1. © 2007 ECRI 1 Fuels Drapes Linens Alcohol Ointments

2. © 2007 ECRI 2 Oxygen-enriched Flash Fires Video of Royal Airforce Experiments circa 1965

3. © 2007 ECRI 3 Fires in the airway can be deadly.

4. © 2007 ECRI 4 So can an alcohol fire on the patient

5. © 2007 ECRI 5 Stress proper use of alcohol preps

6. © 2007 ECRI 6 Extinguishing: pat out.

7. © 2007 ECRI 7 For large fires: –Stop flow of breathing gases to patient –Remove burning materials from patient –Care for patient: Resume ventilation Control bleeding Examine for injuries Fighting Fires ON the Patient

8. © 2007 ECRI 8 Extinguishing: rip off.

9. © 2007 ECRI 9 Extinguishing: rip off.

10. © 2007 ECRI 10 Fighting AIRWAY Fires At first sign of fire in the oropharynx, immediately and rapidly: –Disconnect breathing circuit from tracheal tube –Remove tracheal tube –Care for patient

11. © 2007 ECRI 11 Extinguishing tracheal tube fires: Cease O2, remove tube, re-establish airway.

12. © 2007 ECRI 12 Extinguishing: Pull out

13. © 2007 ECRI 13 For OR placement and use on patient: CO2 Extinguisher. Not: Water, dry chemical, water mist, or fire blanket. Extinguishers: rarely needed in OR

14. © 2007 ECRI 14 Surgical Fires: Awareness of a Continuing Risk Your Institutional Policies Recommendations for Prevention - Poster Statistics New Initiatives How to Educate Extinguishing (when prevention fails)

15. © 2007 ECRI 15 Free PFD at www.mdsr.ecri.org Full guidelines: see Health Devices 2003 Jan; 32(1). Starting point: How do your policies and procedures measure up?

16. © 2007 ECRI 16 SURGICAL FIRE “Remember, Only You Can…”

17. © 2007 ECRI 17 XV. Medical Device Fires in Surgery QUESTIONS?