Fire Triangle
In the OR
Extinguisher & Equipment
Response Steps
Myth Busters
100

Name the three elements that make up the Fire Triangle.

What is Heat Fuel and Oxygen?

100

This is the most common site for OR fires.

What is airway / upper chest area (head, neck, chest)?

100

This type of Fire Extinguisher is used in the OR.

What is water-mist extinguisher?

100

This is the first step after drapes catch fire.

What is removing the drapes?

100

Myth or Fact: Saline alone is always enough to put out an OR fire.

What is a Myth?

200

This part of the fire triangle is most commonly present in the OR (and hard to remove).

What is Oxygen?

200

This is usually the responsible party for managing the airway if fire occurs.

Who is the Anesthesia Care provider?

200

PASS stands for this when using a fire extinguisher?

What is Pull, Aim, Squeeze, Sweep?

200

This is the first step by an anesthesia provider if there is an airway fire.

What is removing the breathing tube and stopping gas flow.

200

Myth or Fact: Only the surgeon is responsible for fire prevention.

What is a Myth: The entire OR team is responsible for Fire Prevention. 

300

True or false. Oxygen - rich environments make fires start faster and burn hotter.

What is True?

300

What you do immediately if drapes ignite.

What is stopping all gas / oxygen flow?

300

This is when the Fire Safety checklist gets reviewed for each case.

What is the Time Out?

300

True or False. A fire in the OR is very small. You do NOT need to pull the Fire Alarm.

What is False?

300

Myth or Fact: Fires are so rare that drills aren't really necessary.

What is a Myth? Fire drills are essential.

400

This surgical tool is a common ignition source in the OR.

What is Electrocautery?

400

This what you do first if a Fire happens (before grabbing the fire extinguisher)

What is removing the burning material?

400

This can be used to smother a small fire on a patient.

What are saline soaked towels?

400

A fire was extinguished in the OR. These are the next steps before removing surgery.

What is reassessing the patient, removing damaged equipment and confirming safe environment?

400

Myth or Fact: Fire extinguishers in the OR can damage equipment but won't harm the patient.

What is a myth? Some Extinguishers can harm patients.

500

Give one way to reduce fuel load on or around the patient during a case.

What is removing excess drapes, avoid pooling alcohol-based prep, allow prep to dry for appropriate time, keep flammables away?

500

The acronym RACE stands for.

What is Rescue, Alarm, Contain, Extinguish / Evacuate?

500

This fire extinguisher type should NOT be used directly on patients.

What is a Co2 extinguisher?

500

These are the 3 priority steps in managing an airway fire.

What is disconnecting oxygen, remove burning ETT, extinguish fire with saline?

500

Myth or Fact: OR Fires are always caused by a staff error.

What is a myth? They are often a combination of unavoidable risk factors plus systemic failures.

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