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#1 Posted : 07 January 2005 15:09:00(UTC)
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Posted By Clare Haley Hi One of our first aiders has posed a tricky question. Hope you can help Would there ever be a case when you wouldn't treat a chemical splash to the eye with either water or an eye wash solution. Are there any chemicals that should be treated differently? Hope you can help C
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#2 Posted : 07 January 2005 15:31:00(UTC)
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Posted By J Knight Don't quote me on this, but since the eyeball is about 85% water, I would think that anything entering the eye which would react adversely with water (e.g. sodium) would do such damage as to make first aid irrigation reasonably academic (yeuk), John
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#3 Posted : 07 January 2005 16:08:00(UTC)
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Posted By John Webster The quantity of any chemical in the eye will always be small. Water will massively dilute it, so there will never be a danger from an adverse reaction. First aiders need to act fast. The delay caused by choosing a particular solution to rinse a specific chemical is just not worth it. If water doesn't work, it won't do any harm, and anything else really needs medical attention.
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#4 Posted : 07 January 2005 16:13:00(UTC)
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Posted By Merv Newman It's a long time since my St John's certificate expired, but the advice then was "water, water and lots of water. For at least 15 minutes" As John said, anything that will react with water will have already started reacting with the eyeball. Dilute it and wash it out.
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#5 Posted : 07 January 2005 18:44:00(UTC)
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Posted By Chris Pope Clare I guess I'm not the only one who finds the emergency action on most COSHH assessments rather repetative. On one MSDS for superglue, the one I did insisted that the patient should not have water administered - they should be taken straight to the hospital as in this case water acted as a catalyst speeding up the setting process.
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#6 Posted : 10 January 2005 14:51:00(UTC)
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Posted By Peter Rees I have to disagree with some of the previous responses within this thread:- Firstly, the primary reason for a First Aider is to prevent further loss of life or injury. Placing anything into the eye has the potential for reacting adversely with the said chemical. Secondly, having just completed my 4 day FA course, the policy given on this by the British Red Cross is not to use water or anything else - let an expert do it ie the local A+E!! Thirdly, check the chemical MSDS - this will explain exactly what can and can't be done. Hopefully the above will help your FAs to realise that they should not administer water to eyes unless they are absolutely sure that it is the correct treatment.
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#7 Posted : 10 January 2005 15:31:00(UTC)
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Posted By Kate Graham But Peter, the msds almost invariably says "irrigate". So do the Red Cross want you to ignore that?
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#8 Posted : 10 January 2005 16:02:00(UTC)
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Posted By Jane Blunt Here is a quotation from the most recent first aid manual, which is used by the Red Cross and St John: Page 200 of the 8th edition of the FA Manual states the following:- Aims To disperse the harmful chemical. To arrange transport to Hospital. COPIOUS volumes of water should be used to dilute and disperse the chemical and the irrigation should be at least 10 minutes. Page 199 indicates a minimum of 20 minutes irrigation for chemical contamination of other parts of the body. One of my colleagues is checking whether the National Policy of the British Red Cross has changed. I will report the result of his enquiry on this thread when I get it. Until then, I suggest that you use water and plenty of it. Whether it reacts with the chemical or catalyses some process to take place, the cooling and diluting effect of plenty of water must help to reduce the damage done. Jane
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#9 Posted : 10 January 2005 16:48:00(UTC)
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Posted By Jane Blunt I now have a response from the Red Cross. There is no change in the policy for treating chemicals in the eye. Water is the key first aid treatment and plenty of it. I have looked up a number of cyanoacrylate adhesives (superglues) via Google, and they all say that water should be used if the adhesive has been allowed to enter the eye. Jane
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#10 Posted : 11 January 2005 10:07:00(UTC)
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Posted By Clare Haley Thank you all for your help with this
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