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SECTIONSIX Emergency Response Plan recovered,requires immediate treatment and surveillance by a qualified physician.Transport the worker to a local medical facility of the worker's choice. • Dermal Contact.Wash/rinse affected area for at least 15 minutes unless it is known that dermal contact is with a water reactive substance.If an emergency drench system/eyewash is not immediately available or accessible,use the available potable water supply provided at each work site.Transport worker to the local medical facility. • Eye Contact.Flush eye(s)continuously for 15 minutes using the emergency eyewash or available potable water supply,and then transport worker to the emergency medical facility.Follow-up treatment or examination by a qualified physician is required. • Ingestion. Immediately transport to the emergency medical facility.The Regional Poison Control Center should be contacted for instructions if the victim cannot be immediately transported to the emergency facility or the emergency facility cannot be contacted. 6.2.7 Burns Burns that break the skin can cause infection and loss of fluid from the body and damage the body's ability to control its temperature.Deep burns can also damage the victim's ability to breathe.A burn that involves only the top layer of skin is the least severe.The skin is red and dry and is painful,but usually heals in 5 to 6 days.Deeper bums are also red,but have blisters that may open and seep clear fluid.These burns are usually painful,and the area often swells. Some bums destroy all the layers of skin and the tissues underneath,even bones.These are critical burns.These burns look brown or blackish,and the tissues underneath may appear white.Although they can sometimes be surprisingly pain-free because nerve endings have been destroyed,they can be life-threatening and need immediate medical attention. The general care of burns involves the following three basic steps: • Stop the burning.Remove the victim from the source of the burn,and,if necessary,put out the flames.Lay severe bum victims down unless the individual is having trouble breathing.Raise the burned area above the level of the heart,if possible.Bum victims chill easily,so protect the victim from drafts. • Cool the bum.Use large amounts of cool water to cool and flush the burned area for several minutes. For chemical burns of the skin or eyes,flush the bum with large amounts of cool running water until the ambulance arrives and remove any clothes with the chemical on it.Use available potable water or, if available,immerse the affected area in water.Do not apply ice or ice water other than on small superficial burns.Ice will cause loss of body heat.Carefully apply soaked towels or cloths to a burned face or other areas of the body that cannot be immersed.Keep cloths cool by adding more water. • Cover the bum.Use dry sterile dressings or a clean cloth to loosely bandage the bum to help keep out air and reduce pain. Covering also prevents infection.If the burn covers a large area,cover with clean, dry cloths. Do not touch the bum with anything except a clean covering;do not try to clean a severe burn;do not remove pieces of cloth that stick to the burned area;do not break blisters;and do not use any kind of ointment on a severe bum. Emergency medical care is required for any critical burns;burns caused by chemicals,explosions, or electricity; multiple burns; burns on the head,neck,back,hands,feet,or genitals;or the individual is having trouble breathing.Call or immediately transport the victim to the nearest emergency medical facility. TS AND SETTINGS\CLEIMBECH\DESKTOP\WORLD ENTERPRISES\WORK PLANS\WELL DESTRUCTIONWTTACHMENT C WORLD ENTERPRISES HSP TG EDITS.DOC\16-NOV-1 T