Etiology Surgical Fire
Fire Triangle Elements
Ignition Source, Oxidizers, & Fuels
Electrocautery Pencil
Place in a holder
Medical Gases
Shut off Medical gas valves for OR room.
Announce
"FIRE" to alert team
Describe RACE
RESCUE, ALARM, CONTAIN, EVACUATE. Actions will be unique to each situation
Fuels
Chloraprep, volatile organic chemicals, linens, drapes
Prep Solution
Dry for 3 min. & Blot excess before draping
Describe where to evacuate
Location will be circumstantial, depending on severity of fire. Consider back-up OR, Main OR
Sterile H2O/NS
Pour slowly over fire
Activate fire response by either ____ or ____, depending on the level of fire/situation.
calling 42500 or use a PULL STATION
Oxidizers
O2, Nitrous Oxide, Medical Compressed air,
HOB
By decreasing O2% by not covering pt face, use <21% O2, Blend air & O2, risk is lowered.
PASS
Pull, aim, squeeze, sweep. Use extinguisher if needed. Before use, consider discharge from extinguisher could be worse than that of fire.
Wet Towel/Sponge
Lay wet towel over flame to extinquish
3 KEY Risks in the OR
A Surgical site/incision above xiphoid (1pt), an Open O2 source (pt receiving O2 via face mask/NC (1pt) or an ignition source (1pt)
Ignition Source
Electrocautery, electrosurgical units, lasers, fiberoptic lights
Electrosurgical equipment
Inspect before use
Describe when to evacuate OR suite
When the Level of smoke/fire poses safety concerns for a patient
Burning Material
Remove drape/material to ground. DO NOT block evacuation route. Rolling it on itself.
What FIRE risk Score is present for a CS?
TWO
Prep Solution
Alcohol, pooling, not drying
Defibrillator use
Avoid paddle use or if must use, apply gel.
Describe How to Evacuate the OR suite
Transfer the patients via the OR table or gurney
Oxygen
Turn off. Disconnect pt from source.
Leave in OR for Risk Managment assessment.
Equipment/devises/drapes, etc