Injury transportation

Priority 4 Black tagged—dead or alive but with fatal injuries (transported last). If resources are available without taking needed resources away from a salvageable patient, those tagged alive but unsalvageable may be grouped with the Priority 1 patients. 

Employee injuries — Transportation workers — in particular truck drivers — consistently suffer more occupational injuries and illnesses requiring days away from work than any other industry in the private sector. Because of this, you ll want to stay on top of any personal injury or near miss incident. 

If possible comparisons are focused on energy systems, nuclear power safety is also estimated to be superior to all electricity generation methods except for natural gas (30). Figure 3 is a plot of that comparison in terms of estimated total deaths to workers and the pubHc and includes deaths associated with secondary processes in the entire fuel cycle. The poorer safety record of the alternatives to nuclear power can be attributed to fataUties in transportation, where comparatively enormous amounts of fossil fuel transport are involved. Continuous or daily refueling of fossil fuel plants is required as compared to refueling a nuclear plant from a few tmckloads only once over a period of one to two years. This disadvantage appHes to solar and wind as well because of the necessary assumption that their backup power in periods of no or Httie wind or sun is from fossil-fuel generation. Now death or serious injury has resulted from radiation exposure from commercial nuclear power plants in the United States (31). 

The use of nuclear power has been a topic of debate for many years. Nuclear fuel represents a resource for generating energy weU into the future, whereas economically recoverable fossil fuel reserves may become depleted. Worker exposure, injuries, and fataHties in nuclear fuel mining are reportedly far less compared to those associated with recovery and handling of fossil fuels. Potential hazards associated with transporting and storing radioactive wastes do exist, however. 

Materials may be absorbed by a variety of mechanisms. Depending on the nature of the material and the site of absorption, there may be passive diffusion, filtration processes, faciHtated diffusion, active transport and the formation of microvesicles for the cell membrane (pinocytosis) (61). EoUowing absorption, materials are transported in the circulation either free or bound to constituents such as plasma proteins or blood cells. The degree of binding of the absorbed material may influence the availabiHty of the material to tissue, or limit its elimination from the body (excretion). After passing from plasma to tissues, materials may have a variety of effects and fates, including no effect on the tissue, production of injury, biochemical conversion (metaboli2ed or biotransformed), or excretion (eg, from liver and kidney). 

All eye injuries from chemicals require medical advice. Apply an eye pad and arrange transport to hospital Information to accompany the casualty ... 

The purpose of a scoping analysis is to determine, under worst case assumptions, if there is a risk that can cause injury, death or financial impact to the public, workers, company, or environment. The PSA begins by identifying the hazards, their physical and chemical properties, the confinement, conditions and distance for transport to a target, estimating the effects on the target, and comparing these effects with accepted criteria. 

A process that releases heat into the surroundings is called an exothermic process. Most common chemical reactions—and all combustions, such as those that power transport and heating—are exothermic (Fig. 6.8). Less familiar are chemical reactions that absorb heat from the surroundings. A process that absorbs heat is called an endothermic process (Fig. 6.9). A number of common physical processes are endothermic. For instance, vaporization is endothermic, because heat must be supplied to drive molecules of a liquid apart from one another. The dissolution of ammonium nitrate in water is endothermic in fact, this process is used in instant cold packs for sports injuries. 

Obviously, if you wish to treat a skin condition or infection, a preparation that can be applied topically would be the preferred option. Similarly, inhalation would be the first choice if trying to treat a pulmonary or bronchial condition, such as asthma. Dermal application would also be the first choice for localized tissue treatments (e.g. muscle injury), provided that the drug can be absorbed through the skin. However, in most other situations it is necessary for drugs to enter the bloodstream in order for them to be transported to their site of action. This is most commonly achieved by ingestion, or by intravenous (i.v.), intramuscular (i.m.) or subcutaneous (s.c.) injection when the oral route is not suitable. 

Measles is a severe, highly contagious, acute infection that frequently occurs in epidemic form. After multiplication within the respiratory tract the virus is transported throughout the body, particularly to the skin where a characteristic maculopapular rash develops. Complications ofthe disease can occur, particularly in malnourished children, the most serious being measles encephalitis which can cause permanent neurological injury and death. 

Other enzyme systems may also be directly or indirectly involved in the generation of ROS in the lung, including those of the eicosanoid pathway, the mitochondrial electron transport system, and aldehyde, glucose and xanthine oxidases (Parks and Granger, 1986). These systems may also be relevant to lung damage. For example, the oedematous pulmonary injury that results from cessation of blood flow for a period followed by reinstatement of... 

---