Nebulisation
Hazard
Another
isolated incident has occurred in another part of the NHS. The purpose of
this bulletin is to bring it to the attention of staff.
Unleaded
petrol was substituted for Salbutamol Nebules whilst the patient was being
given oxygen driven nebulisation, and as one of the crew was smoking, an
explosion occurred.
This
resulted in the death of the patient.
Staff
should be aware that it is possible to put petrol in a nebulisation mask,
and whilst this and smoking are incompatible with current Protocols, it is
imperative that staff check to ensure that this does not occur.
There
is no clinical evidence available to suggest that Unleaded fuel would have
less detrimental side-effects than Four Star, stocks of which are being
withdrawn from sale after January 1st 2000, though you will get
more Premier Points at Argos
Training Bulletin 130 / 2000
Lampoon
Amateur Service No-one Trusts
Orcon House
Delay Street
Linktram
NE3 ULS
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