter for
any sustained period of time!
3
Confined Spaces
  • Transport vessels
  • Storage tanks
  • Grain bins
  • Silos
  • Wells and cisterns
  • Manholes
  • Pumping Stations
  • Drainage culverts
  • Pits
  • Hoppers
  • Underground vaults
  • Mines
  • Caves

4
Confined Spaces
  • 60 of all confined space fatalities are rescuers!

5
Common Emergencies
  • Falls
  • Medical emergencies
  • HAZMAT exposure
  • Oxygen deficiency, asphyxia
  • Explosions
  • Structural, machinery entrapment

6
Confined Space Hazards
  • Oxygen deficient atmospheres
  • Toxic/explosive chemicals
  • Engulfment
  • Machinery
  • Electricity
  • Structural concerns

7
Oxygen Deficient Atmospheres
  • Limited ventilation
  • Decaying organic matter
  • Presence of heavier-than-air gases
  • O2 levels will have to be monitored before entry
  • Ventilation systems may have to be set up to
    improve air exchanges

8
Toxic/Explosive Chemicals
  • CO2 (carbon dioxide)
  • CO (carbon monoxide)
  • CH4 (methane)
  • H2S (hydrogen sulfide)
  • NH3 (ammonia)
  • Cl2 (chlorine)
  • NO2 (nitrogen dioxide)
  • N2O4 (nitrogen tetroxide)
  • O2 (oxygen)
  • Explosive dusts (grain, coal, metal)

9
Engulfment
  • Risk of burial in grain, sand, coal, other
    particulate solids
  • Risk of explosions from finely-divided
    particulates

10
Machinery
  • Augers
  • Mixing blades
  • Motors

11
Electricity
  • Risk for live current, stored energy
  • Safety procedures
  • Blank out all power to site
  • Dissipate all stored charge
  • Lock-out, tag-out all switches, breakers
  • Ventilate area thoroughly

12
Structural Concerns
  • Non-cylindrical shapes
  • Space limiting support structures
  • Limited light
  • Restrictions on SCBA use because of space shape,
    size
  • Personnel may have to resort to air lines
  • Full-body harnesses may be needed in case
    emergency retrieval necessary

13
Workplace Protections
  • Employers must develop rescue program with
    trained personnel
  • Personnel who work in/around confined spaces
    trained in hazards
  • Entry controlled by permit
  • Atmospheric monitoring
  • PPE, retrieval equipment
  • Warning signs
  • Detailed hazard information available on site

14
Rescuer Risks
  • Greatest danger is non-permitted sites (cisterns,
    culverts, natural caves)
  • Do NOT enter or allow entry unless appropriately
    trained, equipped for specific environment

15
Trench Collapses
16
Trench Collapses
  • Most involve trenches lt12 feet wide and lt6 feet
    deep
  • Cubic foot of typical soil weighs 100 pounds
  • Two feet of soil on patients chest, back can
    weigh 700 to 1000 pounds!

17
Reasons for Trench Collapses
  • Disregard of regulations
  • Improper/absent shoring
  • Spoil pile too close to trench
  • Water seepage
  • Ground vibration
  • Previously disturbed soil

18
Trench Collapse Procedures
  • Secure scene, perimeter
  • Establish command
  • Call for trench rescue team
  • Interview on-site supervisor, witnesses
  • Number of patients?
  • Extent of entrapment/burial?

19
Trench Collapse Procedures
  • Unnecessary personnel, equipment away from trench
    edges
  • Trench properly shored before rescue begins
  • Personnel in trench wear helmets, protective
    clothing
  • Use hand-tools, not heavy equipment
  • Determine location of ALL underground utility
    lines on site

20
Trench Collapse Procedures
  • Priority--uncover patients face, chest begin
    oxygen administration
  • Keep weight away from patients chest
  • Lie flat, stand on planks to spread weight, avoid
    compressing patients chest
  • Do NOT pull on patient at any time
  • Consider crush syndrome during prolonged rescues

21
Structural Collapses
22
Structural Collapse Procedures
  • Secure scene, perimeter
  • Establish command
  • Carefully size up situation
  • Consider nature of occupancy, time of day to
    assess extent of problem
  • Interview bystanders, rescued occupants

23
Structure Collapse Hazards
  • Broken water pipes
  • May flood basements, other low areas
  • Water may have to be shut off at meter, at
    street, or at main
  • Pumping equipment may be needed to clear out
    flooded areas

24
Structure Collapse Hazards
  • Domestic Gas
  • Risk of fire, explosion, asphyxiation in closed
    spaces
  • Service may have to be discontinued at meter,
    street, or main
  • Discontinuation of gas service to large area
    requires house-by-house restoration to relight
    pilot lights

25
Structure Collapse Hazards
  • Electricity
  • All wires assumed to be energized
  • Live wires handled by electric company personnel
  • Electricity shut off at master switch near meter
    or fuse box or killed at pole by electric company
    personnel

26
Structure Collapse Hazards
  • Sewers
  • Flooding
  • Escaping gases (toxic, flammable)
  • Risk of exposure to pathogens

27
Structural Collapse Procedures
  • Stage I Immediate Rescue
  • Persons who can be seen, heard
  • Persons trapped in voids, other areas where their
    exact location is known

28
Structural Collapse Procedures
  • Stage II Exploration
  • Searching places where trapped persons are likely
    to be found
  • Specially constructed shelters
  • Under stairways
  • Basements
  • Near chimneys
  • Spaces under partially collapsed floors
  • Rooms with exits blocked by debris
  • Fringe areas around explosions

29
Structural Collapse Procedures
  • Stage III Selected Debris Removal
  • Takes place when persons are known to be missing
    but cannot be seen, heard
  • Based on some combination of
  • Persons last known location
  • Location, condition of debris
  • Direction person may have fallen in collapse
  • Location of voids
  • Calling and listening
  • Removal of debris up to probably location of
    persons

30
Structural Collapse Procedures
  • Stage IV General Debris Removal
  • Used if persons still missing after all other
    stages completed
  • Consists of systematically stripping area
  • Must be done carefully, methodically
  • May require heavy equipment use
  • NOT to be confused with site clean-up

31
Types of Collapses
  • Lean To
  • Pancake
  • V-Type

32
Lean-To Collapse
  • Sections collapse on one side, remain supported
    on other
  • Produces large void on supported side
  • Enter void on side where wreckage is supported
  • Do not disturb debris

33
V-Type Collapse
  • Occurs when heavy loads are concentrated near
    center of floor
  • Enter voids along walls
  • Wreckage must be stabilized before trying to
    remove debris

34
Pancake Collapse
  • Floors collapse one of top of another onto lower
    floors or basement
  • Voids are small, locations cannot be predicted
  • Use call and listen method before removing
    debris
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