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CRadNet <br /> HAZARDOUS MATERIALS BUSINESS PLAN <br /> MRI Manual / Regulatory Affairs <br /> Original Effective Date: April 28, 2021 <br /> Site access is immediately restricted to all individuals until the arrival of the MRI manufacturers' <br /> service engineer. This is especially important if cryogenic gases are observed to have vented <br /> partially or completely into the MRI system scan room itself, as evidenced in part by the sudden <br /> appearance of white "clouds" or"fog" around or above the MRI scanner. <br /> The thermal expansion of the cryogens, if released into the MRI system room, can positively <br /> pressurize the magnet room and entrap persons inside until such time as the pressure is <br /> equalized. Entrapment is caused when the high pressure prevents anyone from opening a door <br /> that swings in to the pressurized room. <br /> MRI units can be installed with different safety mechanisms to help prevent entrapment. Check <br /> with your equipment vendor to know what safety features are available in your specific MRI <br /> department and obtain instructions on how they are utilized should entrapment occur. <br /> Remember: Out-swinging MRI system room doors are not affected by the positive pressure. <br /> It is especially important that all emergency personnel are restricted from entering the MRI system <br /> room with equipment until it is confirmed that the magnetic field has been successfully dissipated, <br /> because there may still be a considerable static magnetic field present despite a quench or partial <br /> quench of the magnet. <br /> In case of a known or suspected injury, notify the imaging center manager immediately and seek <br /> medical attention. <br /> For asphyxiation: <br /> The effect of oxygen deficiency resulting from simple asphyxiants such as nitrogen or helium <br /> gas may include: <br /> • Rapid or gasping breathing <br /> • Fatigue <br /> • Diminished mental alertness <br /> • Impaired muscular coordination <br /> • Faulty judgment <br /> • Depression of all senses <br /> As asphyxiation progresses, symptoms include: <br /> • Nausea <br /> • Vomiting <br /> • Prostration <br /> • Loss of consciousness may result, eventually leading to: <br /> • Convulsions <br /> • Coma <br /> • Death <br /> If asphyxiation occurs (generally caused by rapid evaporation of liquid): <br /> • Rescue: <br /> - If possible and oxygen monitors register >19.5% 02 content in the room, remove the <br /> person to air with known oxygen content of 20.9%, but do not enter the area alone <br /> - If oxygen monitors register<19.5% 02 content, contact emergency services to initiate <br /> rescue with self-contained breathing apparatus <br /> 9 <br />