I agree with Dr. Norwood. As an old EMT, we practiced, practiced, practiced until you responded automatically. To this day, if someone utters the phrase "Annie, Annie, are you ok?" it still triggers the CPR response in me ("You, go call 911", look, listen, feel...). It became second nature to respond appropriately. But the issue is, how do we get our customers (scientist, etc) to practice their emergency response procedures enough so that they will do the right thing when flustered, excited, scared or dazed? I like the idea of good simulations such as the demo that a mid-Western college used to do of a burning dorm room or real-fire fire extinguisher training. Hands on training beats classroom training anytime. But my audience (pharma R&D) doesn't want to take the time for such things. They just want to do the minimum to fill the requirement so they can get back to work. Online training is more popular than classroom now, because it takes less time. But we lose the opportunity for greater influencing. If anyone has a solution for making safety training as realistic as possible and personal, that can be scaled to many varied students, I'll nominate them for a Nobel prize. -----Original Message----- From: DCHAS-L Discussion List [mailto:DCHAS-L**At_Symbol_Here**list.uvm.edu] On Behalf Of Norwood, Brad Sent: Tuesday, June 28, 2011 9:03 AM To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU Subject: Re: [DCHAS-L] Boston College incident follow up All, While there is *some* evidence that communication/culture barriers or differences *might* have played a role here, in my mind the fundamental issue is training. Please understand - I am not harping on BC's training in particular, but EVERY training program - except one - of which I've ever been a part. The fundamental truth is that when we get in a panic/emergency situation, if this is the first time we've ever really thought about what we would do we will almost inevitably do the wrong thing. This brings me to the ONE training program that I've been involved in that (IMO) got things very nearly totally correct. Prepare to groan. The United States Navy (other branches may have similar systems, but after 20 years active and reserve, the Navy's is the one I'm familiar with). Emergency training in the Navy is focused on: 1) Simulation of actual events that have happened elsewhere (i.e. "We know what they did, but what would you do?") 2) Realistic scenarios of desperate (and, sometimes not so desperate) casualties 3) Careful (if primitive) simulation of adverse conditions. Are you fighting a fire? Then smoke will obscure your view if it takes too long (and we would get green translucent plastic placed over the face shields of our Emergency Air Breather masks, and have to continue fighting the fire until it was out and the space was ventilated). 4) Repetition, repetition, repetition. 5) Review and discussion of how the responders handled the situation - what they did right, what they did wrong. In some cases, we turned right around and repeated the drill if it was determined (in the oh-so-subjective opinion of the Executive Officer) that the way the casualty was handled might have led to loss of life or even the entire boat (submarine). Our saying was, you fight like you train. This is true in warfare, but the focus was getting people "comfortable" with the emergency situation so that in the shock of a real casualty, we would switch into automatic mode and do things the way we had been trained. Ms. Cho was probably so flummoxed and surprised by what happened, that she defaulted to "I will go home and get my first aid kit". In the process of doing so, I'm also confident she walked past at least one other convenient first aid kit and a couple of phones on which she could have called for help (not to mention the cell phone that was undoubtedly in her pocket). I had a similar situation occur here at our lab, where *one month* after fire extinguisher training (putting out a real fire with a real fire extinguisher), we had a minor fire in an instrument. The technician ran right past the CO2 fire extinguisher to get some water to throw on this *electronic* device, thereby destroying a controller worth about $5K and a lost day of productivity. So, to sum up: Don't look for additional placards or signs by the phone or language/cultural training to fix this problem. The fundamental issue here is getting people to automatically think and act the way we need them to *in the moment of panic* when an actual accident occurs. This requires a far more realistic, frequent and site-specific kind of training. That also means that there is no "one size fits all" bureaucratic solution that should (or can) be imposed from above. WE are the answer. Just my $0.02 Dr. Bradley K. Norwood Arista Laboratories, Inc. 1941 Reymet Road Richmond, VA 23237 (804) 271-5572 brad.norwood**At_Symbol_Here**aristalabs.com ************** D i s c l a i m e r *************** This e-mail message is confidential and may contain legally privileged information. If you are not the intended recipient you should not read, copy, distribute, disclose or otherwise use the information in this e-mail. Please also telephone us (804-271-5572), or fax us (804-271-5594), immediately and delete the message from your system. E-mail may be susceptible to data corruption, interception and unauthorized amendment, and we do not accept liability to such corruption, interception or amendment or the consequences thereof. -----Original Message----- From: DCHAS-L Discussion List [mailto:DCHAS-L**At_Symbol_Here**list.uvm.edu] On Behalf Of Secretary, ACS Division of Chemical Health and Safety Sent: Tuesday, June 28, 2011 7:58 AM To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU Subject: [DCHAS-L] Boston College incident follow up Gail asked me to pass this along to the list as background for some of the discussion occurring here. I would also note that there is a lot of speculation about the event in the media and blog-world; a summary can be found at http://cenblog.org/the-safety-zone/2011/06/boston-college-student-injure d-in-lab-explosion/ - Ralph From: Gail HallDate: Jun 27 2011 The Chemistry Department and EHS at Boston College train every graduate student initially and annually to call Campus Safety in the event of an emergency. There are signs at every phone. There is even a question on the quiz that they have to take to get their keys. At the moment we are still collecting information and don't have a cause for the explosion or a reason that the student acted as she did. We seem to have had our share of learning opportunities in the past 18 months, and I will share our hypotheses and/or conclusions on this one when we have been able to fully research the matter. I hate to think I have enough material for an article in JCHAS, but it's beginning to look that way. In the meantime, if anyone has any ideas about sources of pictograms to help communicate certain things to students for whom English is the second language, we'd appreciate the information. Gail Gail Hall Director, EH&S Boston College gail.hall**At_Symbol_Here**bc.edu 617-552-0300
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