The American Heart Assoication is adapting a new standard for CPR.  On March 31, an important advisory statement on “hands-only”  (compression-only) CPR was published in Circulation. This statement clarifies the 2005 AHA Guidelines for CPR and ECC, which included the recommendation that laypersons – or bystanders – should perform hands-only CPR if they are unable or unwilling to provide rescue breaths.  The Compliance Resource Center wrote about an article about a new study done in Lancet in April of 2007.  The Lancet study showed dramatic results when life-savers only had to worry about chest compressions without doing mouth-to-mouth breathing. 

”The report confirms that what we have learned in animal experiments applies to humans as well,” says Gordon A. Ewy, MD, director of the Sarver Heart Center at The University of Arizona in Tucson where chest-compression-only resuscitation was developed. “Bystander-initiated continuous chest compressions without mouth-to-mouth breathing are the preferable approach for witnessed unexpected collapse, which is usually due to cardiac arrest.”

Hopefully more people will consider doing CPR (compression only) on a person when needed.  Statistics show that when CPR is started and continued until help arrives, it can save lives.

A unified effort by the public, educators and policymakers is needed to reduce deaths from sudden cardiac arrest by increasing the use and effectiveness of cardiopulmonary resuscitation (CPR), according to a statement from the American Heart Association. The statement, “Reducing barriers for implementation of bystander-initiated cardiopulmonary resuscitation,” appears online in Circulation: Journal of the American Heart Association.

“Bystander cardiopulmonary resuscitation rates are woefully inadequate, resulting in an enormous missed opportunity to save lives from cardiac arrest,” said Benjamin S. Abella, M.D., M.Phil., clinical research director for the Center for Resuscitation Science at the University of Pennsylvania in Philadelphia, and lead author of the statement.

Studies indicate that in many communities only 15 percent to 30 percent of out-of-hospital cardiac arrest victims receive bystander CPR before emergency medical services (EMS) personnel arrive at the scene. Considering that cardiac arrest survival falls an estimated seven percent to 10 percent for every minute without CPR, the low rate of bystander CPR has a big impact on outcomes, he explained.

Approximately 166,200 out-of-hospital sudden cardiac arrest deaths occur annually in the United States. Sudden cardiac arrest often results from an irregular heartbeat called ventricular fibrillation (VF) which causes the heart to quiver so that it cannot generate blood flow. Treatment of VF requires CPR to keep blood moving through the body until the patient’s heart can be shocked to terminate the VF and allow the heart’s pacemaker cells to establish a normal rhythm, AHA officials said.

In the last decade, automated external defibrillators (AEDs), portable defibrillation machines, have become increasingly common in public buildings such as casinos, airports and schools. However, Abella said defibrillation is only one of the four links in the Chain of Survival, a sequence of four actions that must occur quickly to help assure the best chances of survival.

The Chain of Survival requires:
early recognition of the emergency and phoning 911 for EMS.
early bystander CPR.
early delivery of a shock via a defibrillator if indicated.
early advanced life support and post-resuscitation care delivered by healthcare providers.

“Quick initiation of CPR, as well as providing high quality CPR, is crucial to survival,” Abella said. “What’s needed is a two-pronged approach: first, substantially increase the number of bystanders trained in CPR who then provide CPR during an actual emergency and second, improve the quality of training and actual CPR performance through measures of its effectiveness.”

The statement identifies specific potential barriers to improving U.S. cardiac arrest survival rates including: fear of infectious disease, fear of litigation and fear of poor performance, all of which Abella said could be overcome with adequate education, training and public awareness.

It’s a beautiful fall day, crisp temperatures, leaves turning those beautiful shades of oranges, yellows and reds, and that touch of pumpkins in the air.  So what are safety managers thinking about?  They need to have all of this years training completed….soon.  They are going into the 4th quarter and need to have their budgets ready from next year.  They also need to make sure they have all of this years budget spent, so there is not too significant of a cut back for next year.

Here are some ideas that may help the process.  If you have not done all your training and have some money to spend, this is a great time to make sure it is complete.  OSHA, EPA, and DOT often first look at training records a when they come visiting. 

OSHA recommends and sometimes requires on-going training in a variety of areas. 
 ·  New employees and/or new polices and procedures require new training.
 ·  Changes in using or labeling of hazardous materials require training.
 ·  Making sure that people are re-certified in First Aid, CPR/AED. 
 ·  If you have HAZWOPER trained people, having an 8-hour refresher class.
 ·  Driver Safety Training.
 ·  Emergency Response Planning.

The US DOT requires Hazmat training if your organization ships hazardous materials by ground, air or ocean.  Employees involved in the shipping or receiving of hazardous materials MUST be trained every 3 years for ground transportation and every 2 years for air and/or ocean shipping.  Your employees require Hazmat training if your company manufacturers hazardous materials packaging,.  New employees must receive training within 90 days after employment. 
This training must include:
 1.  General Awareness Training
 2.  Function Specific Training
 3.  Safety Training
 4.  Security Awareness Training
 5.  In certain cases In-Depth Security Training

This site does not publish the fines that companies get when they are in violation of compliance.  However, a majority of these fines, lost work days, lost productivity and more, could have been avoided by spending money training the employees.

The Compliance Resource Center can do all this and more.  Whenever possible the training is customized to your organizations needs. 
HAVE A SAFE DAY!

The BIG show is almost here.   The National Safety Council’s Congress & Expo is scheduled for October 15, 16, & 17 in Chicago.  This is the largest Safety & Health expo in the world.  There will be about 140 educational sessions, 32 professional development seminars, and over 800 exhibitors.  Many companies send their safety teams to attend the educational seminars and then have their annual safety meeting afterwards.  It is also a great place to network and look for jobs.  My favorite part has always been the people I have met.  Safety and Health professionals from all over the world.  Click here for a link to the keynote speakers. 

If you have the opportunity, come and check it out, you won’t be sorry.

OSHA has issued a new directive, CPL 02-02-073–Inspection Procedures for 29 CFR 1910.120 and 1926.65, Paragraph (q): Emergency Response to Hazardous Substance Releases. The directive updates policies and provides clarification to ensure uniform enforcement of the provisions in the Hazardous Waste Operations and Emergency Response standard that cover emergency response operations for releases of, or substantial threats of releases of, hazardous substances without regard to the location of the hazard. It revises CPL 02-02-059, issued April 24, 1998.

Enforcement procedures for compliance officers who need to conduct inspections of emergency response operations are included in the revision. It defines additional terms and expands on training requirements for emergency responders and other groups such as skilled support personnel. New guidance is provided on how HAZWOPER may apply to unique events such as terrorist attacks and addresses OSHA’s role under the National Response Plan. OSHA says the update will assist other federal, state, and local personnel who have responsibilities under incident command systems and will assist in emergency response operations.

The instruction updates policy and provides clarification on the following issues:

• HAZWOPER’s application to a terrorist incident response involving chemical, biological, radiological, or nuclear materials.
• OSHA’s relationship with Homeland Security Presidential Directive (HSPD-5), including discussion addressing the National Response Plan (NRP), the Worker Safety and Health Support Annex, and the National Incident Management System (NIMS).
• OSHA’s National Emergency Management Plan (NEMP) and Regional Emergency.
• Management Plans (REMPs).
• Definition of “First Receivers.”
• OSHA’s “Best Practices for Hospital-Based First Receivers of Victims from Mass
• Casualty Incidents Involving the Release of Hazardous Substances.”
• Shelter-in-Place.
• Damaged packages during shipping.
• Skilled Support Personnel.
• Emergency responder training levels.
• Medical Surveillance for emergency responders.
• Computer-based training.
• Updates to citation guidelines.

QUINCY, MA — The National Fire Protection Association (NFPA) suggests that now is the perfect time to Get Ready! for a disaster.

September is National Preparedness Month and NFPA is urging the public to take time this month to prepare for a disaster before one strikes.

Get Ready! Preparing Your Community for a Disaster is a comprehensive disaster preparedness guide developed by NFPA to make the daunting task of preparing for the unknown more manageable. The kit was recently sent to 30,000 fire departments across the country as a resource for them to help their community prepare. Materials are also available for download at no charge. Most materials are also available in Spanish.

“Preparing yourself, your family, and your community for the unexpected can be a frightening endeavor, but being caught unprepared in the face of disaster can prove to be deadly,” said Judy Comoletti, assistant vice president of public education for NFPA. “The Get Ready! program is designed to help people develop their emergency plan by putting much needed informational materials at their fingertips.”

Disastrous events in recent years have served as reminders that there is no single preparedness tool more important than a plan. Get Ready!  Preparing Your Community for a Disaster provides a foundation for understanding what to do, where to go, and how to survive in a disaster. Informational sheets provide guidance on what to do before, during, and after an incident on the following topics: home fires, blackouts, hurricanes, landslides, thunderstorms, tornadoes, earthquakes, national security, volcanoes, extreme heat, nuclear incidents, wildfires, floods, older adults, winter storms, hazardous materials, people with disabilities, and pets. The guide also provides a lesson plan and presentation materials, making conducting a workshop easy. A family emergency plan is available for download as well as an emergency supplies kit checklist.

Get Ready! Preparing Your Community for a Disaster was developed by NFPA for fire departments nationwide. The project was funded by the U.S. Department of Homeland Security, Office of Domestic Preparedness.

NFPA suggests the following tips to keep in mind when preparing for a disaster. Visit www.nfpa.org/disaster for more detailed information.

How to prepare before a disaster:

• Be informed
• Make a plan
• Get a kit
• Volunteer to help others

Have an emergency plan that includes:

• Escape and evacuation routes
• Family communications
• Utility shut-off and safety
• Vital records
• Specific needs
• Caring for animals
• Safety skills

Get an emergency supplies kit that at a minimum includes:

• Bottled water: A minimum three-day supply of water. A seven-day supply is best, with a three-day supply ready to take with you. One gallon of water per person, per day is recommended.
• Food: Avoid foods that cause thirst. Include canned foods, dry mixes, and other nonperishable food. Remember to include a hand can opener.
• A battery-powered radio with extra batteries or a hand-crank radio
• Flashlights and extra batteries
• First aid kit
• Sanitation and hygiene items
• Matches in a waterproof container
• A whistle
• Extra clothing
• Cooking utensils
• Photocopies of credit and identification cards
• Cash
• Items for infants
• Specific needs items
• A personal pack for children
• Download an emergency supplies kit checklist

WASHINGTON — Every summer, thousands of Americans are hospitalized for heat-related illnesses. Many of these cases are employees who work outdoors where heat stress is potentially dangerous. Now that summer is in full swing, OSHA is reminding all employers and employees nationwide about its safety and health resources, especially those offering best practices for working in hot weather. 

“Every outdoor jobsite faces hazards posed by the sun and heat,” said OSHA’s Assistant Secretary of Labor Edwin G. Foulke Jr. “We are encouraging employers and employees to take advantage of our published resources that offer sound advice to recognize and prevent heat stress and other heat-related illnesses.”

The two most serious forms of heat related illnesses are heat exhaustion (primarily from dehydration) and the more severe heat stroke, which could be fatal. Symptoms include headaches, weakness, nausea and dizziness. Recognizing those warning signs and taking quick action can help prevent a fatality.

Working Outdoors in Warm Climates www.osha.gov/OshDoc/data_Hurricane_Facts/working_outdoors.pdf, an OSHA fact sheet that offers advice on ways to protect employees against exposure to ultraviolet radiation (UV) highlights precautions to take if working in extreme heat and explains how to protect against Lyme disease and the West Nile Virus. The document also features information for teenagers working at summer jobs to learn more about safety and health.

OSHA’s Heat Stress Quick Card lists tips on preventing many heat-related deaths and injuries. Available in English and Spanish, this laminated card is free to employers for distribution to their employees. It is a quick reference tool on heat-related illnesses, including warning signs, symptoms and early treatment.

Protecting Yourself in the Sun is a pocket card that explains how to perform self-examinations that may detect early stages of skin cancer. The card, available in English and Spanish, also describes common physical features of skin cancer that can be caused by overexposure to the sun.

These free publications and others related to outdoor job hazards can be downloaded from OSHA’s Web site on the publications page www.osha.gov/pls/publications/pubindex.list or can be ordered by calling OSHA’s publications office at (202) 693-1888.

More information about sun and heat hazards can be found on OSHA’s Web site, and on the Web sites of the Centers for Disease Control and Prevention www.cdc.gov/ and National Institute for Occupational Safety and Health www.cdc.gov/niosh/homepage.html.

The American Red Cross has an online preparedness plan with can be accessed by clicking on this link.  This is perfect for your employees, their families and friends.