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What area is a high fire risk surgery?
head, neck, upper chest (above T5)
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What are the steps to reduce the likelihood of surgical fires?
- DDMMM
- 1) Determine the risk
- 2) Discuss with team
- 3) Minimize the concentration of oxidizer
- 4) Manage ignition sources
- 5) Manage fuels (skin prep, hair etc)
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What percent of surgical fires occur IN the patient? in the airway?
29%, 21%
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If administering open oxygen, what FiO2 should it be less than?
30%
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Is bipolar or mono polar electrocautery safer?
bipolar
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If performing electrosurgery, electrocautery, or laser surgery, what should you do if the O2 is > 30%
If possible, stop for 1 minute before use of igniter
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What are the 3 components of the Fire Triangle?
Oxidizer, igniter, fuel
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Where are the 3 locations of fires IN the patient?
airway, fiberoptic bronch, intraabd
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What are the 2 fires ON the patient?
drapes, surface fires fueled by oxygen
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How is oxygen an oxidizer?
it lowers the temps at which fuels will ignite
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How is nitrous oxide an oxidizer?
it supports combustion
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What % oxygen will red rubber ignite in?
17%
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What can you do to earlier detect ETT cuff leak?
fill cuff with colored saline
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