Thread: We All Know This But.....
05-12-2005, 04:54 PM #1
- Join Date
- Mar 2002
- Loco madidus effercio in rutilus effercio.
We All Know This But.....
This was published through our military messaging system, and considering what we do for our communities, I thought it would be good to show that more than just the Fire industry is aware of the hazard. I suspect that this message was produced as a product of the investigation that was conducted following the HMCS CHICOUITMI submarine fire from November 2004. It comes from the Office of the Chief Maritime Staff (senior Admiral) in Ottawa.
BTW.. for those who have never seen these before, all military messages are printed in full caps, so just to clarify, I am not "shouting" LOL
R 020936Z MAY 05
FM NDHQ CMS OTTAWA//CMS//
UNCLAS MARGEN 037/05 CMS 031-05
SUBJECT: AWARENESS OF THE COMPLEXITY AND SERIOUSNESS OF SMOKE INHALATION INJURY
1. THE OBVIOUS DANGERS OF FIRES ARE WELL KNOWN TO EVERYONE AND WE HAVE ALL BEEN SENSITIZED TO THE DISABILITY AND DISFIGUREMENT CAUSED BY SEVERE BURNS. THIS BEING SAID, EXPOSURE TO SMOKE AND FIRE CARRIES AN ADDITIONAL RISK, THAT OF INHALATION INJURIES, PARTICULARLY FOR FIRES IN ENCLOSED SPACES. UNFORTUNATELY, THE IMPORTANCE OF INHALATION INJURIES IS POORLY UNDERSTOOD IN THE GENERAL PUBLIC AND, BECAUSE THE COMPLICATIONS OF INHALATION INJURIES ARE TYPICALLY DELAYED FOR 12 TO UP TO 48 HOURS, THEIR SIGNIFICANCE IS SOMETIMES UNDERESTIMATED
2. RECOGNITION OF THE EXTENT OF SMOKE INHALATION INJURIES IS DIFFICULT FOR EVEN WELL-TRAINED HEALTH CARE PROVIDERS AND IT IS NOT UNCOMMON FOR THESE INJURIES TO GO UNNOTICED IN THE EARLY HOURS FOLLOWING ACCIDENTS INVOLVING EXPOSURE TO SMOKE AND FIRE, EVEN IN LARGE URBAN CENTRES. ONE OF THE CONFUSING THINGS ABOUT SMOKE INHALATION INJURIES IS THAT SOMEONE INTIALLY OVERCOME BY SMOKE INHALATION OFTEN SHOWS SIGNS OF IMPROVEMENT ONCE REMOVED FROM THE SCENE OF THE FIRE. RECOGNITION OF THE FULL EXTENT OF SMOKE INHALATION INJURY REQUIRES LABORATORY SERVICES FOR BLOOD TESTS, X-RAY EXAMINATIONS AND SOPHISTICATED MONITORING EQUIPMENT TO REPEATEDLY ASSESS THE CASUALTY FOR COMPLICATIONS
3. THE PRIMARY OBJECTIVES OF TREATMENT FOR SMOKE INHALATION CASUALTIES ARE TO MAXIMIZE DELIVERY OF OXYGEN TO THE TISSUES AND MAINTAIN AN OPEN AIRWAY. VICTIMS OF SIGNIFICANT INHALATION INJURIES REQUIRE THE SERVICES OF A FULLY EQUIPPED INTENSIVE CARE UNIT AND THE EXPERTISE AND SKILLS OF A HIGHLY SPECIALISED TEAM OF HEALTH CARE PROVIDERS. THE EXISTENCE OF BURN CENTRES IN MANY OF OUR COUNTRY'S FINEST MEDICAL FACILITIES ATTESTS TO THE SERIOUSNESS OF THESE INJURIES AND UNDERSCORES THE FACT THAT CARE OF CASUALTIES WITH BURNS AND SMOKE INHALATION INJURIES IS EXTREMELY COMPLEX AND LABOUR INTENSIVE
4. THE NUMBER ONE CAUSE OF DEATH RELATED TO FIRES IS SMOKE INHALATION, NOT BURNS. ALL NAVY PERSONNEL ARE REMINDED THAT SMOKE INHALATION KILLS. INHALATION INJURIES MUST BE DEALT WITH SWIFTLY AND THERE MUST BE A LOW THRESHOLD TO ENGAGE APPROPRIATE SPECIALISED MEDICAL SERVICES.
Last edited by MalahatTwo7; 05-12-2005 at 04:59 PM.If you don't do it RIGHT today, when will you have time to do it over? (Hall of Fame basketball player/coach John Wooden)
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