Provide rescue

Clinical electrophysiological procedures can be very complex and prolonged, requiring safe and effective conscious sedation. A study in 700 patients has shown that intermittent midazolam plus fentanyl in electrophysiological procedures is safe and efficacious (3). All the staff were ACLS-certified and had successfully completed conscious sedation training courses, but none was an anesthetist one team member was dedicated to monitoring conscious sedation and providing rescue defibriUation if required. 

B. An accurate prediction of the number of casualties resulting from a nuclear strike is necessary for adequate medical support and should be made available to medical staff officers. Basic casualty estimations should be broken down into types of casualties so that total bed requirements can be more accurately predicted, particularly in view of the prolonged hospitalization associated with the treatment of patients with bums and combined injuries. One enemy nuclear strike on a given area can produce casualties far in excess of the treatment capability of local medical resources. The effectiveness and adequacy of the rescue, evacuation, and treatment effort during the first 24 hours after such an attack are critical. Area commanders must be informed rapidly of the magnitude of the damage and the estimated medical load in order to provide rescue and treatment resources in sufficient quantities or request the proper assistance from higher headquarters, adjacent units, or allied units. NATO AMedP-8 (Draft) provides information on the casualty rates from a nuclear detonation. 

FIRST AID wash eyes immediately with large amounts of water for several minutes rinse and then wash affected areas of skin with plenty of soap and water if breathing is difficult, provide oxygen provide rescue breathing if breathing has stopped rinse mouth, and give plenty of water to drink, and induce vomiting seek immediate medical attention. 

If the employer requires that employees provide rescue and emergency services, those employees must be ... 

Although this does not necessarily mean that the employer is required to provide rescue equipment (except where required by a specific standard, e.g., 1926.106) or to train the employees in proper rescue procedures unless he intends them to conduct rescues, circumstances may arise where the employer may be under an obligation to supply such equipment, e.g., where he knows that conditions at a site are dangerous and that his employees are likely to attempt rescues. It does mean that he must instruct employees in the dangers attendant upon rescuing persons without such training and equipment and that they are not to attempt such rescues in the absence of proper equipment and training. 

Short-term exposure. This is the maximum concentration to which workers can be exposed for a period of up to 15 minutes continuously without suffering from (a) intolerable irritation, (b) chronic or irreversible tissue change, or (c) narcosis of sufficient degree to increase accident proneness, impair self-rescue, or materially reduce efficiency, provided that no more than four excursions per day are permitted, with at least 60 minutes between exposure periods, and provided the daily time-weighted value is not exceeded. 

In case of a major disaster, one platform in a region will be equipped to act as a control centre from which rescue operations are co-ordinated. Evacuation routes will be provided, and where large complexes are clustered together, a standby vessel will be available in the region to supply emergency services such as fire fighting and rescue. 

L-Fohc acid is available as a crystalline dihydrate containing 8% water. Approximately 80% of the commercial production is consumed for feed enrichment in animal nutrition. FoHc acid is being offered by the pharmaceutical industry for therapeutic and prophylactic use (see Pharmaceuticals). Pharmacological doses of fohc acid are commonly used as a rescue dose during cancer chemotherapy, in women using oral contraceptives, and alcohoHcs. Several studies have provided evidence that multivitamins or foHc acid (0.8—4 mg/day) supplementation prevent the majority of neural tube defects (101). 

Another important issue in layout is the provision of safe access to equipment for emergency response needs such as fire-fighting etc. The layout also needs to provide for safe escape and rescue routes. As far as off-site population is concerned, the most important siting factor is the distance between the process... 

Similarly, the Site B contractor s SSAHP provided corporate policy and procedures for permit-required confined space entry but lacked the site-specific detail necessary to describe the application of the corporate policy to procedures at the site. For example, the SSAHP did not identify specific components of the thermal treatment unit that presented confined space hazards, nor did it describe the specific circumstances or procedures that would require employee entry into these areas. In addition, the plan stated that the contractor would maintain an onsite employee confined space rescue team, but did not identify the members of this team. The SSAHP for Site F also contained a generic confined space entry program but did not identify the specific location of confined space hazards present at the site. 

LEUCOVORIN. When leucovorin is administered after a large dose of methotrexate, the timing of tiie administration is outlined by tiie primary health care provider. It is essential that the leucovorin be given at tiie exact time ordered because tiie purpose of folinic acid rescue is to allow a high dose of a toxic drug to remain in tiie body for only a limited time... 

Folinic acid rescue—Take this drug at the exact prescribed intervals. If nausea and vomiting, occur, contact the primary health care provider immediately. 

Short-term exposure limit (STEL) TLV — the concentration to which workers can be exposed continuously for short periods of time without suffering from irritation, chronic or irreversible tissue damage, or narcosis of sufficient degree to increase the likelihood of accidental injury, impair self-rescue or materially reduce work efficiency, and provided that the daily TWA limit is not exceeded. A STEL is a 15 min TWA exposure which should not be exceeded at any time during the work day even if the TWA is within the TLV. It should not occur more than four times per day or without at least one hour between successive exposures. 

Structural firefighters protective clothing is recommended for fire situations only it is not effective in spill situations or release events. If chemical protective clothing is not available and it is necessary to rescue casualties from a contaminated area, then structural firefighters gear will provide very limited skin protection against nerve agent vapors. Contact with liquids, solids, and solutions should be avoided. 

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