Chapter 10 First Aid

Hi Welcome to the Grower Pesticide
Safety Course. This is Chapter 10, First-Aid. Chapter 10 starts on page 113
of the manual. There are 12 slides in this presentation and it will take us
about 10 minutes to review. By the end of this lesson you should, be able to
identify the Ontario Poison Centre phone number, described the first-aid treatment
for the four routes of pesticide exposure, skin, eyes, lungs, and mouth, discuss ways
to be prepared in case of a pesticide exposure, and list items to include in a
first aid kit. Read the label. Would you and your co-workers know how to respond
to a health emergency with the pesticide? In spite of all precautions, an
unintended incident with a pesticide could happen. Learn the signs of
pesticide poisoning and know what to do. In an emergency, remember that the symptoms
of a pesticide poisoning can look like the flu or heat exhaustion. If
someone has been working with pesticides and you see any possible symptoms that
could be related to working with pesticides, take emergency action
immediately. And it’s better to be safe than sorry.
Read the first aid section of the label. Show someone else the product
label before you use the pesticide. Tell that person where you will be spraying
and when to expect you back. They will be the person that will probably need to
respond if you have an accident. Take the label or container with you if
you have a poisoning casualty that needs medical attention.
So again, advise the person you’ve just talked to, but if they need to respond to
an incident that happens when you’re using pesticides, to take the label or
container with them to the hospital. And then give the label or container to the
emergency personnel. Ontario Poison Centre is available 24 hours a day seven
days a week. And it has toll-free number, 1-800-268-9017 and this group is staffed by registered nurses and
pharmacists and doctors who are available by telephone and they can
provide expert advice to all types of poisonings including pesticide
poisonings. The poison centre will guide you in the treatment. Immediately you’ll
have them on the phone and refer you to to further medical help if needed. They
may decide and help you decide whether you need to transport the person in an
ambulance, and they will pass on information about the product to the
paramedics or to your hospital. And once you’re in transit to the hospital they
can provide that hospital information that you’re on your way and more
information about the pesticide. We’re going to talk about first aid treatment
for pesticide incidents and we’ve got one, two, three, four, five, six, seven, eight
basic, main actions that you would take in a first response. Always protect
yourself from injury first. And the first aid responders tell me the best thing to
do is put on gloves. If you have nitrile gloves, a box of nitrile gloves, and
they’re around the farm or in the house, grab them. Next to the first-aid kit is
another good place to have your nitrile gloves ready and put them on first
before you respond to a casualty that needs help. You want to make sure that
you’re not going to be another casualty. You would look at the scene, make sure
that it is safe to enter. If it’s an enclosed space like a greenhouse or
perhaps a mushroom house, make sure that it’s ventilated well, maybe a respirator
would be needed, but check the scene to make sure you’re able to go in and help. Call 911 or shout to someone to call 9-1-1 while you’re responding. Check to
see if the casualty is breathing, first-aid as needed, so breathing first,
airway, and check that breathing. Stop the
exposure to the pesticide if there’s something leaking or the tank is still
running, nozzles are still running, stop exposure, assess the risk. You might want
to talk to the Ontario Poison Centre with that phone number I just mentioned.
You can give them some details there, immediately there, before the other
responders might have a chance to arrive. Start first aid treatment for the route
of entry so you’re checking whether it went through the lungs, mouth, was it a
dermal exposure, and then follow through on first aid for that, and make sure that
the casualty gets professional medical attention. So you’ll
you’ll want to follow up for sure. So those are the eight basic things you’ll
follow through in, probably in short order if you’ve come across someone
who’s been poisoned by the pesticide. Now once the first responders arrive or if you
are transporting the person to emergency then they’ll need some information and
it’s always good to think about this information ahead of time and be
prepared. So the product name plus that registration number. If you have the
label, even better, take the label ,you don’t want to take the pesticide into
the hospital, but certainly the label from the container. Active ingredients, so
again, the label will have that but if you don’t have the label, do you know
what the active ingredients were in the concentration. Again, the route of
exposure, the amount of exposure, the time, how much time has passed since you
responded and can you estimate that. What symptoms are you seeing? Can you describe
them: the name, age, weight, of the casualty,
contact information, so your cell phone number. You’ll need to know the location
of the farm, where it happened, that’s always sometimes not so
descriptive but if you had they road and 9-1-1 number that helps and the
first-aid treatment — what have you done so far. Now a few of the first-aid
actions that you will take. If the pesticide was inhaled, of course, first
get that casualty, once you’re protected yourself,
gloves are on, maybe a respirator, move that casualty to fresh air. Do not enter the
area if it will be hazardous to you. If the person is not breathing, breathing,
start CPR. Call 9-1-1, loosen tight clothing. You’re going to remove the
pesticide contaminated clothing. If the pesticide contacts the eyes, again, we
want to rinse those eyelids right away. If the eyes are open, great, wash the eyes
with large amounts of clean, cool running water. Don’t pry the eyes open. Let them
come open naturally. Wash for 15 minutes and more, and you’re contacting the
Ontario Poison Centre for the person at the same time. If the pesticide contacts
the skin, you want to remove the contaminated clothing, rinse the skin
with plenty of cool water. Wash skin, hair, nails, underneath the nails, with soap and
water. Keep washing for 50 minutes. Wrap in a blanket. Contact the Ontario Poison
Centre while you’re following through on this or someone else can, who’s there to
help, and watch for signs of an allergic reaction. So redness, hives, something
happening with the skin. For chemical burns on skin, remove the chemical
immediately to stop the burning. Brush dry chemicals off the skin. If it’s a
liquid chemical then you’re going to rinse that with large amounts of water. Keep rinsing, removing clothing but don’t force clothing that may be stuck
to the skin. Continue to pour water over the area. Cover with a clean cloth and
then you’re going for medical attention. If the pesticide entered the mouth, not
swallowed, so it hasn’t been swallowed, its in the mouth, possibly as splashes come up
underneath the face shield, call the Ontario Poison Centre. Say that this
person has particular product in their mouth. the casualty is conscious. You want
to rinse and rinse and rinse and rinse with large quantities of water, wipe the
mouth, brush the teeth. If the pesticide was swallowed, you’re going to call the
Ontario Poison Centre immediately again but never try to induce vomiting unless
told to do so by the medical personnel. And sometimes
pesticides on the way back up can cause damage, so you don’t want to increase the
damage that’s going to happen. Best to get medical help and wait until you know
it’s safe with that particular product if vomiting is required. So again, I
review the first-aid treatment for pesticide incidents. Those 1 to 8 actions
that you’re going to take away with you. Just read them over and review them in
your manual. The best thing to do is to take a first-aid course. First-aid needs
to be renewed, and CPR, every three years, so keep someone on the farm always
current with their first aid and CPR. And post that person’s name on your safety
board so that people know, and even more than one person so that there’s always
someone on site that has a first-aid course.