All posts by pat brownlee

Eye Protection, First Aid Safety, General Safety Issues, Hearing Protection

HAVE A SAFE MEMORIAL DAY WEEKEND!

The Memorial Day holiday weekend ushers in the beginning of warm weather outings, as most students have finished their school year.  There is always much anticipation in the air about planned trips, summer jobs, or whatever new things are to be enjoyed.  We want to remind you that the highways will be heavily travelled, so leave a little early in order to not be rushed.  Be careful if you are traveling alone about where you take rest stops.  It is wiser to stop at convenience stores, or where there are many people, than some of the public roadside rest stops.  Also, be aware that your friendly state troopers will be out in full force, with the sole purpose of keeping you safe!  Don’t let any distractions get in the way of safety, stay off the cell phone (hands free, only), NO TEXTING WHILE DRIVING, and don’t drink and drive!

One pesky little detail I’d like to mention is that, according to the travel organization, AAA, there should be almost 35 million Americans traveling either by train, plane, or cruises.  For those that are doing so, or staying in hotels, the National Pest Management Association advises people to keep bed bug prevention and detection tips in mind. “The good news is that summer is finally here; the bad news is that bed bugs continue to lurk in places people typically visit during a vacation,” said Missy Henriksen, vice president of public affairs for NPMA. “Although bed bugs are a year-round pest, people have a greater chance of picking up this hitchhiker during the summer as travel increases. Bed bugs are a souvenir no one wants to bring home.”

Here are several NPMA tips to help travelers remain bed bug-free. More information can be found at AllThingsBedBugs.org.

  • Pull back hotel bed sheets, inspect the mattress seams, box spring, around and behind the headboard, sofas and chairs for telltale brownish or reddish spots, shed skins or bugs.
  • Avoid putting luggage on the bed or upholstered furniture.
  • If changing rooms, be sure the new room is not adjacent to the possibly infested room.
  • Use a large plastic bag to store luggage.
  • Upon returning home, inspect and vacuum suitcases thoroughly before bringing them into the house.
  • Wash and dry clothes on hot – whether worn or not or have them dry cleaned.
  • Consumers suspecting an infestation should contact a licensed pest professional.

Many people are wondering if the high price of gasoline will affect travel, beginning this Memorial Day weekend.  The American Auto Club Association’s holiday travel projection that was released nationally, is that about 100,000 more Americans will be traveling this year than last.  According to the group, travelers will find other ways to compensate for the near record fuel costs by cutting down on other areas of their travel budgets.  Many may make the choices of less expensive vacations, such as hiking and other outings rather than more expensive meals and shopping.  And others may simply choose to stay home, maybe throw some ribs on the grill, and enjoy watching the big race, basketball playoffs, and baseball games.  That’s not such a bad idea.  Sometimes waiting to travel when it isn’t a holiday is safer.

It should be a long, hot summer, so stock up on sunscreen, and don’t forget those safety safety sunglasses, and earplugs for any loud events you plan to attend, say, the Indianapolis 500? Don’t overdo it in the sun.  A tan looks great until you get older, and then just adds to the wrinkles!

Most important of all, don’t forget the reason for this holiday.  Memorial Day is always celebrated in the United States on the last Monday of May.  This is a legal holiday that pays tribute to the memory of those who died while serving the United States in wars.  It was first observed in 1866.  We continue to honor those who gave their lives in the process of holding on to the freedoms that we enjoy.  We must also honor those who are now serving in far-away places, away from the celebration of family, and pray for their safe return.

Fall Safety, General Safety Issues, Head Protection, Protective Clothing, Respiratory Safety

HOW TO PROTECT WORKERS FROM DANGERS IN CONFINED SPACES – PART II

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In yesterday’s segment on this subject, we described several different types of confined spaces, as well as the numerous hazards associated with them.  Today, we will include a checklist of recommendations from OSHA for safe entry.  Government statistics show that around sixty percent of the fatalities associated with confined spaces accidents are of well-meaning, but untrained, would-be rescuers who lost their own lives in the process of trying to save someone else.  Here is an actual accident that resulted in death because of a lack of hazard awareness and unplanned rescue attempts:
A self-employed plumbing contractor entered an underground water line vault to inspect a backflow device.  The contractor collapsed shortly after entering the vault.  A supervisor noticed the man down, and entered the vault in a rescue attempt.  Both men had entered an untested oxygen-deficient atmosphere, and died as a result.
If proper guidelines had been followed, these fatalities and other similar ones could have been prevented.  The two sample checklists below show the importance of attention to detail that must be given before anyone enters a confined space and during work being performed.  Standby attendants must be qualified and trained in proper rescue techniques.
Here is one sample checklist, (Appendix D-2) to Standard 29 CFR 1910.146:
In yesterday’s segment on this subject, we described several different types of confined spaces, as well as the numerous hazards associated with them.  Today, we will include a checklist of recommendations from OSHA for safe entry.  Government statistics show that around sixty percent of the fatalities associated with confined spaces accidents are of well-meaning, but untrained, would-be rescuers who lost their own lives in the process of trying to save someone else.  Here is an actual accident that resulted in death because of a lack of hazard awareness and unplanned rescue attempts:
A self-employed plumbing contractor entered an underground water line vault to inspect a backflow device.  The contractor collapsed shortly after entering the vault.  A supervisor noticed the man down, and entered the vault in a rescue attempt.  Both men had entered an untested oxygen-deficient atmosphere, and died as a result.
If proper guidelines had been followed, these fatalities and other similar ones could have been prevented.  The two sample checklists below show the importance of attention to detail that must be given before anyone enters a confined space and during work being performed.  Standby attendants must be qualified and trained in proper rescue techniques.
Here is one sample checklist, (Appendix D-2) to Standard 29 CFR 1910.146:
Osha-checklist
I hope that by sharing this detailed information we will all realize how important it is to be aware of the risks that people who work in these type of situations face and how they must comply with the safety rules and regulations; that those who would help them in times of emergencies would be as prepared to enter these places as the ones already inside.  This information could possibly save your life, or the life of a co-worker.  Rescue agencies (fire departments, police, etc.) are trained to enter confined spaces with the right equipment.  One thing to remember: an unplanned rescue could possibly be your last one.
General Safety Issues, Hand Protection, Head Protection, Hearing Protection, Respiratory Safety

HOW TO PROTECT WORKERS FROM DANGERS IN CONFINED SPACES – PART I

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The safety poster shown below is graphic, but it conveys excellent information for those persons whose jobs require them to work in areas considered to be confined spaces.   These vessels, etc. are normally sealed so the dangers within, whether it is high-pressure, hot, or toxic materials, or gases, mechanical or electrical hazards, stay within.  When a human enters to inspect or service what’s inside is when the danger begins.

According to OSHA, many workplaces contain spaces that are considered “confined” because their configurations hinder the activities of employees who must enter, work in, and exit them. Confined spaces include, but are not limited to underground vaults, tanks, storage bins, manholes, pits, silos, process vessels, and pipelines. OSHA uses the term “permit-required confined space” (permit space) to describe a confined space that has one or more of the following characteristics: contains or has the potential to contain a hazardous atmosphere; contains a material that has the potential to engulf an entrant; has walls that converge inward or floors that slope downward and taper into a smaller area which could trap or asphyxiate an entrant; or contains any other recognized safety or health hazard, such as unguarded machinery, exposed live wires, or heat stress. Repeating, OSHA’s definition of  “Confined space” means a space that:
(1) Is large enough and so configured that an employee can bodily enter and perform assigned work; and
(2) Has limited or restricted means for entry or exit (for example, tanks, vessels, silos, storage bins, hoppers, vaults, and pits are spaces that may have limited means of entry.); and
(3) Is not designed for continuous employee occupancy.

“Acceptable entry conditions” means the conditions that must exist in a permit space to allow entry and to ensure that employees involved with a permit-required confined space entry can safely enter into and work within the space.

According to NIOSH, when the entry of a worker is necessary,  prior to entry into any type of confined space, several things must be done to ensure the safety of the persons required to work there.  The atmosphere should be tested, at all levels – top, middle, and bottom.  The area should be well ventilated with blowers or fans, and re-tested to ensure that it is ventilated correctly before anyone enters.  There are many locations that have insufficient air movement, which results in oxygen deficiency, flammability, or toxic situations.  Persons inside may be involved in welding, cutting, or brazing operations, and others may be painting, scraping, sanding, or degreasing.  Workers must have the appropriate personal protective equipment, such as hardhats, gloves, rubber boots, and the proper type of respirators.  Some may need air purifying ones, those that filter dangerous substances from the air, or air supplying types that furnish safe breathing air from a tank or uncontaminated area nearby. Only air-supplying respirators should be used in confined spaces where there is not enough oxygen.

Other hazards of confined spaces include extreme temperatures, engulfment hazards, such as loose materials in bins – sand, coal, grain – materials that a worker could fall into and suffocate.  Being in small spaces also amplifies noise; some are slick and wet, adding to the risk of electric shock, and others may have falling objects dropped into the area by work being done above the entrance.  All of these hazards add up to the fact that it takes very special kinds of workers that are willing to do this type of work, and companies that do their very level best to meet the needs and requirements to keep these folks safe.

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Tomorrow, we will discuss the way these workers should be protected by having attendants at the entrance, and rescue operations at the ready, as well as a checklist that contains recommendations for a safe entry.  Please stay tuned…………………………

Source: OSHA, NIOSH

First Aid Safety, General Safety Issues, Hand Protection, Health Issues

LET’S “CLEAN UP” OUR ACT!

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There are “good germs” and “bad germs,” and many of those little critters can make us sick.  Our homes and offices all have bacteria, so let’s talk a little bit about how to clean up some of the stuff that harbors them.  One of the germiest items in your home is the remote control.  You should use a disinfectant swipe on it at least every two days, or if someone in your house is sick, every day.  Wait to do your channel surfing after you have prepared dinner because during food prep, you can transfer microbes like E.coli or salmonella to your clicker. 

We women love purses, so much so that they go everywhere we go.  That purse can pick up staph, salmonella, and even E.coli.  Don’t keep loose cash in your bag.  Paper money is the dirtiest thing there is.  Experts say that the flu virus can live on paper money for seventeen days.  Clean the inside of your purse with a vacuum crevice attachment, or a long bristled suede brush and dump crumbs into the trash.  Another good idea is to hang your purse up rather than placing it on restaurant or bathroom floors, where germs are just waiting to catch a ride.

Here is a list of some of the germiest places in our lives: 

  1. Phones.  Cell phones carry 500 times more bacteria than a toilet seat, according to Kelly Reynolds, PhD., an environmental microbiologist at the University of Arizona.  Many disease-causing microbes can survive for weeks on your rarely cleaned office or cell phone.  Swipe with a disinfecting wipe daily.
  2. Soap dispensers.  Ironically, this germ-fighting tool is a hot spot for E.coli and other bacteria.  Lathering your hands with soap and singing one round of “Happy Birthday” while washing them, will give you time to get rid of all the bugs.
  3. Keyboard and mouse.  A co-worker’s germs can linger on your computer.  Rhinovirus, (cause of the common cold), can survive from hours to days on surfaces like keyboards.  Even if you are the only one who uses your computer, wipe these down weekly with a disinfectant.
  4. Lobby elevator buttons.  These little knobs are loaded with everyone’s germs.  Let someone else press the button, or use your knuckle, and apply hand sanitizer.
  5. Shopping cart handles.  Up to 8 in 10 may have E.coli, so use the hand sanitizer the store offers for free, or keep some in your car or purse to use after shopping.  (I keep a bottle in the side pocket of my car door). 

Here are some ingredients that you probably have in your pantry that are good for cleaning: 

  • Rubbing alcohol.  Dilute with one-half water to wipe down remotes and remove fingerprints on appliances, including stainless.
  • Lemon juice.  Mix with cream of tartar to make a paste, then scrub into rust stains on bathtubs – leave it on for a few hours until the stain disappears.
  • Fresh lemon. Cut one in half, sprinkle with salt, and use it to clean cutting boards and bring shine back to copper pots and pans.
  • White vinegar.  This rivals the disinfecting power of bleach.  Mix equal parts vinegar and water to clean mirrors.  Dip a cloth in the mixture, wipe, and buff dry.
  • Baking soda.  Use to remove marks from hard surfaces and deodorize your fridge.  Make it into a paste with hydrogen peroxide (1/3 c. soda to 2/3 c. peroxide) to remove underarm stains from white clothing.

There are many earth-friendly cleaning products that will kill almost 100 per cent of germs for house or office cleaning.  Remember, practicing good hand hygiene is very important for the prevention of disease.  Teach your children to get into the habit of washing their hands often. 

Source: Health.com

First Aid Safety, General Safety Issues

NATIONAL SAFE BOATING WEEK – MAY 21 – 27

 Many of you who have probably gotten out those dusty boats and launched them already.  It’s time for some fun and sun on the water!  There’s nothing more fun than going fishing, skiing, or for a leisure ride in a boat.  Some of the best memories we have were teaching our kids and their friends to waterski.  We even had a life jacket for our Cairn terrier, Willie.  A game warden was very surprised to see that little dog wearing it, and commented that in all his years of work, he had seen only one other dog wearing a life jacket.  Willie had a bad habit of getting on the bow of the boat and falling in, so all we had to do was pick him up with a dip net to rescue him, while his jacket kept him afloat! 

The National Safe Boating Council, Inc. (NSBC) was organized in September of 1958.  The NSBC has a current membership of over 330 U.S. and Canadian organizations, all interested in boating safety and education, by promoting Safe Boating Week.  I have included a sample pledge card in this article, which is a common-sense agreement regarding the responsibility that you owe yourself and your friends and family any time you operate a boat.  If you wish to sign this pledge, you can go to the National Safe Boating Council website.   Beginning boaters and experts alike should be familiar with boating safety rules of operation.  State boater education requirements vary by state.  Be educated, aware and prepared for every circumstance that may arise.  The U.S. Coast Guard offers free Vessel Safety Checks.  They offer complimentary boat examinations to verify the condition of certain safety equipment that is required by State and Federal regulations.  They also offer virtual online safety checks as well.

In a previous article, “Before You Make That Big Splash,” shares other information about boating, including the five types of life jackets (PFD’s) – personal flotation devices.  There are many other resources that one should check out before taking off in that new boat.  Safety is the big thing when it comes to operating a boat.  Many lives are in the hands of the driver, the same as a vehicle on the road.  And don’t be surprised when a  local game warden checks your boat out to ensure that there are plenty of life jackets and other required equipment onboard.

Regardless of where you are boating – in fresh or salt water, on a river or a lake, the one common point  throughout this article is the importance of wearing a life jacket.  In about 80% of all fatal boating accidents, the cause of death is drowning.  In 90% of those drownings, the person wasn’t wearing a life jacket.  Each person on your boat should have a life jacket on; it won’t help if it’s under the seat when they fall in.  Life jackets are not as bulky as in the past; there are many styles that are comfortable and easy to put on.  It may be hot, but it sure beats the risk of drowning.  Accidents have been known to happen to good swimmers.  If Willie wore his, you can, too!

Check the weather conditions before  starting  your boating trip.  If the water becomes rough, get to the shore as soon as possible.  Be sure you have a fire extinguisher and a first aid kit on your boat.  It is also a good idea to have a second person that knows how to operate your boat, just in case.   The most important part of boating safety is using common sense.  Operate at a safe speed, stay clear of large vessels, and be respectful of other boaters.  Staying safe in a boat (everyone) is accomplished when drinking alcohol is saved for later (on land).  Chances of being involved in a boating accident are doubled when alcohol is involved.    

Here is a sample of the National Safe Boating Council pledge card:

I,
pledge to boat safely each and every time I go out on the water, keeping myself, my family, my friends and fellow boaters from harm’s way.  I will always boat responsibly by (please check each line)
Wearing my life jacket and ensuring that everyone on board wears their life jacket (when in a small boat, or operating in rough water or threatening weather conditions)___  
Remaining sober and alert – remembering that the use of alcohol contributes to accidents on the water___  
Staying in control of my craft and respecting the right of others enjoying the waterways___  
Knowing and obeying navigation rules, operating at a safe speed and maintaining a proper lookout___  

______________________________

______________________________

(signature)

(date)

 

 

Please make the decision to honor the rules of boating safety for yourself, family, and friends.

 Sources: NSBC, discoverboating.com

First Aid Safety, General Safety Issues

TOP TEN PLACES FOR INFORMATION SIGNS

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One of the best parts of writing blogs is hearing from friends all over the world – which affords the luxury of comparing and sharing ideas on ways to keep everyone safer.  Today’s article comes from Matt Hornsby, guest author, from the United Kingdom.  We think you will enjoy reading his version of the importance that information signs play:

The home and the workplace can be a dangerous place. But one thing you can do to make these places less hazardous is by making sure you have the right equipment and information signs in place. Here are 10 spots you might want to consider: 

THE COOKER

 

Of course, the kitchen is one of the most dangerous places you’ll find in the home. Therefore it can be wise to make sure you have fire extinguishers, blankets and fire safety signs near to your oven, hob and grill.

 

NEXT TO YOUR FIRE EXTINGUISHER

 

It’s important to have fire extinguishers around the home or at work, but if you don’t know what purpose they are to be used for, it makes them less effective. Information signs can let people know exactly type of extinguishers are available so they can more safely put out a fire if they need to.

 

AROUND CABLES AND WIRES

 

This is particularly a problem for offices – as phone lines, computers, printers and internet connections all come with their own set of cables and wires. In addition to cable tidies, you should also consider simple warning signs to stop people from tripping over them.

 

IN ROOMS WITH VINYL OR TILED FLOORS

 

Sure, it’s the name of a Bon Jovi album, but ‘Slippery When Wet’ is also a handy piece of information to have in a kitchen, bathroom or anywhere where there is a vinyl or tiled floor. Simple slips and falls can cause serious injuries, so protect against them.

 

AROUND FIRST AID POINTS

 

Should someone have an accident, you want to know that they are able to get the attention they need as soon as possible. So let them know where there is an appointed first aider or kit with first aid signs to guide them.

 

AT FIRE EXITS

 

Getting people out of the building quickly when there is an emergency is already something of a challenge, but if you are able to make people aware of fire exits in advance with the right fire exit signage, you could be giving yourself valuable extra time.

 

AROUND RECYLING POINTS

 

More people are keen to make sure they are recycling to help protect the planet. But you need to make sure people know where they can easily place their plastic, paper and cans – so putting up recycling signs is a great idea.

 

STAFF ONLY/PRIVATE MEETINGS

 

More for the workplace than the home, there will inevitably be areas you don’t want the public to roam. A simple no entry sign will keep people from dangerous areas or places that are only meant for authorized staff.

 

OVER DOOR FRAMES

 

All buildings are different – and some have ceilings and doorways that can be hazardous to those over a certain height! A head injury can be nasty, so simply putting up a sign alerting people could be useful.

 

AROUND SMALL STEPS

Just like low ceilings and doorways, small steps can surprise people and cause accidents. However, putting down some trip hazard signs around them is an easy way to help stop this.

 

Thanks, Matt, for this interesting information.  I am not sure what a “hob” is, but would like to know!  We are very fortunate to have friends like you who will share their knowledge with our readers.  Please let us hear from you again.  You may read more from Matt’s website at: whatishealthandsafety.co.uk

Fall Safety, General Safety Issues, Hand Protection, Head Protection, Respiratory Safety

PROTECTING WORKERS’ SAFETY & HEALTH DURING RESCUE AND RECOVERY, PART II

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Rescue workers and emergency responders never know what type of hazards they may face, depending on the particular type of disaster that occurs.  We began listing general precautions that they should take in Part I of this article.  Although we know that they are prepared for all types of emergencies, we want to share this information in hopes that it will be of assistance. 

Rescue workers and emergency responders will more than likely be exposed to blood or body fluids, or pathogens from sewer system breakage.  It is very important that they wear gloves, other protective clothing, and respiratory protection.  Decontamination of workers and equipment (P.P.E.),  before leaving the site is very important to prevent adverse health effects, contain any hazards to the site, and prevent secondary contamination of off-site facilities (e.g., fire stations, or workers’ homes) or additional equipment, such as ambulances.  Slips, trips and fall hazards from holes or protruding rebar may exist.  Fall protection equipment, with lifelines tied off to suitable anchorage points (e.g., bucket trucks) should be used whenever possible.  Hardhats should be worn when working around unstable structures where there is a potential for secondary collapse.  Also, there could be types of over-hanging debris that could fall on workers. 

In Part I, the use of respiratory protection was mentioned.  N-95 or greater respiratory protection is acceptable for most activities with dust exposure, including silica and cement dust.  Use full-face respirators with P-100 organic vapor-acid gas combination cartridges if airborne contaminants are causing eye irritation.  

Workers should be monitored for signs of heat/cold stress, such as altered vital signs, confusion, excessive sweating, and fatigue.  Work schedules should be adjusted to rotate personnel, and additional workers should be added to work teams.  Everyone should refrain from food and beverages in areas exposed to toxic materials. 

Because so many disasters have already occurred this year, it is important to know that when large-scale disasters overwhelm State and local assets, the National Response Framework (NRF) Worker Safety and Health Support Annex can provide technical assistance needed to help protect Federal, State, Tribal, and local organizations’ response and recovery workers.  According to OSHA, depending on the scope, complexity, and hazards associated with the incident services of the NRF include the following: 

  1. Identifying and assessing worker health and safety hazards present at the site and in the environment.
  2. Assessing the resources needed to protect workers and identifying sources available to meet those needs.
  3. Providing technical expertise in industrial hygiene, occupational safety and health, structural collapse engineering, safety engineering, radiation safety, biological and chemical agent response, and occupational medicine.
  4. Managing the creation and implementation of a site-specific health and safety plan (HASP).
  5. Monitoring and managing worker safety and health hazards through on-site identification, evaluation, analysis, and mitigation, including personal exposure monitoring.
  6. Providing assistance with developing, implementing, and monitoring the personal protective equipment (PPE) program, including the selection, use and decontamination of PPE.
  7. Coordinating the collection and management of exposure and accident/injury data to identify trends and facilitate data sharing.
  8. Coordinating and providing incident-specific response and recovery worker training.
  9. Assisting with the development and distribution of educational materials on preventing and mitigating hazards. 

Although we wish that this year’s disasters were over, it is only May, and there are seven months left in this year.  We know that thunderstorm season is here, as well as flooding disasters, with hurricane season not too far behind.  We owe our thanks to those emergency workers who stand by, prepared to serve whenever and wherever needed. 

Source: OSHA

General Safety Issues, Health Issues

PROTECTING WORKERS’ SAFETY AND HEALTH DURING RESCUE AND RECOVERY – PART I

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Rescue workers and emergency responders are the first to arrive on the scene following a catastrophe, and often it is in unfamiliar surroundings and adverse weather conditions.  Rescue workers and emergency responders are ready to save lives and secure the environment to help protect the lives of those to follow.  Operations that they may be involved in include victim rescue or body recovery around piles of rubble and other debris, collapsed structures or near structural steel.  Hazards may exist at every twist and turn.  Many times, utility services are damaged, including downed electrical cables, overhead power lines, broken gas lines, compressed gas cylinders, or broken steam or water mains.  There may be piles of construction and all types of debris that workers are exposed to.  Service personnel from utility companies should be in charge of restoring power. 

Respiratory protection is very important to combat effects from breathing dust and hazardous atmospheres which may contain some, or all, of the following: freon, carbon monoxide, asbestos, carbon dioxide, hydrogen sulfide, ammonia, welding gases, airborne smoke and dust, and/or flying debris.  Respiratory assistance is also needed when entering confined spaces with limited openings from entry or exits.  If working in confined spaces, be sure that at least one person remains outside the space to monitor operations and can assist in an evacuation if necessary.  Rescue equipment and reliable communications, along with functioning alarm systems, are imperative in this type of situation. 

Hearing protection is necessary because of excessive noise from heavy equipment, rescue/ventilation, tools and generators that are used in these processes.  When heavy equipment is being operated, a spotter should be close by each piece of heavy equipment to protect rescue workers.  Workers should wear high-visibility safety vests to ensure that they are identifiable by other rescue and support workers.  Footwear should protect against sharp debris.  Safety glasses with side shields, at a minimum, are also necessary items of Personal Protective Equipment. 

Hand protection, of course, should always be worn, as there will be many potentially infectious materials present.  Sometimes it is important to use latex or nitrile gloves under heavy-duty gloves, which will protect the wearer from puncture wounds, cuts, or injuries that break the skin.  A combination of a cut-proof inner layer glove and a latex or similar outer layer is preferable. 

We will conclude with Part II of this article tomorrow.  There are other potential hazards and suggestions for safety that we want to pass on to you.  Our rescue, recovery, and emergency personnel are highly trained professionals and volunteers, and we feel it is important that the general public knows what they face during these trying times. 

Source: OSHA

 

 

 

General Safety Issues

THIS IS NATIONAL EMERGENCY SERVICES WEEK!

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Between May 15th through May 21st, communities and medical personnel come together to publicize safety and honor the dedication of those who provide the day-to-day life saving of emergency medicine’s “front line.”  May 18th is a day set aside as Emergency Medical Services for Children (EMSC) Day.  FEMA regional Administrator Ken Murphy states that this is all about celebrating EMS providers – first responders, hospitals, emergency physicians and public health providers, with this year’s theme, “Everyday Heroes.” 

We citizens may take this front line of emergency medicine for granted, not fully understanding how much training and preparation has to be done to take care of us in an emergency situation.  Ambulances with trained staff, as well as our fire departments, police, and other agencies are on location quickly.  Some EMT’s and paramedics work with airplane and helicopter transports and are highly trained to keep patients stable until they reach a trauma unit for further care.  First responders serve not only those in cities and communities, but are stationed at remote sites such as offshore oil rigs.  They offer stand-by services at events such as concerts and ballgames.  Paramedics teach first aid courses to both company employees and individuals.  This enables all of us to be better prepared in times of emergencies. 

Our lives often depend on the quick reaction and competent care of emergency medical technicians (EMT’s) and paramedics.  These professionals see various types of injuries, resulting from heart attacks, slips and falls, automobile accidents or gunshot wounds, requiring immediate medical attention.  EMT’s and paramedics assess the nature of the patient’s condition, and determine what emergency care is needed while they transport the patient to a medical facility.  

The EMT-Basic represents the first level of the emergency medical team.  He/she is prepared through training to care for patients at the scene of an accident and while transporting patients by ambulance to the hospital under the direction of more highly trained medical personnel.  They have the skills to assess a patient’s condition and manage respiratory, cardiac and trauma emergencies.  These EMT-Basics know how to use and maintain common emergency equipment, such as backboards, suction devices, splints, oxygen delivery systems, and stretchers.  Once they have graduated from approved training programs, they must pass a written and practical examination administered by the State licensing agency or the NREMT. 

The EMT-Intermediate level has training requirements that vary by state.  Typically, this level requires 30 to 350 hours of training based on scope of practice.  They learn advanced skills such as the use of advanced airway devices, intravenous fluids, and some medications. 

Paramedic is the most advanced level of training for this occupation.  This level of caregiver has received training in anatomy and physiology, as well as advanced medical skills.  This training is most commonly conducted in community colleges and technical schools, which may result in an associate degree.  These programs may take up to one to two years.  Paramedics may become supervisors, managers, administrative directors, or executive directors of emergency services.  Some EMT’s and paramedics become instructors, or physician assistants.  

Hopefully, this week, you will stop and think about the important role our emergency medical providers play in our lives.  These folks are required to do much kneeling, bending and heavy lifting.  They are at a higher risk for contacting illnesses or experiencing injuries on the job.  Many times, they work long hours, and the work is not only strenuous but can be very stressful.  Their services are required 24 hours per day, 7 days per week.  When you get a chance, say “Thank You” to a first responder for what they do. 

This article is dedicated to David, our son-in-law, who has been a Paramedic for years.  He was an executive director of pre-hospital services for a large Texas hospital prior to starting his own medical transport service.  A very knowledgeable and caring person, he truly is an “Everyday Hero.”