First Aid and Burns

The correct and established treatment for burns is

“.. to hold the burn under cool running water for at least 20 minutes”.

This reduces the continuing damage generated by burning tissue.  

This has been the advice for decades and was recently reemphasised by the Victorian Government.  So why are burn creams still on the market?  

Perhaps there is a place  for burn creams – when 20 minutes’ supply of cool running water is not available.

In December 2008, the Australian Defence Forces used burn cream.  According to a media release

The ADF has been advised that four Iraqi civilian vehicles were damaged and two Iraqi men received superficial burns to their hands when they reportedly attempted to remove hot debris from their cars.

The Iraqi men were treated at the scene by Coalition Forces with burn cream.

Child Safety Australia recommends burn cream in a domestic first aid kit for the treatment of blisters.

The Australian Red Cross are emphatic, but allow room to move:

“NEVER use burn cream as an initial treatment.  This should only be used a doctor’s recommendation.”

In 2003 (reference not publicly available), the Mayo Clinic in Rochester advised the following first aid treatments for burns

  • With chemical burns, make sure the chemical and any clothing or jewelry in contact with the chemical are removed.
  • Cool the burn under running water long enough to reduce the pain, usually 15 to 20 minutes. If this isn’t possible, immerse the burn in cold water or cover with cold compresses. Don’t put ice directly on the burn. Ice can cause frostbite and further damage.
  • Once the burn is cooled, apply a lotion or moisturizer to soothe the area and prevent dryness. Don’t apply butter. It holds heat in the tissues and may cause more damage.
  • Cover the burn with a sterile gauze bandage. Wrap loosely. Bandaging keeps air off the burn and reduces the pain.
  • Take an over-the-counter pain medication unless your doctor has told you to avoid these medications.
  • Don’t break blisters. If the blister is broken, wash with antibacterial soap and water, apply an antibiotic ointment and bandage.

No mention of burn cream and only an antibiotic cream in relation to blisters.

Safety professionals seek evidence, from which solid and valid decisions can be made.  Why then does the initial treatment of burns have such a variety of advice? Can we simply put it down to the commercial desires of cream manufacturers? Or the  lack of  explanation from the defence forces?

I am old enough to have experienced my mother applying butter to my burns.  We have had generational change in this treatment but how much more change would have occurred if workplace first aiders, and parents, had not had burn creams advocated as a legitimate first aid treatment?

Kevin Jones

New evidence of the risks of using glyphosate

RoundUp and other glyphosate products are herbicides used domestically and commercially.  New evidence supports the calls by the Institute of Science in Society for a ban on the use of these products. 

Scientists pinpoint how very low concentrations of the herbicide and other chemicals in Roundup formulations kill human cells, strengthening the case for phasing them out, and banning all further releases of Roundup-tolerant GM crops

Research that shows an alternate perspective is available through Monsanto’s website.

This type of opinion or science war makes it very difficult for safety professionals to determine appropriate control measures when the evidence fluctuates however, as ever, protect to the lowest common denominator and eliminate the hazard wherever possible.

Union influence on OHS – interview with Professor Michael Quinlan

Professor Michael Quinlan of the University of New South Wales believes that the influence of Australian trade unions in improving OHS conditions should not be underestimated or past achievements, forgotten.  

In talking with Kevin Jones in a recent podcast, Quinlan said that the persistent accusation of unions using OHS as an industrial relations tool is “largely an ideological beat-up”.  Although he does believe that Australian trade unions have not pursued workplace hazards to the extent they should have, even with the impeding launch of a campaign on cancers. 

Professor Quinlan mentioned that

“most health and safety management systems are, in fact, largely management safety systems.  They not deal a lot with health….. Their KPIs [Key Performance Indicators] are always expressed in terms of zero-injuries or zero-harm.”

 He also emphasised that that more Australian workers are killed as a result of occupational disease than injury.

He also addresses the growing demand for occupational health and safety regulation to move from industrial relations to the area of health.  Quinlan believes this will never happen because matters to do with employment, organisational restructuring and others have an OHS impact.  He says that running OHS as “an entirely separate agenda…is intellectually and factually flawed.”

Quinlan acknowledges the argument that Robens-style legislation was relevant for the time and where union-presence persists but he said

“where you don’t have effective or worker input, you will have serious problems with health and safety”.

He reminded us that Roben’s also advocated self-regulation, a concept of which there is now great suspicion in a range of business areas.

Quinlan spoke highly of some of the initiatives of OHS regulation, for instance, the adaptation of the inspectorate to duty-of-care matters and a broader operational brief. He also said that the current OHS legislation in Australia “is the best we’ve ever had” and believes some of the recent criticism needs to be supported by evidence.  Also none of the critics have proposed a viable alternative.

Professor Quinlan is a keynote speaker on Day 3 of the Safety In Action conference.

Kevin Jones

Note: the author assists the Safety Institute in the promotion of the Safety in Action conferences.

Eliminate the hazards

The first control measure on the “hierarchy of controls” is to eliminate the hazard.  OHS consultants and professionals should always consider ways to achieve this.  It may prove to be impractical, or politically unpopular, but it should always be discussed or recommended.  Reports and submissions that do not consider this control measure can be considered invalid.

In late-January 2009, the organic farmers in Australia reminded the media that its farming members are developing a safer industry for the customer and the producer.  This industry has boomed in Australia since the 1970’s in as a result of a desire and commitment to “eliminate the hazard”.

Interviews conducted by Biological Farmers of Australia (BFA) to help  discover why producers ‘go organic’ reveal a high number of farmers consider the switch for the health of themselves and their families.

Rob Bauer (Bauers Organic Farm, Qld), one of Australia’s largest organic horticultural growers, says he turned to organic farming 27 ago after farmers in his area became ill with cancer.

He says he wanted to decrease health risks associated with synthetic farm chemicals.

“I started thinking about farming differently after growing up in the Lockyer Valley (Qld) where friends and family passed away in their fifties after years of intensive agrichemical production.”

He says neurological problems, tumours, and cancer were among the chronic diseases he watched take their toll on his local farming community.

“I wasn’t comfortable with producing food using harsh farm chemicals for consumers,” he says.

Steve Skopilianos, commercial lettuce producer from Ladybird Organics in Keilor (Vic) looked into organics when he started a family.

“We had been applying pesticide blends with no understanding of their effect on people and employees.  There were times prior to organic conversion where I would not take my own produce home for my family to eat.”

Biodynamic producers of macadamias are happy to avoid high levels of agrichemicals typically used on the nuts.

“Working without a high exposure to synthetic chemical farm products is a weight off your mind,” says Marco Bobbert, from Wodonga Park Fruit and Nuts macadamia plantation (Qld), certified biodynamic since 1987.

He says direct chemical exposure could easily occur on conventional farms from accidents in production. “All it takes is a broken spray pipe.”

He says it is not just organic farmers who are concerned – “All farmers try to minimise their contact with chemicals on-farm. But organic production actively works toward negating that risk”.

Research has shown there is good reason for producers’ concern – a high exposure to some farm chemicals can lead to major health problems.

Particularly problematic substances include organophosphate insecticides and pesticides, which have been connected to several types of cancer, sterility and cognitive deficits (1).

The agrichemical endosulfan is one example of a highly toxic  organochlorine cyclodiene) insecticide still in use in Australia.

1. (1) Ciesielski, S, Loomis, D, Rupp Mims, S, Auer, A, Pesticide Exposures, Cholinesterase Depression, and Symptoms among North Carolina Migrant Farmworkers; American Journal of Public Health, 1994.

How to talk safety

Safety advocates often say that safety begins at the top.  Yet few CEO’s will talk overtly and publicly about safety to the extent that Janet Holmes a Court has in Australia.  Janet is a rarity but John Bresland of the United States Chemical Safety Board is making a good attempt through YouTube technology.

In January 2009, Bresland has produced on of CSB’s “safety messages” and, he is not afraid to criticise his political colleagues.

In the latest safety message he criticises those American states who do not allow state employees to be covered by federal OHS legislation and he uses an actual fatality incident to make the point very clear.

For those outside of the US, the video is a good example of a safety advocate putting his face out there and broadcasting about safety to his constituents and interested parties.  Political criticism is seen as valid in this case due to Bresland pointing out an anomaly and showing how an anomaly can kill, injure and maim.

Too many senior executives and professional associations are scared of making political statements even though they support the mission statement of their organisation.  This is an immature position based on insecurity – a quality that should have no place in the coordination of corporations and professional bodies.

Branding is a worthwhile process but it will only succeed if what is being promoted has substance.  The Chemical Safety Bureau has been a solid platform for education and safety improvement for years and deserves support by OHS professionals learning the lessons being shared and displayed.

Kevin Jones

Possible cancer cluster at fish hatchery

For several weeks News Limited papers have reporting weird goings on around a fish hatchery in Queensland.  In a small area of Cooloothin Creek people living on properties neighbouring the Sunland Fish Hatchery have been noticing an increase in cancers.  The latest victim is a hatchery foreman who has been diagnosed with bowel cancer.

The issue has been bubbling along since a two-headed fish larva was discovered around 11 January 2009.  On 26 January 2009, the foreman has formally requested an investigation into a cancer cluster.  The 26 January quotes cancer expert, Bruce Armstrong.

Professor Armstrong said the fact there was more than one type of cancer would normally militate against a cluster. But the deaths and health problems among chickens, horses and dogs — as well as the fish — were extremely worrisome. “Clearly, there does seem to be an ecological issue here,” he said.

He suggested an investigation could help determine if the agrichemicals posed a threat to humans.

Local residents produced a video about the issue of crop spraying which is available on YouTube.

This current case will increase the pressure on government’s for increased regulation of farm chemicals and delivery systems.

UPDATE – 28 January 2009

Queensland’s Primary Industries and Fisheries Minister Tim Mulherin has established a taskforce to investigate the Noosa fish abnormalities.  It’s first meeting will be on 28 January 2009.

It includes private aquaculture veterinarian Dr Matt Landos, who says the available  evidence points to farm chemicals.

According to a ministerial media release Dr Landos said

“I am extremely pleased that the minister is keen to progress this issue and welcome the opportunity to work with the minister and the State Government. We need to consider interim alternative chemicals and farming practices in co-operation with macadamia farmers, to provide improved safety for aquatic animals and sustainable macadamia production.”

The ministerial release also said  that

“claims of a cancer cluster in the area are a matter for Queensland Health to consider.

Queensland Health has said the need for an investigation into an alleged cancer cluster will be determined once specific information is received from the community about their health concerns.”

SafetyAtWorkBlog will be following the taskforce’s progress.

Government report into plastics and chemicals

Australia’s Productivity Commission has released a report into the national regulation of plastics and chemicals.  The supplementary report has additional topicality as it is released a week before the Review Panel into Model OHS Law presents its report to the government.  The key points of the Productivity Commission report are

  • “The Productivity Commission has recently completed a research report on the regulation of chemicals and plastics in Australia. In most cases, national approaches to regulation were found to deliver significant benefits compared with each state and territory pursuing its own approach. This supplementary paper provides a more detailed examination of some of the features of these national arrangements.
  • National approaches to regulation should draw on the strengths of each level of government:
    • Commonwealth, state and territory governments acting together through Ministerial Councils or other forums can provide leadership and policy frameworks for national issues.
    • The Australian Government may be best placed to play a role in policy coordination, and to undertake national risk assessments.
    • State and territory governments are often best placed to enforce regulations and respond to the needs of sub-national constituencies.
  • Improvements in national consistency can be achieved through a range of mechanisms, including through jurisdictions:
    • adopting uniform regulations
    • harmonising key elements of their regulatory frameworks
    • mutually recognising other jurisdictions’ regulations.
  • In chemicals and plastics, the most common legislative mechanisms for achieving national consistency have been to use template or model legislation, regulations and codes of practice. The template and model approaches can be effective, but both have their weaknesses.
  • Because the process of developing and implementing nationally-consistent regulations can be costly and drawn out, reform should only be pursued where there are prospects of material net benefits.
  • In the past, the Commonwealth has provided incentives for state and territory governments to forgo some sovereignty so as to achieve the benefits of national consistency. This approach was effective in encouraging and enabling the reform process.”

The report recommends that national intergovernmental bodies set policy, the national government coordinates policy and the States enforce it.

The three mechanisms for consistency will be familiar to safety professionals and OHS advocates.

  • “adopting uniform regulations” – already being investigated through the national review panel
  • “harmonising key elements of their regulatory frameworks” –  this was flagged almost two decades ago by the National OHS Commission and work in some industrial and regulatory areas has been completed on this
  • “mutually recognising other jurisdictions’ regulations” – the east coast states have already achieved this with some of their licencing.  OHS regulators in New South Wales are already co-producing and co-badging OHS guidelines

Although the development and implementation of legislation should not be dictated to by economics, the review panel came about through a push to reduce red tape and business costs so it is unlikely that any suggestion that may increase cost to business will appear, particularly as the Prime Minister is reiterating the hard financial challenges we all face.

The risk in an approach where 

“reform should only be pursued where there are prospects of material net benefits”

is that important long-term improvements can be ignored or, worse, dismissed.

The last point above seems to support the recent statements by the Minister for Workplace Relations, Julia Gillard, on achieving trade-offs, some would say pay-offs, at state level in order to achieve change through the intergovernmental consultative structures.

It is important to note that the Productivity Commission’s report is not about OHS but industrial regulation.  The release of the Commission’s report is likely to be a coincidence but, for some sectors, it can be seen as preparatory for the OHS Law Review Panel’s final report.

Kevin Jones

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