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Fire safety and emergency evacuation guidelines for intensive care units and operating theatres: for use in the event of fire, flood, power cut, oxygen supply failure, noxious gas, structural collapse or other critical incidents: Guidelines from the Association of Anaesthetists and the Intensive Care Society.
Kelly, F E; Bailey, C R; Aldridge, P; Brennan, P A; Hardy, R P; Henrys, P; Hussain, A; Jenkins, M; Lang, A; McGuire, N; McNarry, A; Osborn, M; Pittilla, L; Ralph, M; Sarkar, S; Taft, D.
Afiliación
  • Kelly FE; Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
  • Bailey CR; Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
  • Aldridge P; Fire, Security and Corporate Affairs, Leeds Teaching Hospitals NHS Trust and General Secretary, National Association of Healthcare Fire Officers, UK.
  • Brennan PA; Portsmouth Hospitals University Trust, Portsmouth, UK.
  • Hardy RP; Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
  • Henrys P; BOC Ltd, British Compressed Gas Association Medical Gas Committee.
  • Hussain A; AH Fire Ltd, Member of the National Association of Healthcare Fire Officers, UK.
  • Jenkins M; Intensive Care Unit, Royal United Hospitals NHS Foundation Trust, Bath, UK.
  • Lang A; Human Factors Research Group, Faculty of Engineering, University of Nottingham, Nottingham, UK.
  • McGuire N; Devices, Medicines and Healthcare products Regulatory Agency.
  • McNarry A; Department of Anaesthesia, Western General Hospital, Edinburgh, UK.
  • Osborn M; Department of Oncology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
  • Pittilla L; North of England Paediatric Critical Care Network and Paediatric Critical Care Society.
  • Ralph M; NHS Improvement (Department of Health) and Chair, Medical Gas Association.
  • Sarkar S; Department of Anaesthesia and Intensive Care Medicine, Sherwood Forest Hospitals NHS Foundation Trust, Nottinghamshire, UK.
  • Taft D; Health and Safety Executive.
Anaesthesia ; 76(10): 1377-1391, 2021 Oct.
Article en En | MEDLINE | ID: mdl-33984872
The need to evacuate an ICU or operating theatre complex during a fire or other emergency is a rare event but one potentially fraught with difficulty: Not only is there a risk that patients may come to harm but also that staff may be injured and unable to work. Designing newly-built or refurbished ICUs and operating theatre suites is an opportunity to incorporate mandatory fire safety features and improve the management and outcomes of such emergencies: These include well-marked manual fire call points and oxygen shut off valves (area valve service units); the ability to isolate individual zones; multiple clear exit routes; small bays or side rooms; preference for ground floor ICU location and interconnecting routes with operating theatres; separate clinical and non-clinical areas. ICUs and operating theatre suites should have a bespoke emergency evacuation plan and route map that is readily available. Staff should receive practical fire and evacuation training in their clinical area of work on induction and annually as part of mandatory training, including 'walk-through practice' or simulation training and location of manual fire call points and fire extinguishers, evacuation routes and location and operation of area valve service units. The staff member in charge of each shift should be able to select and operate fire extinguishers and lead an evacuation. Following an emergency evacuation, a network-wide response should be activated, including retrieval and transport of patients to other ICUs if needed. A full investigation should take place and ongoing support and follow-up of staff provided.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quirófanos / Administración de la Seguridad / Desastres / Incendios / Unidades de Cuidados Intensivos Tipo de estudio: Guideline / Risk_factors_studies Límite: Humans Idioma: En Revista: Anaesthesia Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Quirófanos / Administración de la Seguridad / Desastres / Incendios / Unidades de Cuidados Intensivos Tipo de estudio: Guideline / Risk_factors_studies Límite: Humans Idioma: En Revista: Anaesthesia Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido