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A 10-year descriptive analysis of UK Maritime and Coastguard data on lifejacket use and drowning prevention
The study investigated if incidences of death by drowning in the UK could have been prevented through the use of lifejackets over a ten year period. This study was a retrospective analysis of fatal maritime incident data collected by the Maritime and Coastguard Agency (MCA) between the years 2007 and 2016. A Casualty Review Panel (CRP) met annually to categorise incidents into five groups based on the likelihood of a lifejacket preventing death. Descriptive analyses were performed on the overall fatalities, data were stratified by year, sex, age, and activity. Ten year data were categorised based...
Risk of self-contamination during doffing of personal protective equipment
Background: The aim of this study was to describe the risk of self-contamination associated with doffing of personal protective equipment (PPE) and to compare self-contamination with various PPE protocols. Methods: We tested 10 different PPE donning and doffing protocols, recommended by various health organizations for Ebola. Ten participants were recruited for this study and randomly assigned to use 3 different PPE protocols. After donning of PPE, fluorescent lotion and spray were applied on the external surface of the PPE to simulate contamination, and ultraviolet light was used to count fluorescent...
Identification and Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals
A Qualitative Study Importance: Using personal protective equipment (PPE) and transmission-based precautions are primary strategies for reducing the transmission of infectious agents. Objective: To identify and characterize failures in transmission-based precautions, including PPE use, by health care personnel that could result in self-contamination or transmission during routine, everyday hospital care. Design, Setting, and Participants: This qualitative study involved direct observation inside and outside patient rooms on clinical units from March 1, 2016, to November 30, 2016. Observations occurred...
NFPA 1999 - Standard on Protective Clothing and Ensembles for Emergency Medical Operations
This standard specifies requirements for EMS protective clothing to protect personnel performing patient care during emergency medical operations from contact with blood and body fluid-borne pathogens. It also includes additional requirements that provide limited protection from specified CBRN terrorism agents. Source: https://www.nfpa.org/codes-and-standards/all-codes-and-standards/list-of-codes-and-standards/detail?code=1999
Chemical, Biological, Radiological, and Nuclear (CBRN) Respiratory Protection Handbook
Since 2001, the U.S. Department of Health and Human Services (HHS), Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH) has established performance and design standards for respiratory protective devices (RPDs) to protect against chemical, biological, radiological, and nuclear (CBRN) hazards and toxic industrial chemicals. Prior to 2001, there were no standards for the use of RPDs by U.S. emergency response personnel that covered the full range of expected CBRN threats. Federal regulations require emergency response personnel to use respirators...
Prévention de l’exposition cutanée aux pesticides chez les producteurs de pommes et facteurs influençant le port des vêtements de protection
Des recherches internationales ont déterminé que la peau constituait la principale voie d'exposition aux pesticides utilisés en agriculture. L'utilisation des équipements de protection individuelle (ÉPI) joue un rôle clé dans la prévention des risques liés à l'exposition. L'utilisation non systématique des ÉPI prescrits est toutefois documentée et constitue une cible prioritaire des interventions pour la réduction de l'exposition aux pesticides. Cette étude approfondit les...
A Pilot Study of Nanoparticle Levels and Field Evaluation of N95 Filtering Facepiece Respirators on Construction Sites
Little attention has been paid to the generated submicron ultrafine and nanoparticles and their exposure levels on construction jobsites. This information is needed because cytotoxicity of nanoparticles is well known now. In addition, the performance of particulate respirators generally used by construction workers has never been evaluated in field conditions against ultrafine and nano-sized particles. We hypothesized that workers on construction jobsites are exposed to high levels of nanoparticles and current NIOSH-recommended N95 respirators may not provide them adequate protection against aerosolized...
Coefficient of friction, walking speed and cadence on slippery and dry surfaces: shoes with different groove depths
Objective. The present study aimed to determine the coefficient of friction (COF), walking speed (WS) and cadence while walking on slippery and dry surfaces using shoes with different sole groove depths to predict likelihood of fall. Background. Design of shoe sole groove is crucial to prevent slipping during walking. Methods. 22 healthy young men (mean age 24.5, body mass index 22.5) volunteered for this semi-experimental study. Six different conditions of the test (combination of three shoes and two surfaces) were defined and the condition was repeated three times. In total, 396 trials (22 subjects × 3...
Débroussaillage - 3e édition
Cette brochure traite des travaux de débroussaillage, des techniques de travail et des situations dangereuses. On y décrit également les responsabilités de l'employeur et du travailleur, l'équipement de protection individuelle à utiliser et des règles à suivre en matière de premiers secours et de premiers soins. Pour cette 3e édition, des changements importants ont été apportés aux pages 14-15 et 16 où il est question du choix des lames. Source: http://www.cnesst.gouv.qc.ca/Publications/200...
‘VIOLET’: a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment
Background: Healthcare workers caring for patients with high-consequence infectious diseases (HCIDs) require protection from pathogen exposure, for example by wearing personal protective equipment (PPE). Protection is acquired through the inherent safety of the PPE components, but also their safe and correct use, supported by adequate training and user familiarity. However, the evidence base for HCID PPE ensembles and any associated training is lacking, with subsequent variation between healthcare providers. Aim: To develop an evidence-based assessment and training tool for evaluating PPE ensembles...
Firefighter attitudes, norms, beliefs, barriers, and behaviors toward post-fire decontamination processes in an era of increased cancer risk
Firefighters' are exposed to carcinogens such as volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) during fires and from their personal protective equipment (PPE). Recent research has shown that decontamination processes can reduce contamination on both gear and skin. While firefighter cultures that honor dirty gear are changing, little is known about current attitudes and behaviors toward decontamination in the fire service. Four hundred eighty-five firefighters from four departments completed surveys about their attitudes, beliefs, perceived norms, barriers, and...
ASTM F2100 - 11(2018) - Standard Specification for Performance of Materials Used in Medical Face Masks
This specification covers the classifications, performance requirements, and test methods for the materials used in the construction of medical face masks that are used in health care services such as surgery and patient care. Medical face mask material performance is based on testing for bacterial filtration efficiency, differential pressure, sub-micron particulate filtration efficiency, resistance to penetration by synthetic blood, and flammability. This specification does not address all aspects of medical face mask design and performance, the effectiveness of medical face mask designs as related...
An Update on the State of Anti-Fog Eye and Face Protection, Technologies and Best Practices
Fog limits the effectiveness of Personal Protective Equipment (PPE) for eye and face protection. According to the American National Standards Institute (ANSI), it is one of the three most significant barriers to their use, ahead of lack of comfort and fit and scratching. If lenses are fogged, people won’t wear them. If workers can’t see, they could have accidents. Fog forms on a surface when water vapor in air condenses in fine droplets. A good anti-fog (AF) coating should prevent the formation of such droplets, but not all AF coatings are the same. Typical AF products perform well...
Glove: Use for safety or overuse?
Occupational exposure to blood and body fluids presents a major safety risk for bloodborne viruses to all health care workers (HCWs). In response to human immunodeficiency syndrome (HIV), various strategies were adopted to reduce this risk. The most important and cost-effective strategy was the introduction of gloves as part of personal protective equipment (PPE) for all potential or expected exposures to blood and body fluid. The term gloves in this report refer to nonsterile, medical, and examination gloves. Source: Jain, S., Clezy, K., & McLaws, M. L. (2017). American Journal of Infection...
Evaluation of surgical glove integrity and factors associated with glove defect
Background: Surgical glove perforation may expose both patients and staff members to severe complications. This study aimed to determine surgical glove perforation rate and the factors associated with glove defect. Material and methods: This descriptive cross-sectional study was conducted between January and March 2017 at a Tunisian university hospital center in 3 different surgical departments: urology, maxillofacial, and general and digestive. The gloves were collected and tested to detect perforations using the water-leak test as described in European Norm NF EN 455-1. For percentage comparisons...
Z259.11-F17 - Absorbeurs d'énergie individuels et cordons d'assujettissement
Ce document constitue la troisième édition de CSA Z259.11, Absorbeurs d'énergie individuels et cordons d'assujettissement. Il remplace les éditions antérieures, publiées en 2005 sous le titre Absorbeurs d'énergie et cordons d'assujettissement et en 1992 sous le titre Absorbeurs d'énergie pour dispositifs antichutes. Le but de cette norme est de prescrire des exigences visant la performance, la conception, la mise à l'essai, l'étiquetage et le marquage des absorbeurs d'énergie individuels...
Effects of organizational safety practices and perceived safety climate on PPE usage, engineering controls, and adverse events involving liquid antineoplastic drugs among nurses
Antineoplastic drugs pose risks to the healthcare workers who handle them. This fact notwithstanding, adherence to safe handling guidelines remains inconsistent and often poor. This study examined the effects of pertinent organizational safety practices and perceived safety climate on the use of personal protective equipment, engineering controls, and adverse events (spill/leak or skin contact) involving liquid antineoplastic drugs. Data for this study came from the 2011 National Institute for Occupational Safety and Health (NIOSH) Health and Safety Practices Survey of Healthcare Workers which...
Personal protective equipment and women
Guidance for workplace representatives on ensuring it is a safe fit Despite a legal duty on bosses to provide the correct Personal Protective Equipment (PPE) to their staff free of charge, only 3 in 10 women (29%) told a survey that the PPE they wear to keep them safe at work is specifically designed for women. Women responding to the survey work in a range of jobs, including in the emergency services, retail and manufacturing, engineering and scientific research. Many reported that ill-fitting PPE which isn't designed to protect women workers gets in the way of them doing their job safely...
Market surveillance of FFP3 disposable respirators
Filtering Facepieces (FFPs) are disposable Respiratory Protective Equipment (RPE) for protection against dusts, particles and aerosols. They are often referred to as 'disposable dust masks', are widely used, and generally require no cleaning or maintenance. They are available in three classes: FFP1, FFP2 and FFP3, with the higher numbers corresponding to better filtering efficiency. As with all types of Personal Protective Equipment (PPE) sold in the UK, they must comply with the EU PPE Directive 89/686/EEC. It is the responsibility of the manufacturer or person placing the RPE on the European...
Use of moulded hearing protectors by child care workers
An interventional pilot study Background: Employees of a multi-site institution for children and adolescents started to wear moulded hearing protectors (MHPs) during working hours, as they were suffering from a high level of noise exposure. It was agreed with the institutional physician and the German Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) that this presented an opportunity to perform a scientific study to investigate potential beneficial effects on risk of burnout and subjective noise exposure at work when child care workers wear MHPs...
Prévention des risques liés aux pesticides chez les producteurs de pommes
État des lieux et actions à mener pour une meilleure protection individuelle Au Québec, on dénombrait près de 29 000 exploitations qui procuraient 125 000 emplois à des travailleurs du secteur de la production agricole (2007). Alors que les pesticides ont pour fonction de lutter contre les parasites des cultures, ils peuvent avoir des effets, à court et long termes, sur la santé des producteurs qui y sont exposés, majoritairement par la peau. Leur utilisation est donc encadrée et des mesures de prévention du risque sont...
Z94.3.1-16 - Guideline for selection, use, and care of eye and face protectors
This is the second edition of CSA Z94.3.1, Guideline for selection, use, and care of eye and face protectors. It supersedes the previous edition, published in 2009 under the title Selection, use, and care of protective eyewear. The Guideline covers the selection, use, and care of eye and face protectors and provides advice for the proper selection of eye and face protection for specific hazardous activities. Major changes to this edition include the following: a) added terminology on compliance and certification of eye and face protectors (see Table 1); b) revised the laser classes in accordance...
Safety in the storage and handling of steel and other metal stock
Many accidents, some resulting in death and serious injury, continue to occur during the storage and handling of steel and other metal stock. They cause enormous social and economic cost over and above the human tragedy involved. It is in everyone's interest that they are reduced. Accident investigations often show that these injuries could have been avoided. This revised guidance is aimed at directors, owners, managers and supervisors and pays particular attention to the most common hazards, including (un)loading of delivery vehicles, storage systems, workplace transport, mechanical lifting...
Évaluation de l’efficacité d'un filtre N95 contre des particules ultrafines, dont les nanoparticules, en mode de débits d'air constant et cyclique simulant la respiration des travailleurs
On trouve des particules ultrafines (PUF), soit des particules dont le diamètre (Dp) est inférieur à 100 nm, dans de nombreux milieux de travail industriels, où leur inhalation peut, à long terme, causer de graves problèmes de santé. Dans certains contextes, les mesures d'ingénierie et les contrôles administratifs sont insuffisants pour protéger adéquatement les travailleurs contre l'exposition aux PUF. Un dispositif de protection personnel est alors requis, et les appareils de protection respiratoire à pièce...
EPI et vêtements de travail : mieux comprendre leurs caractéristiques antistatiques pour prévenir les risques d'explosion
L'évaluation du risque d'explosion implique la prise en compte des vêtements de travail et équipements de protection individuelle en tant que sources d'inflammation potentielle de l'atmosphère explosive dans laquelle ces équipements peuvent se trouver. À la suite des constats présentés dans l'article ND 2358, des travaux ont été menés afin de valider les paramètres de la " méthode du mannequin " permettant la caractérisation des propriétés antistatiques de...
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