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"Hot water can burn like fire",

Steam Injuries in the Work Force

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Steam/Hot Water Cleaning

• Steam Burns• Steam burns occur when an individual is exposed to

excessive amounts of pressurized steam or hot liquid. Studies suggest that steam burns are most prevalent in industrial environments, and that the prevailing damage done is in the form of skin scalding, a specific type of burning that is caused by non-solid hot material.

• Burn injuries can forever alter life and livelihood of the victim, and, in many cases, the injury is born of another's negligence.

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We need to clean the rig – not injure the worker

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Treatment:

• Treatment: What To Do When a Burn OccursNo matter how diligent a person is in his or her efforts to prevent a hot water burn, sometimes burns occur anyway. In those cases, it is very important that a responsible adult knows how to handle the situation.

• If the burn seems minor in nature than hold the affected skin under a stream of cool running water for about 15 minutes and then apply a loose bandage. If the burn is on an infant or seems severe then call 911. While you are waiting for emergency services, try to regulate the victim’s temperature by adding or removing blankets, as needed. Also, try to elevate the burned area, if possible.

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What is a Scald Injury?

• A scald injury occurs…– When contact with hot liquid

or steam damages one or more layers of skin

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Superficial

Superficial partial-thickness

Deep partial-thickness

Full-thickness

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Scald Injury Severity Factors

• Length of contact with hot substance• Temperature of substance • Nature of substance– Is it thick or sticky? – Does it retain heat?

• Extent of body area scalded• Location of scald

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Tap Water Scald now imagine a steam injury on a rig

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Very painful, dry, red burns which blanch with pressure. They usually take 3 to 7 days

to heal without scarring. Also known as first-degree burns. The most common type

of first-degree burn is sunburn. First-degree burns are limited to the epidermis, or

upper layers of skin.

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What Temperature? How Long?

Temperature oC

Exposure Time

44 6 hours

49 9 minutes

51 2-6 minutes

52 2 minutes

55 20-30 seconds

60 5-6 seconds

66 2 seconds

70 1 second

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Very painful burns sensitive to temperature change and air exposure. More

commonly referred to as second-degree burns. Typically, they blister and are moist,

red, weeping burns which blanch with pressure. They heal in 7 to 21 days. Scarring

is usually confined to changes in skin pigment.

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Blistering or easily unroofed burns which are wet or waxy dry, and are painful to

pressure. Their color may range from patchy, cheesy white to red, and they do not

blanch with pressure. They take over 21 days to heal and scarring may be severe. It is

sometimes difficult to differentiate these burns from full-thickness burns.

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More than a permanent reminder

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Burns which cause the skin to be waxy white to a charred black and tend to be

painless. Healing is very slow, if at all, and may require skin grafting. Severe

scarring usually occurs.

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Emergency Care of Scald Injury

• Remove scald victim from source

• Remove all affected clothing,diapers, shoes, etc.

• Cool scalded area briefly with cool water

• Cover with clean, dry covering

• Do not apply creams, salves or ointments

• Call 9-1-1

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b. Check their Airway, Breathing and Circulation and if necessary begin CPR using an AED (Automatic External Defibrillator) if available and EMS is not present. If the victim is breathing, place them on their side to prevent airway obstruction.

c. Due to the possibility of vertebrae injury secondary to intense muscle contraction, you should use spinal injury precautions during resuscitation.

d. Elevate legs to 45 degrees if possible.e. Keep the victim warm until EMS arrives.

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All for a pay stub when safety was ignored

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Go ahead tell me again Why am I listening to safety