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gilesdavis  
#1 Posted : 26 February 2014 09:50:18(UTC)
Rank: New forum user
gilesdavis

Hi All, We have an employee with a pacemaker (PM) and a client of ours has asked us for a risk assessment on his activities on their site with regards to potential effects to his PM and health. Having scoured the internet I can find little in the way of advice in how to compose an assessment and the degree of complexity required. Some PM FAQS Sheets appear to dismiss most workplaces as low risk unless there are specific equipment being operated while others quote the need to use the input from scientists, physicians and EMF workplace readings whilst making an assessment. Does anyone have any experience with this type of assessment and / or could anyone email me a template, form or other help so that I can make a decision whether we can do the assessment ourselves or we have to seek further professional advice? Kind regards Giles
A Kurdziel  
#2 Posted : 26 February 2014 10:13:41(UTC)
Rank: Super forum user
A Kurdziel

You really need to talk to the hospital that fitted that fitted the pace maker. They are the only people that will know what restrictions (if any) exist for that model of pacemaker. They also will also understand the medical history of the person wearing the pace maker. This is important since the same model of pacemaker might work differently in two different people. So there is no point trying to second guess the medical experts. That said the only really serious restriction I have every heard in relation to pace makers is powerful magnetic fields such as those produced by an NMR machine.
ExDeeps  
#3 Posted : 26 February 2014 10:23:20(UTC)
Rank: Super forum user
ExDeeps

Hi, As well as what AK has put in his reply you need to ask the client for a detailed list of hazards that they have on their site that pose a specific risk to the correct and/or safe operation of the pace maker. For instance, and I'm guessing here, HV equipment, large generators, electro magnets etc. some RF equipment. They may need to give you a lot of detail regarding voltage, frequency, magnetic flux strength (Forgotten what it's measured in) to compare against the technical spec of the specific PM your employee has. If no hazards specific to the pace maker exist the RA is pointless, Jim
John M  
#4 Posted : 26 February 2014 10:52:21(UTC)
Rank: Super forum user
John M

Do not under any circumstances apply a noise dosimeter to his/her body. There was an incident at the Samsung shipbuilding yard where I worked some years ago when such a device was fitted to the crane operator's torso so as to measure noise levels. He went home early complaining of pains in his chest - never to return. He died that evening. Although the post mortem revealed heart issues there was more than a whiff of acceleration associated with the dosi badge. Korean H&S law is not as challenging as UK - so the investigation here might be somewhat more difficult. Jon
gilesdavis  
#5 Posted : 26 February 2014 11:19:47(UTC)
Rank: New forum user
gilesdavis

Thanks for the advice :-)
Kate.  
#6 Posted : 26 February 2014 13:47:08(UTC)
Rank: Forum user
Kate.

You can get a device that measures electromagnetic fields that the person with the pacemaker can wear and will give them warning if they are in danger from them. It's hard to predict what the fields will be as there will be so many potential sources.
hilary  
#7 Posted : 27 February 2014 06:44:34(UTC)
Rank: Super forum user
hilary

We have looked at this as we use a lot of very strong rare earth magnets in our manufacturing processes and cannot allow people with pacemakers into that part of the factory as they can be reset to factory settings causing fibrillation, etc. Most of the information I found, however, was by searching "medical implants" rather than pacemakers. Happy hunting.
malcarleton  
#8 Posted : 11 March 2014 15:45:51(UTC)
Rank: Forum user
malcarleton

I found this post quite interesting, because some years ago I was diagnosed with an ectopic heart beat, I don't wear a PM or need any beta blockers or treatment but at the time it was a bit scarey. My symptoms only occurred when I was at rest, usually in bed at night when I would feel what I described to my GP (Senior Medical Officer as I was in the forces at the time) as a "Missed heartbeat", but what it actually was, was on occasions at rest my heart, while the right atrium was sucking blood in (To put it in basic terms) was getting a double electrical impulse from my brain and was doing it twice, hence the feeling of delay and release. After going for extensive cardio vascular and exercise intolerance tests which included wearing a heart monitor for 24 hours during which period it recorded 1000 ectopic beats, I was given a clean bill of health, no heart disease, no problem. It taught me a valuable lesson that your heart is a pump that beats any mechanical system hands down, it operates 24 hours a day at a phenomenal rate, it rarely breaks down during it life cycle and is low maintenance. So yes I guess you have to consider what electronics gismos you strap close to it. Congratulations for raising this post, it certainly made me think a bit.
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