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A European code of good practice for hyperbaric oxygen by Working Group Safety of the COST Action B 14 Hyperbaric

By Working Group Safety of the COST Action B 14 Hyperbaric Oxygen Therapy

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Proper markings are needed showing gas circuits and functions of valves as well as their position. When video screen are used, their location and brightness should be controlled. Communication system should have a back-up arrangement, and the quality of microphones and speakers in the chambers should be of good quality, a permanent listening capability for the lock attendant is needed. A telephone line in connection with the telephone control panel of the building should be available at the position of the lock attendant Noise level due to decompression of gases should be removed from the place by proper piping and silencers.

Air compression Failure on compression system: too fast, too slow, not enough, no compression Overpressure, X X Unable to complete therapies, injury, Barotrauma / Heat Cylinder storage HP gas Lack of volume / size Unable to complete X X therapies if power cut Cylinder storage LP gas Lack of volume / size Unable to complete X X therapies if power cut Pipework gases for Reducers 2, 3, 5 all Inadequate / size / Unable to carry on X X X 4 pressure rating / material treatment / injury damage/ explosion Failure open / free-flow Damage to pressure X X X 4 vessels / explosion / rupture Air decompression Heating /Cooling Failure on decompression, Too slow, too fast, no decompression Not adequate, failure, Inadequate size / not protected / not well placed to avoid pocketing of 02 Insufficient / poor Humidification Incorrect levels Air ventilation DCI, X X 5 increase, Fire X X X 5 FO2 danger, Hyperoxia, Noise / unnecessary ventilation / suction injury / blockage Inability to complete X X 4 treatments safely Static/Sparks/ /Shocks/Comfort Fire X X X Distribution of Not adequate, failure, Fire danger, Hyperoxia therapeutic gas leak O2 inside chamber X X X 3 Self contained Not Operators unable to X X X Breathing available/malfunction/ stay to assist in the Apparatus (SCBA) Staff not trained in its emergency evacuation use.

Example: hospital wheel chairs should be greased with non burning grease, private wheel chairs have to be left outside, ... Any new item to be entered into the chamber should be controlled by a competent person who will sign an authorization to use under pressure, eventually in association with special recommendations or safety rules when applicable and after questioning the manufacturer. 3 - Maintenance Program * Schedule for maintenance operations In the instruction manual provided by the manufacturer of the installation, there should be proper guidelines for the maintenance schedule.

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