First aid box checklist ireland,lg l7,ford edge comparison motor trend q50,books on leadership for high school students - PDF Review

By Cynthia Ewer, Author ofCut the Clutter: A Simple Organization Plan for a Clean and Tidy HomeReady to Spring forward? Chances are, you'll have stepladders out to reach smoke detectors and clocks, so double up on safety (and energy savings) by checking light bulbs and light fixtures. Consider replacing conventional bulbs with energy-efficient compact fluorescent or LCD bulbs. Update phone numbers, addresses and contact information, and post an emergency information page near the phone.
Apart from the equipment referred to above, every Railway doctor should be provided with an emergency medical bag in which he can carry the injectables, pain relieving drugs and other medicines and dressings required in emergency. Note: All medical vehicles should be so built as there is no speed restriction when they are despatched to the site of accident. Note: (i) Staff should be properly trained and conversant with the methods of putting up shelters. In case where the site of accident is approachable by road, medical aid may be rushed more quickly and more conveniently by road than by train. Note: Change of classification of injuries may be necessary in the light of x-rays and other detailed findings after admission. Note: If an accident has occurred elsewhere and the injured are given attention in transit enroute, their full particulars without disturbing the dressing should be noted and sent to the medical officer in charge of the section. Medical Director should draw up a list of such private hospitals, bearing in mind the Railway or non-Railway hospitals in existence in the vicinity. Note: No statement with regard to number or nature of casualties should be given to members of public or press till all casualties have been reconciled and after ensuring that not a single case has escaped attention. Para 713, which should give the name and addresses of all persons injured, with details of injuries, and should state how each case has been disposed off.
Wherever an ambulance car is available, an alternate road vehicle of Railways may also be earmarked for use in case of contingencies of ambulance van not being able to proceed to the site of accident. Atypical Type A added this to Guest Picks: Cleaning EssentialsAugust 23, 2012After a long winter, it may look like a pharmacy has exploded in your home. Gather up those boxes of cold and flu tablets and jars of cough syrup and stash them away in this easy-to-identify box.
This is always preferable to prolonged detention and elaborate treatment at the site of accident as the time factor is of paramount importance in removing the injured persons to the nearest hospitals by the first available means of transport to enable all necessary medical aid to be rendered. If a Railway doctor happens to be on the spot of an accident, he can start relief work without waiting for the regular medical equipment to arrive. The function of the vehicle is to carry medical equipment to the site of accident so that prompt medical aid could be rendered and injured persons transported expeditiously to the nearest hospitals. The auxiliary van should have provision for emergency tools for extricating passengers from debris and should also carry adequate supply of drinking water and provision for tea, coffee and light refreshment to be served to affected passengers. Although the responsibility of placing of medical vehicle in a suitable position for taking it out quickly at a moments notice rests with the Operating and Mechanical departments, yet it is the duty of Medical department also to keep an eye on the position in which medical van is stabled. There should be one set of POMKA in Health units & polyclinics and two sets in sub- divisional hospitals. S.S and should be stored in portable boxes of suitable size and standard pattern as approved by the Chief Medical Director, on a raised concrete platform so that it's bottom does not touch the floor, in a separate room in or adjacent to the station building. The tablets and injectables provided in these boxes will be used by any qualified allopathic doctor who may be travelling in the train.
The size of these special boxes will be 46 cms in length, 30 cms in width, and 13 cms height and should be metallic one only. These boxes should be made of metal, preferably aluminium, with the lid fitting well down over the sides as to be dust proof, and should have a handle or a canvas strap arrangement for ease of carrying.
Even though no First aid box has been provided for the guards of the goods trains, the guards and drivers of such trains are expected to be trained in first aid, so that, life saving measures like stopping of hemorrhage and transport of case with fractured limbs can be undertaken at site.
The keys in both the cases should be suitably marked for identification, and will be kept in a glass fronted case, duly sealed by the Station Master or the Medical Officer in charge of the station where the vehicle is located, as the case may be, and is to be fixed in a prominent place in their respective offices. The entire scale II equipment will be kept in separate boxes in a room in or adjacent in the station building, which will be locked and provided with duplicate keys, one of which will be with the Station Master on duty and the other with the Medical Officer in charge.



A printed list of the contents of each of the boxes, almirahs, cupboards, cabinets, or shelves will be displayed outside of these, to indicate their contents. A printed list of the contents of each of the boxes will be affixed to the inside of the lid of the boxes to indicate the contents. After use, the equipment should be inspected by the medical officer in charge of the section and replenishment of all the consumed articles arranged immediately. A certificate to the effect that this has been done and that the equipment are according to the scales laid down should be submitted by the medical officer in charge of the section so as to reach the Medical Officer in charge of Division by the end of November and to the Chief Medical Director by the end of December. The electrical official must personally examine and similarly ensure and certify that the electrical portion of the auxiliary coaches and the electrical equipment in the main coach are in good working order. Endorsement of inspection of First aid boxes should be given in the notebook provided in those boxes.
Once a year Vaseline should be wiped off, the instrument cleaned with rag soaked in kerosene and fresh Vaseline applied. SS should maintain a list of all Railway and non railway medical institutions, private practitioners and first-aiders available in the neighborhood in the proforma as given in Annexure VIII -XI to this chapter.
A detailed road map for each division should therefore be obtained and kept framed in all Railway control offices.
These are of trivial nature and technically speaking should not be taken as "injured ' persons. Advice with regard to change of classification of injuries should be furnished to the Chief Medical Director as early as possible. When the Station Master on duty receives information that there has been a serious accident in his jurisdiction and the services of the medical department are necessary, he should immediately take action to send the accident relief medical equipment to the site of accident by the first available means of transport. Minor casualties should be directed to the first aid post and after necessary first aid treatment should be sent directly to the comfort and despatch post for disposal. No elaborate surgical treatment should be undertaken, but spot amputation of crushed and hanging limbs may be done. Necessary number of sweepers and bhisties may be obtained from the nearest Health Inspector.
The list of the injured with a description of their major injuries must be issued with the least possible delay. He should arrange to get particulars of all the injured cases including those attended by non-railway doctors and the names and addresses of such doctors for settling claims, if any, and for issuing letters of appreciation by the Chief Medical Director or the General Manager later. When a permanent Railway employee proceeds on transfer or leave, the attention of the relieving employee should be drawn by the relieved employee to these instructions and to his individual duties.
If necessary, arrangements should be made to summon medical aid from other Railway or non-railway sources. Payments to private hospitals under this para can be arranged locally by the Railways and the Ministry of Railways approval is not necessary. The detailed report should also give particulars of the cases attended by the non-railway doctors and the name and addresses of such doctors.
The details in regard to payment in such cases may be settled by the General Managers in consultation with their Financial Advisors & Chief Accounts Officers. If it is stabled in any manner likely to cause delay in it's movement in an emergency, it should at once be brought to the notice of official in charge for necessary action. The exact size and pattern of the boxes should be standardised by the Chief Medical Director.
These boxes should be the personal equipment of the guards and should be carried by them in their guard-boxes. The keys in both cases should be suitably marked for identification, and will be kept in glass fronted cases, duly sealed by the station master or the medical officer, as the case may be, and fixed in a prominent place in their respective offices. To enable this to be checked, the date of replacement should be clearly shown on the packages so replaced.
The drums should be of uniform size of 23-cm diameter and 23 cm height so that they can be sterilised in the single drum autoclaves normally available at almost all health units. Items like adrenaline and glucose should be replaced even earlier if they show signs of deterioration, like brown discolouration or deposits in injections of adrenaline and fungus growth, haziness or deposits in bottles and ampoules of glucose solution.


All rubber goods should be replaced from fresh hospital stock once a year, including rubber tourniquets when required. These should be replaced once in six months or earlier if they show signs of deterioration.
These lists should be exhibited in a conspicuous place in the office of the stationmaster at each station for the guidance of all concerned. Copies of these should also be available in all Railway hospitals, so that in case of need road ambulance vans can be rushed to the site directly from the Railway hospitals. If the equipment is being sent by the relief train, and the medical officer docs not arrive before the train is ready to start, the equipment should be sent with the train in charge of a responsible person, preferably one holding a first aid certificate.
Relief of pain and distress, correction of dehydration, restoration of blood volume and administration of oxygen etc., may be carried out where necessary. The aim should be to provide first aid with the least possible delay, and special attention should be paid to the treatment of shock, arrest of haemorrhage, splinting of fractures etc., where necessary. The hospitals to which the injured are being evacuated should be advised by quickest means regarding number and sex of the injured that are being sent to them. The Chief Medical Director should be kept informed of the exact position regarding the names and number of persons injured or dead, nature of casualties and the time of evacuation of the injured persons to hospital. The report should be submitted to the Chief Medical Director along with the injury reports on accident block forms for passengers and railway employees separately.
Generally there should be at least one scale II equipment stationed on either side of a scale T equipment so that in case of major accidents, at least one or the other can reach and be available at the site of accidents in quick time. It should have separate entry and exit one on either side, and it should be so situated as to facilitate easy loading of the boxes in train.
CMDs on the Railways will arrange to process procurement of these boxes through the Controller of Stores. To ensure that all staff required to attend in case of accidents are alert and are conversant with what they are expected to do at the time of accident, accident drill should be conducted once every three months, if there is no real accident within that quarter.
These items should be re-sterilised every month and the date of last sterilisation indicated. The road ambulance vans should be kept in proper working condition so that they are fit to undertake long journeys. This medical equipment will be placed at the disposal of any available medical man on the spot.
If the patient wishes to proceed home or to his destination, he should be allowed to do so, after taking down the particulars about him. Arrangements should thereafter be made to evacuate the seriously injured to the nearest hospital as expeditiously as possible. If the cases admitted are in a hospital in the section, a daily report must be sent of their progress in the first week, and at such intervals as asked for subsequently. For quick transporting, loading and unloading of the boxes containing scale II equipment, a wheelbarrow with handle should also be provided. All medical officers have full powers for replacement of any items that become due or any deficiencies that occur on attending an accident. The medical officer in charge of the section should periodically inspect the same to see that these are properly maintained and kept up to date. It is advisable that such cases be examined again after ten minutes before finally coming to the conclusion of their being dead or not.
Serious casualties should be transported to the nearest hospitals without delay by the first available means of transport.
To the extent found feasible, evacuation of such cases to a hospital should be in the direction that the injured person was proceeding.



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