Addressing Toxic Smoke Particulates in Fire Restoration
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Editorial Current Clinical Management of Smoke Inhalation Injuries. A
Editorial Current clinical management of smoke inhalation injuries. A reality check. Arietta Spinou1, Nikolaos G. Koulouris2 1. Health Sport and Bioscience, University of East London, London, UK 2. 1st Respiratory Medicine Department, National and Kapodistrian University of Athens Medical School, Athens, Greece Corresponding author: Dr Arietta Spinou Email: [email protected] Address: Stratford Campus, University of East London Health Sport and Bioscience Water Lane, Stratford, London E15 4LZ Words: 1502 References: 30 Keywords: burns, smoke inhalation injury, clinical management, physiotherapy To the Editor, A major disaster is happening at the moment, as the Camp Fire, Woolsey Fire and Hill Fire are burning in California. Camp Fire in Northern California has already burned 546.3 km2 and is the deadliest wildfire in the history of the state, with 48 fatalities and still counting (1). It was also only recently, in July 2018, when a fire entered the populated area of Mati, Greece, and created a wildland urban interface that caused 99 fatalities and numerous burns and smoke inhalation injuries. A few years ago, in August 2007, 67 people died in a megafire event in the Peloponnese region, Greece, which was created by 55 simultaneous large fires (based on size, intensity, environmental and socio-economic impact) (2). These and numerous other tragic incidents highlight the importance of our current clinical management in the victims of fire. Burns are categorised according to depth, and their severity depends on the extent (percentage of total body surface area), age of the individual and accompanied smoke inhalation. Essential treatment for the burn victims remains the resuscitation with intravenous fluids to maintain optimal fluid balance, nutrition optimisation, wound coverage, and pain control (3). -
Wildland Firefighter Smoke Exposure
❑ United States Department of Agriculture Wildland Firefighter Smoke Exposure EST SERVIC FOR E Forest National Technology & 1351 1803 October 2013 D E E P R A U RTMENT OF AGRICULT Service Development Program 5100—Fire Management Wildland Firefighter Smoke Exposure By George Broyles Fire Project Leader Information contained in this document has been developed for the guidance of employees of the U.S. Department of Agriculture (USDA) Forest Service, its contractors, and cooperating Federal and State agencies. The USDA Forest Service assumes no responsibility for the interpretation or use of this information by other than its own employees. The use of trade, firm, or corporation names is for the information and convenience of the reader. Such use does not constitute an official evaluation, conclusion, recommendation, endorsement, or approval of any product or service to the exclusion of others that may be suitable. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. -
Your Guide to Home Chemical Safety and Emergency Procedures
While every reasonable effort has been made to ensure the accuracy of the information in this booklet, the American Red Cross assumes no liability of any kind for its accuracy or completeness, or for additional or changed information subsequent to the date the information contained herein was submitted for publication. 1994 The American National Red Cross. Produced in the United States of America. All rights reserved. No part of these materials may be used or reproduced in any manner whatsoever without the written permission of the American Red Cross. Table of Contents Chemicals Are An Important Part of Life..............................................2 How You May Be Exposed To A Chemical............................................3 Chemical Accidents Can Be Prevented...................................................3 Children And Poisoning...........................................................................4 Home Product Precautions.......................................................................5 Family Disaster Plan.................................................................................7 Major Chemical Emergencies..................................................................9 How You May Be Notified Of A Major Chemical Emergency..............................................................................10 Shelter In Place........................................................................................11 Evacuation...............................................................................................12 -
A Toxicological Review of the Products of Combustion
HPA-CHaPD-004 A Toxicological Review of the Products of Combustion J C Wakefield ABSTRACT The Chemical Hazards and Poisons Division (CHaPD) is frequently required to advise on the health effects arising from incidents due to fires. The purpose of this review is to consider the toxicity of combustion products. Following smoke inhalation, toxicity may result either from thermal injury, or from the toxic effects of substances present. This review considers only the latter, and not thermal injury, and aims to identify generalisations which may be made regarding the toxicity of common products present in fire smoke, with respect to the combustion conditions (temperature, oxygen availability, etc.), focusing largely on the adverse health effects to humans following acute exposure to these chemicals in smoke. The prediction of toxic combustion products is a complex area and there is the potential for generation of a huge range of pyrolysis products depending on the nature of the fire and the conditions of burning. Although each fire will have individual characteristics and will ultimately need to be considered on a case by case basis there are commonalities, particularly with regard to the most important components relating to toxicity. © Health Protection Agency Approval: February 2010 Centre for Radiation, Chemical and Environmental Hazards Publication: February 2010 Chemical Hazards and Poisons Division £15.00 Chilton, Didcot, Oxfordshire OX11 0RQ ISBN 978-0-85951- 663-1 This report from HPA Chemical Hazards and Poisons Division reflects understanding and evaluation of the current scientific evidence as presented and referenced in this document. EXECUTIVE SUMMARY The Chemical Hazards and Poisons Division (CHaPD) is frequently required to advise on the health effects arising from incidents due to fires. -
Adverse Health Effects of Heavy Metals in Children
TRAINING FOR HEALTH CARE PROVIDERS [Date …Place …Event …Sponsor …Organizer] ADVERSE HEALTH EFFECTS OF HEAVY METALS IN CHILDREN Children's Health and the Environment WHO Training Package for the Health Sector World Health Organization www.who.int/ceh October 2011 1 <<NOTE TO USER: Please add details of the date, time, place and sponsorship of the meeting for which you are using this presentation in the space indicated.>> <<NOTE TO USER: This is a large set of slides from which the presenter should select the most relevant ones to use in a specific presentation. These slides cover many facets of the problem. Present only those slides that apply most directly to the local situation in the region. Please replace the examples, data, pictures and case studies with ones that are relevant to your situation.>> <<NOTE TO USER: This slide set discusses routes of exposure, adverse health effects and case studies from environmental exposure to heavy metals, other than lead and mercury, please go to the modules on lead and mercury for more information on those. Please refer to other modules (e.g. water, neurodevelopment, biomonitoring, environmental and developmental origins of disease) for complementary information>> Children and heavy metals LEARNING OBJECTIVES To define the spectrum of heavy metals (others than lead and mercury) with adverse effects on human health To describe the epidemiology of adverse effects of heavy metals (Arsenic, Cadmium, Copper and Thallium) in children To describe sources and routes of exposure of children to those heavy metals To understand the mechanism and illustrate the clinical effects of heavy metals’ toxicity To discuss the strategy of prevention of heavy metals’ adverse effects 2 The scope of this module is to provide an overview of the public health impact, adverse health effects, epidemiology, mechanism of action and prevention of heavy metals (other than lead and mercury) toxicity in children. -
The Deactivation of Industrial SCR Catalysts—A Short Review
energies Review The Deactivation of Industrial SCR Catalysts—A Short Review Agnieszka Szymaszek *, Bogdan Samojeden * and Monika Motak * Faculty of Energy and Fuels, AGH University of Science and Technology, Al. Mickiewicza 30, 30-059 Kraków, Poland * Correspondence: [email protected] (A.S.); [email protected] (B.S.); [email protected] (M.M.) Received: 2 July 2020; Accepted: 24 July 2020; Published: 29 July 2020 Abstract: One of the most harmful compounds are nitrogen oxides. Currently, the common industrial method of nitrogen oxides emission control is selective catalytic reduction with ammonia (NH3-SCR). Among all of the recognized measures, NH3-SCR is the most effective and reaches even up to 90% of NOx conversion. The presence of the catalyst provides the surface for the reaction to proceed and lowers the activation energy. The optimum temperature of the process is in the range of 150–450 ◦C and the majority of the commercial installations utilize vanadium oxide (V2O5) supported on titanium oxide (TiO2) in a form of anatase, wash coated on a honeycomb monolith or deposited on a plate-like structures. In order to improve the mechanical stability and chemical resistance, the system is usually promoted with tungsten oxide (WO3) or molybdenum oxide (MoO3). The efficiency of the commercial V2O5-WO3-TiO2 catalyst of NH3-SCR, can be gradually decreased with time of its utilization. Apart from the physical deactivation, such as high temperature sintering, attrition and loss of the active elements by volatilization, the system can suffer from chemical poisoning. All of the presented deactivating agents pass for the most severe poisons of V2O5-WO3-TiO2. -
Addressing Toxic Smoke Particulates in Fire Restoration
Addressing Toxic Smoke Particulates in Fire Restoration By: Sean M. Scott In the restoration industry today, a lot of attention testing laboratory or industrial hygienist provides an is given to the testing and abatement of air clearance test to certify that the abatement or microscopic hazardous materials. These include remediation process was successful. Upon receipt asbestos, lead, mold, bacteria, pathogens, and all of the clearance, people can then reenter the sorts of bio-hazards fall into this category. If these remediated area, rooms, or building. However, contaminants are disturbed, treated, or handled when the structural repairs are completed after a improperly, all of them can cause property fire, an air clearance test is rarely ever performed. damage and serious harm to the health and How then can consumers be assured or restoration welfare of those living or working in or near the companies guarantee that the billions of toxic areas where they’re present. However, there are particulates and volatile organic compounds other hazardous toxins that commonly present (VOCs) generated by the fire have been themselves in restoration projects, that seem to go removed? Is there cause for concern or is a simple unnoticed. These are the toxic smoke particulates “sniff” test or wiping a surface with a Chem-sponge created during structure fires. sufficient? Why is it so common to hear customers complain of smelling smoke long after the When a building is abated from asbestos, lead, or restoration is completed? What measures are mold, special care is given to be sure every being taken to protect workers and their families microscopic fiber, spore, and bacteria is removed. -
Detection,Prevention and Management of Arsenicosis in India
Detection,Prevention and Management of Arsenicosis in India A Field Guide Directorate General of Health Services Ministry of Health and Family Welfare Government of India 1 FOREWORD Arsenicosis has been known to be a health problem in some parts of our country. It occurs mainly by drinking Arsenic contaminated ground water and also through contaminated food chain or Industrial pollution for prolonged period. It results in skin manifestations such as Kerotosis, Melanosis and may also affect lungs, liver or lead to various types of cancers. The condition is preventable if measures are taken to provide safe drinking water to the community, promotion of nutrition and also if diagnosed early. With a view to formulate Guidelines for prevention, control and management of Arsenicosis, an Expert Group was constituted under my Chairmanship. After detailed round of discussions and subsequent exchange of communications, these Guidelines have now been finalized. I am sure that these Guidelines shall be very useful for sensitizing the Health Programme Managers and for training of Medical & Paramedical personnel in the field. I compliment the officials of the Nutrition & IDD Cell of the Dte. General of Health Services for facilitating in preparation and finalization of these Guidelines. It is hoped that these Guidelines shall be helpful in prevention and control of Arsenicosis in the affected areas of the country. Dr. Jagdish Prasad Director General of Health Services, Ministry of Health & Family Welfare, Government of India. 2 CONTENTS 1. Preamble 2. Health Impacts of exposure 3. Detection and Management of Arsenicosis Goal and Objectives Components Linkages & Coordination mechanism Recording and Reporting Review and Evaluation 4. -
Hypoxic Brain Injury
Hypoxic brain injury Headway’s publications are all available to freely download from the information library on the charity’s website, while individuals and families can request hard copies of the booklets via the helpline. Please help us to continue to provide free information to people affected by brain injury by making a donation at www.headway.org.uk/donate. Thank you. Acknowledgements: Many thanks to Dr Steven White, Consultant Neurophysiologist at St. Mary’s Hospital, London, and Great Ormond Street Hospital, London, for co-authoring this factsheet. Introduction The brain needs a constant supply of oxygen to survive and function. Any interruption in this supply leads to a condition called hypoxia, which can cause brain injury. Hypoxic brain injuries can sometimes be overlooked due to the fact that the primary illness was unrelated to the brain, for example, a heart attack or smoke inhalation. This is especially true if the primary condition is successfully treated and the impact on the brain was relatively mild. It is very important to seek specialist support for the effects of the brain injury as soon as possible and to be aware that changes in functioning and behaviour after such an event may be related to brain injury. This factsheet is intended as an overview of the causes, effects, treatment and rehabilitation of hypoxic brain injury. The information will be particularly useful for the family members of people who have sustained such an injury and also provides a useful starting point for professionals who wish to improve their knowledge of the subject. What is hypoxic brain injury? The brain needs a continuous supply of oxygen to survive and it uses 20% of the body’s oxygen intake. -
What Are Hazardous Household Chemicals? Safe Alternatives
What are Hazardous Car Battery Corrosion Removal: Use Household Chemicals? baking soda and water. Chrome Polish: Use vinegar. Some jobs around the home may require the Copper Cleaner: Use paste of equal parts use of products containing hazardous vinegar, salt, and flour. Be sure to rinse chemicals. These products include: completely afterward to prevent corrosion. air freshener hair color Drain Cleaner: Try a plunger first. Then all-purpose cleaner hair permanent pour mixture of 1 cup each of baking soda, aluminum cleaner hair spray salt, and white vinegar. Wait 15 minutes and ammonia herbicide anti-bacterial cleaner insecticide then flush with boiling water. antifreeze insect repellent Fertilizer: Use compost. bleach (chlorine) lye Safe Alternatives carpet cleaner mildew remover Furniture Polish: Use olive oil or almond detergent mothballs oil. Also, try 2 teaspoons of lemon oil and 1 drain cleaner nail polish remover Everyday activities, such as cleaning, car pint mineral oil in a spray bottle. dry cleaning fluid oven cleaner maintenance, lawn care, hobbies, and home dyes paint improvement projects, are often done using Garbage Disposal Deodorizer: Add lemon fertilizer paint & varnish remover toxic products. Many times, you can do these or lime peels or baking soda. flea and tick spray pool chemicals activities using non-toxic or less toxic floor cleaner septic tank cleaner Glass Cleaner: Mix equal amounts of water foggers shoe polish alternatives. Below is a list of common and vinegar in a spray bottle. Wipe with fuels vehicle products household products that may be hazardous, newspaper. furniture cleaner windshield wiper solution and some safer alternatives. glues & adhesives wood stains and finishes Floor Wax/Stripper: To remove old wax, Abrasive Cleaner: Rub the area with cut use club soda, scrub well, let soak, and wipe Each year, more than 150,000 calls to poison lemon dipped in borax, then rinse. -
Health Concerns from Smoke Released by Fires
Health Concerns from Smoke Released by Fires Key Points The materials released by a fire vary from one fire to another, depending on the items burning, the availability of oxygen and fresh air, and the temperature of the fire itself. Even within a fire covering a large area, the materials released may vary from location to location. Inhaling the smoke from a fire can cause injury from the heat of the smoke, the chemicals within the smoke, and the particles of soot. " The heat can cause burns to the nasal passages, airways and lungs. " The chemicals can poison the body, depending on the amount of carbon monoxide, cyanide, and other chemicals produced by the burning. " Soot particles and other substances can irritate the airways. Inhaling smoke can cause asthma and other lung conditions to worsen for hours to days after breathing the smoky air. The best course of action is to leave the smoky air as soon as possible. Staying indoors with closed windows is better than being outdoors when smoke is widespread. If symptoms occur after smoke inhalation, seek medical care for further evaluation and treatment as needed. Fire Chemistry and Toxicology The products of combustion from a fire are a complex mixture. Carbon monoxide is produced in every fire. In general, more carbon monoxide is produced from fires occurring indoors. Carbon monoxide is important to health because it interferes with a person’s ability to use oxygen to maintain body functions. As carbon monoxide levels rise, the amount of impairment also rises. Carbon monoxide levels above 10% typically cause symptoms. -
N-Acetylcysteine in the Treatment of Human Arsenic Poisoning
J Am Board Fam Pract: first published as 10.3122/jabfm.3.4.293 on 1 October 1990. Downloaded from N-Acetylcysteine In The Treatment Of Human Arsenic Poisoning Debra S. Martin, M.D., Stephen E. Willis, M.D., and David M. Cline, M.D. Abstract: A 32-year-old man was brought to the emergency department 5 1/2 hours after ingesting a potentiaIly lethal dose (900 mg) of sodium arsenate ant poison in a suicide attempt. The patient deteriorated progressively for 27 hours. After intramuscular dimercaprol and supportive measures failed to improve his condition, he was given N-acetylcysteine intravenously. The patient showed remarkable clinical improvement during the following 24 hours and was discharged from the hospital several days later. (J Am Board Fam Pract 1990; 3:293-6.) Arsenic has been used since medieval times, known use of intravenous NAC in a patient with both as medicine and poison. Although its me arsenic poisoning. dicinal use has declined, arsenic can still be found as an ingredient in certain homeopathic Case Report formulas, I which are available in some health A 32-year-old man was brought to the emer food stores. Arsenic also is present in high con gency department by ambulance 5 hours after centrations in many easily obtainable ant kill he ingested approximately 900 mg of sodium ers, and this source is responsible for most toxic arsenate - five times the lethal doseJ,6 - in a human ingestions. 2 Other sources include in suicide attempt. He was lethargic but arousable secticides, herbicides, and rodenticides. Com by voice and answered questions appropriately.