彩宝网平台中的许多人都做过手术，或者知道有人做过手术. But did you know that those surgeries can also be conducive for a fire? ECRI研究所估计约为90-100 手术的火灾 每年都在美国发生. 手术的火灾, 虽然罕见, 会给病人带来毁灭性的后果吗, 工作人员, 还有医疗机构的声誉. 然而，这些火灾是可以预防的. 除了, most healthcare Authorities Having Jurisdiction (AHJ’s) have adopted the 2012 Edition of NFPA 99 that requires hazard assessments and mandatory training for all OR personnel.
了解外科火灾
外科火灾被定义为发生在, on or around the patient during a medical or surgical procedure. 一些外科手术的火焰只持续几秒钟. Others can grow exponentially occurring in an oxygen-enriched atmosphere, 是什么导致了很多医院火灾. These fires occur when all three elements of the “fire triangle” are present, including:
- 高浓度的氧气(或氧化亚氮)
- 点火源(如.g. 电灼装置，激光，光纤)
- 燃料源(如.g. alcohol-based agents, surgical drapes, hair, tissue or skin).
Al虽然罕见, these fires can result in severe burns, disfigurement or even death.
外科团队如何在手术中预防火灾?
Before beginning a procedure and prior to a single incision, the surgical team should conduct a Surgical Fire Risk Assessments (FRA). FRAs can help identify the presence of the three critical elements and easily be incorporated into routine processes that are already in place to identify other perioperative assessments and concerns. 例如, 在一个团队确认了正确的手术部位之后, 患者识别和过敏, the Surgical Fire Risk Assessments will help determine specific risk factors and include a scoring mechanism to identify the surgery’s fire risk as “high,”“中,或“低”风险. The scoring is an important instrument to initiate open communication between the team to ensure the proper fire prevention procedures and risk mitigation strategies are in place.
How Else Can Teams Conduct Surgical Fire Safety Risk Assessment?
Hospitals and surgery centers need to invest time in education and training in order to ensure 工作人员, surgeons and anesthesia providers are prepared to handle such an event. Different members of the surgical team should know 如何 to suppress various types of 手术的火灾. 例如, an airway fire is almost always handled by the anesthesia provider in the room. The anesthesia provider must stop the flow of oxygen prior to extubating the patient. Failure to do so and extubating prior to stopping the flow of oxygen can cause the fire to burn all the way up the patient’s airway and continue to burn inside the Operating Room.
Facilities should have a process in place to handle the suppression of airway fires, 褶皱的火灾, prep solution fires and even equipment fires that can occur inside the room. All facilities should train and practice these techniques within their organization.
Evacuation and emergency procedures should have clearly defined roles and responsibilities for each surgical team member to identify 如何 they will assist in the evacuation of the operating room should a fire occur. Proper evacuation sites should be identified and comparable to the operating room environment. 例如, 如果病人断了氧, 抽吸或监测, 他们需要一个能容纳氧气的疏散地点, 抽吸和监测.
手术的火灾 are a life-changing event; not only for patients but for the 工作人员 involved as well. Surgical teams need to know and understand the surgical fire risks and dangers that surround them. In this type of fire emergency, surgical 工作人员 are truly the first line of defense.
了解彩宝网平台的外科消防项目和 如何 让你的外科团队做好应对火灾的准备.