500
The patient is having a supraclavicular lymph node removed. The alcohol based prep solution has pooled in the clavicle area and on the sheets. The patient is draped, without allowing adequate time for the solution to dry. The surgeon uses a blade to make the incision and immediately uses the bovie to cauterize the subcutaneous bleeding. There is a spark at the bovie tip, which ignites the fumes from the prep solution. The surgeon removes burning drapes, but the flames have spread to the sheets. What steps do you take to extinguish fire?? Prevention strategies?
What are
Immediately extinguish all burning materials in, on, and around the patient with water or saline
Stop the flow of all airway gases
Remove all drapes, flammable, and burning material from the patient
Burning material that has been removed from the patient can then be extinguished by other team member using the water mist fire extinguisher in the OR
Evacuate if necessary