Oxygen Safety Agreement
The installation of fire breaks, not only for oxygen concentrators, but for all cylinders and liquid oxygen. Smoking cessation in people who use oxygen at home is by far the best way to reduce deaths from domestic fires in this group of patients (and those who live around them). Medical staff should do everything in their development of skills to stop smokers before they start to oxygen at home. The last three categories are more likely to be reported, as legislation and reporting systems are generally put in place by oxygen providers, but the size of domestic fires and the smoke problem are largely underestimated, as smoking patients rarely report minor incidents because they feel they are held responsible for the incident. Health or oxygenation personnel often record signs of smoke damage and even burns to the patient. Fires burn more hotly and faster in oxygen-enriched atmospheres, so flammable things can normally ignite at lower temperatures. Materials from which oxygen cannulas are made, for example, can easily become flammable and cause serious injury, regardless of the toxic fumes they emit during combustion. Similarly, clothing, bed linen and a variety of household materials can suddenly become a risk of combustion in the presence of oxygen-enriched air. This also applies to « e-cigarettes » declared dangerous by the European Industrial Gases Association for use with domestic urea. A fire break, for example. B a metal shape or metal plate, on the outside of the oxygen concentrator.
Estimates of oxygen users at home who continue to smoke range from 14 to 51%, which is a significant safety issue given the number of patients working on oxygen therapy across Europe. However, little European data is available to measure the extent of the problem, the additional measures to be put in place and the additional precautions that could be useful (for example, the detectors. B smoke or fire extinguishers). Although the World Health Organization collects statistics on total damage (Table 2), they are not broken down into fires or fires in homes where oxygen is used. Indeed, it is difficult to obtain data on the number of patients who have oxygen at home in Europe, although financial market statistics on medical oxygen are available for commercial interests. In the end, advise on the legal removal of oxygen, where it is a risk to others as well as to the patient.