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.

Are you familiar with the EPA law The Emergency Planning and Community Right-To-Know Act (40 CFR Parts 350-372)?  The Emergency Planning and Community Right-To-Know Act believes you should know the following:

• What chemicals are located near you.

• Evacuation routes for your home, workplace and children’s schools.

• Shelter-in-place procedures.

• Industry and community warning systems.

• How to prepare a family and/or a business plan.

The act requires facilities that have hazardous materials to report their inventories to the State Emergency Response Commission, their Local Emergency Planning Committee (LEPC) and local fire department. The 11 LEPCs also train first responders and give emergency authorities the technical assistance to safely handle hazardous-material incidents.

New information in first update since 2004.
A U.S.-based manufacturer of regulatory compliance products, will print an update of the Emergency Response Guidebook (ERG) - the first available in four years. This important publication is the cornerstone of many emergency response plans and incident management systems, providing a consistent and standardized approach for first responders in the event of an incident involving hazardous materials.

The ERG is developed jointly by the US Department of Transportation, Transport Canada, the Secretariat of Communications and Transportation of Mexico (SCT), and with the collaboration of CIQUIME (Centro de Informacion Quimica para Emergencias) of Argentina.

In its thirty odd years of existence, the ERG has been and will continue to be the “go-to” reference for first responders faced with the possibility of a hazardous materials incident. This guidebook is published in a user-friendly format and is divided into five sections which are color coded to maximize efficiency and ease of use.

The following items are new for 2008:

.   Over fifty amendments to proper shipping names and ID numbers (United Nations numbers)
.   Lists of hazardous materials found in the yellow and blue bordered pages will be updated to reflect those changes
.   New entry for Lithium Ion batteries will be included
.   Ethanol will have new entries and identification numbers added
.   The ‘’Initial Isolation and Protective Action Distance Table'’ will be split into two tables to better facilitate initial incident response actions for emergencies involving TIH (Toxic Inhalation Hazards)

The 2008 ERG represents the first publication since the DOT’s Pipeline and Hazardous Materials programs were merged, so there will be new information introduced regarding pipeline markers.
 
 

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.

It’s not difficult to remember the elemental symbol for hydrogen (H) or that it is the most common element in the universe. But what do you do when you’re an ambulance medic and the pile-up you’ve just pulled up at involves one of the GM Equinoxes that will take to the public roads this fall? This is the scenario that the Department of Energy would like to prepare first responders for with a new course, Introduction to Hydrogen Safety for First Responders, something the Hydrogen and Fuel Cell Safety organization is probably quite pleased to hear.

The DOE created the course with the Pacific Northwest National Laboratory and the Volpentest Hazardous Materials Management and Emergency Response (HAMMER) Training and Education Center. According to the DOE, “the course provides basic information to help raise awareness among fire, law enforcement, and emergency medical personnel and provides access to resources for more detailed information if needed.”

Basic understanding hydrogen and how it is stored and dispensed are two of the topics addressed in the course; videos and animations act as information carriers here. The course is available online, so if you want to test your skills (or are actually a first responder), check it out here.

First Responders to Get WISER, Thanks to DOT, HHS
According to the U.S. Department of Transportation, the 2008 Emergency Response Guidebook is the go-to reference for first responders to help them quickly identify hazardous material classifications, determine the best response, and protect themselves and the public immediately after an incident. Now, because of a joint effort between DOT and the Department of Health and Human Services, responders will for the first time have electronic access to the guidebook’s info through laptops and PDAs for potentially even faster fact finding.

Signed in late June, an agreement between the DOT Pipeline and Hazardous Materials Safety Administration (PHMSA) and the HHS National Library of Medicine led to the development of a special software application called the Wireless Information System for Emergency Responsers, or WISER, which makes the electronic guidebook accessible through palm devices like the Blackberry and other PDAs, some phones, and Windows-based laptops and desktops.

“This new digital tool will give our police, firefighters, and other emergency responders first on the scene the information they need to make the rapid-fire decisions necessary to protect the public and themselves,” said Ted Willke, PHMSA associate administrator for hazardous materials safety.

For more information, visit http://hazmat.dot.gov/pubs/erg/gydebook.htm/ . For information on WISER visit http://wiser.nlm.nih.gov/.

According to 29 CFR 1910.34, all workplaces in general industry except mobile workplaces such as vehicles or vessels must have a fire prevention plan. Your facility’s fire prevention plan must include, at a minimum, the following elements, as specified in 29CFR 1910.39(c):