Suspension Trauma & Having a Rescue Plan 6-27-19.pdfVIP专享VIP免费原创优质

Presentedby:MikeKassman,TrainingSpecialist,CPWR–TheCenterforConstructionResearch&TrainingChadRiddleberger,CaptainandTechnicalRescueTeamLeadwithRoanokeFire-EMS,AdjunctInstructorwithVADepartmentofFirePrograms,andInstructorwithSpecRescueInternationalWhatHappensAfteraFallisArrested?SuspensionTraumaandtheImportanceofHavingaRescuePlanBackgroundMikeKassmanmkassman@cpwr.com1926.503TrainingRequirements1926.503(a)(1)Theemployershallprovideatrainingprogramforeachemployeewhomightbeexposedtofallhazards.Theprogramshallenableeachemployeetorecognizethehazardsoffallingandshalltraineachemployeeintheprocedurestobefollowedinordertominimizethesehazards.1926.503(a)(2)Theemployershallensurethateachemployeehasbeentrainedasnecessary,byacompetentpersonwhois“qualified”.TrainingRequirementsContinuedRescueChadRiddlebergerCareerFireFighterRoanokeFire-EMS(24years)Captain/TechnicalRescueTeamLeadSwiftWaterTeamCoordinatorVirginiaDepartmentofFireProgramsAdjunctInstructorHeavyTechnicalRescueAdjunctInstructor/ProgramCoordinatorforWaterRescueSpecRescueInternationalVehicleRescue,ConfinedSpace,Trench,Rope,StructuralCollapse,WaterIndustryandDepartmentofDefenseTrainingTherapidlossofconsciousnessfollowedbydeathduetoinadequatecirculationfrommotionlessverticalsuspension.Occursfrom:AnytypeofharnessAnytypeofimmobilizationdeviceAnyotherdevicethatrestrictsthemovementofthelegswhilebeingsuspendedbelowtheheartThereareseveralnamesforthesamecondition-OrthostaticIntoleranceSuspensionTraumaHarnessInducedPathologyHarnessHangSyndromeStandinguprightwithnomovementofthelegsThispositionproducesvenouspoolingofbloodinthelegsduetogravitySometimescalledParadeGroundFaintingTheeffectsoforthostasisappearstovaryfromonepersontothenextThetimeistakesforsymptomstostarttoappearwillvarybetweenindividualsTestevidenceshowsthatgivensufficienttime,allpersonssuspendedinaharnesswillexperienceorthostaticshockStandingwithoutmovingyourlegsMotionlesssuspensioninaharnessHavingthebodyverticalwithcirculationcompromisedWarningSignsFaintnessSweatingPalenessHotFlashesIncreasedHeartRateNauseaLateWarningSignsDizzinessUnusuallySlowHeartRateUnusuallyLowBloodPressureGreyingorLossofVisionInabilitytomovelegsPainInjuriesduringfallFatigueDehydrationHypothermiaShockCardiovascularDiseaseRespiratoryDiseaseBloodLoss5–30MINUTES!!UnconsciousnesscanoccurinunderONEMinuteifconditionsexisttoexacerbatethelostbloodflowtothebrain.(OSHA)Ifapersonisworkinginaharnessenvironmenttheemployershouldhavetheabilitytoloweravictim.(PerOSHArequirements)Ifunabletolowerthevictim,ortheworkingenvironmentdoesnotallow,thenSuspensionTraumaReliefsystemshoulddeploy,eveniftheworkerisunconscious.(OSHA)Somemovementofthelegsisgood.Overexertionwillleadtoquickerfatigueandapossibleworseningofthesituation.Avoidpedaling,theexcessivemovementsbythevictimifpossible.imaginarybike!Whilethebikeexerciseiseffectiveoftentimesthevictimfaintsifpedalingstops.(HSE)Lowerthevictimassafelyaspossible.Ifnoadditionaltraumaassociatedwiththefalltreatasanormalsyncopept.DONOTSITUPRIGHT!!Thebrainandheartneedbloodflowback!NSbolusforpossibleKidneyComplications.Transporttofacilitywithsuspensiontimesdocumentedtobestofyourabilities.(HSE)BeacheerleaderforconsciousvictimsProvideastandingsurfaceifpossibl...