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Latest guidlines for CPR

The 2010 Guidelines for CPR and Emergency Cardiovascular Care

The Heart and Stroke Foundation of Canada is co-author of the 2010 Guidelines for CPR and Emergency Cardiovascular Care (ECC) in North America and the Canadian leader in resuscitation science, education and training. 

The guidelines are reviewed every five years and updated only when evidence is clear that changes will improve survival rates. The 2010 guidelines are based on input from 356 resuscitation experts from 29 countries.  

New 2010 CPR & ECC Guidelines make it easier to save a life Foundation survey finds that only 40% of Canadians trained in CPR would try to revive someone who has had a cardiac arrest. Read more.

Webcast of the 2010 Guidelines for CPR & ECCHighlights of the 2010 Guidelines for CPR/ECC (PDF 4 MB)

The 2010 Guidelines for CPR and Emergency Cardiovascular Care (full document)





Heart&Stroke TV: CPR – one size does not fit all

Heart&Stroke Position Statement on Cardiopulmonary Resuscitation


 

Kandi Wood
11/14/2010 10:30:18 AM

Bill 168 amendments to the Occupational Health and Safety Act

 

Changes to Ontario’s Occupational Health and Safety Act (OHSA) that will strengthen protections for workers from workplace violence and address workplace harassment are coming on June 15, 2010! These define workplace violence and harassment and describe employer duties, and will apply to all workplaces covered by the OHSA.

Bill 168 amendments to the Occupational Health and Safety Act

Definitions

Workplace violence means:

    • The exercise of physical force by a person against a worker, in a workplace, that causes or could cause physical injury to the worker
    • An attempt to exercise physical force against a worker, in a workplace, that could cause physical injury to the worker
    • A statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker, in a workplace, that could cause physical injury to the worker.

    Workplace harassment means:

      Workplace harassment may include bullying, teasing, intimidating or offensive jokes or innuendos, displaying or circulating offensive pictures or materials, or offensive or intimidating phone calls.

      • Engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome.

      Policies and programs

      Employers must:

      1. Prepare policies with respect to workplace violence and workplace harassment,
      2. Develop and maintain programs to implement their policies, and
      3. Provide information and instruction to workers on the contents of these policies and programs.

      Workplace violence programs must include measures and procedures for:

      1. Summoning immediate assistance when workplace violence occurs or is likely to occur, and
      2. Controlling risks identified in the assessment of risks.

      Both workplace violence and workplace harassment programs must include measures and procedures for workers to report incidents of workplace violence/harassment and set out how the employer will investigate and deal with incidents or complaints.

      Assessment

      Employers must proactively assess the risks of workplace violence that may arise from the nature of the

      1 Ministry of Labour

      l Fact Sheet #2 l March 2010 2

      workplace, the type or work or the conditions of work. Measures and procedures to control these risks must be included in the workplace violence program.

      Domestic violence

      Employers who are aware, or ought reasonably to be aware, that domestic violence may occur in the workplace must take every precaution reasonable in the circumstances to protect a worker at risk of physical injury.

      Communication

      Employers and supervisors must provide information to a worker about a risk of workplace violence from a person with a history of violent behaviour if the worker can expect to encounter that person in the course of work, and if the worker may be at risk of physical injury. Personal information may be disclosed, but only what is reasonably necessary to protect the worker from physical injury.

      Work refusal

      Workers have the right to refuse work if they have a reason to believe they are in danger from workplace violence. Reprisals by the employer continue to be prohibited. Certain workers continue to have only a limited right to refuse.

      Enforcement

      Ministry of Labour health and safety inspectors will enforce the new OHSA provisions for workplace violence and workplace harassment and determine if employers are complying with their new duties. Employers and workers should always contact police first in emergency situations, if threats or actual violence occurs at a workplace.

      Resources and tools for employers and workplace parties

      Resource material is being developed by the occupational health and safety system partners – Health and Safety Associations (HSAs), the Ministry of Labour and the Workplace Safety & Insurance Board (WSIB) – to help employers assess workplace violence risks and develop workplace violence and workplace harassment policies and programs.

      Ministry of Labour

      The ministry is preparing a compliance guideline entitled

      A revised

      Ministry of Labour website: http://www.labour.gov.on.ca/english/

      Workplace Violence Legislation (Bill 168), News Release and Backgrounder http://news.ontario.ca/mol/en/2009/12/new-protections-for-people-at-work.html

      Workplace Violence Legislation (Bill 168), full text www.ontla.on.ca/web/bills/bills_detail.do?locale=en&Intranet=&BillID=2181

      A Guide to Requirements in the Occupational Health and Safety Act Regarding Workplace Violence and Harassment. The guideline will help workplace parties comply with the changes to the OHSA. (Available in March) Guide to the Occupational Health and Safety Act will include a section on workplace violence and workplace harassment. (Available in June)

      Health and Safety Associations

      Ontario’s HSAs are posting resources and training opportunities about workplace violence and workplace harassment on their websites; www.wsib.on.ca/wsib/wsibsite.nsf/Public/HealthSafetyCommunity

      Safe workplaces mean productive workplaces.

      Kandi Wood
      3/19/2010 4:45:57 AM

      WHMIS Globally Harminized System (GHS)

      Many Clients are enquiring about the new WHMIS GHS, so here's the low down.....

      What is the Globally Harmonized System (GHS)?

       

      GHS stands for the "Globally Harmonized System of Classification and Labelling of Chemicals". GHS is a system that defines and classifies the hazards of chemical products, and communicates heath and safety information on labels and material safety data sheets (called Safety Data Sheets, or SDSs, in GHS). The goal is that the same set of rules for classifying hazards, and the same format and content for labels and safety data sheets (SDS) will be adopted and used around the world. An international team of hazard communication experts developed GHS.


      Why is global harmonization necessary?

       

      Currently many different countries have different systems for classification and labelling of chemical products. In addition, several different systems can exist even within the same country. This situation has been expensive for governments to regulate and enforce, costly for companies who have to comply with many different systems, and confusing for workers who need to understand the hazards of a chemical in order to work safely.

      GHS promises to deliver several distinct benefits. Among them are:

      • promoting regulatory efficiency
      • facilitating trade
      • easing compliance
      • reducing costs
      • providing improved, consistent hazard information
      • encouraging the safe transport, handling and use of chemicals
      • promoting better emergency response to chemical incidents, and
      • reducing the need for animal testing


      What is the scope of GHS?

       

      The GHS system covers all hazardous chemicals and may be adopted to cover chemicals in the workplace, transport, consumer products, pesticides and pharmaceuticals. The target audiences for GHS include workers, transport workers, emergency responders and consumers.


      What are the two major elements in GHS?

       

      The two major elements of GHS are:

      1. Classification of the hazards of chemicals according to the GHS rules:

      GHS provides guidance on classifying pure chemicals and mixtures according to its criteria or rules.

      2. Communication of the hazards and precautionary information using Safety Data Sheets and labels:

      Labels - With the GHS system, certain information will appear on the label. For example, the chemical identity may be required. Standardized hazard statements, signal words and symbols will appear on the label according to the classification of that chemical or mixture. Precautionary statements may also be required, if adopted by your regulatory authority.
      Safety Data Sheets (SDS) - The GHS SDS has 16 sections in a set order, and information requirements are prescribed.


      What are some key terms in the GHS Vocabulary?

       

      • SDS - Safety Data Sheet. SDS is the term used by GHS for Material Safety Data Sheet (MSDS).
      • Hazard group - While not given a formal definition, GHS divides hazards into three major groups - health, physical and environmental.
      • Class - Class is the term used to describe the different hazards. For example, "Gases under Pressure" is an example of a class in the physical hazards group.
      • Category - Category is the name used to describe the sub-sections of classes. For example, Self-Reactive Chemicals have 7 categories. Each category has rules or criteria to determine what chemicals are assigned to that category.
      • Hazard Statement - For each category of a class, a standardized statement is used to describe the hazard. For example, the hazard statement for chemicals which meet the criteria for the class Self-heating substances and mixtures, Category 1 is "Self-heating; may catch fire". This hazard statement would appear both on the label and on the SDS.
      • Signal word - There are two signal words in the GHS system - Danger and Warning. These signal words are used to communicate the level of hazard on both the label and the SDS. The appropriate signal word to use is set out by the classification system. For example, the signal word for Self-heating substances and mixtures, Category 1 is "Danger" while "Warning" is used for the less serious Category 2. There are categories where no signal word is used.
      • Pictogram - Pictogram refers to the GHS symbol on the label and SDS. Not all categories have a symbol associated with them.


      What is meant by the GHS hazard groupings and "building block" concept?

       

      Within the GHS classification system, there are three major hazard groups:

      • Physical hazards,
      • Health hazards, and
      • Environmental hazards.

      Within each of these hazard groups there are "classes" and "categories". Each of these parts is called a "building block". Each country can determine which building blocks of the GHS system it will use in their different sectors (workplace, transportation, consumers). Once the building blocks are chosen, the corresponding GHS rules for classification and labels must be used.


      What are the classes within the Health hazard group?

       

      Criteria for classifying chemicals have been developed for the following health hazard classes:

      • acute toxicity
      • skin corrosion/irritation
      • serious eye damage/eye irritation
      • respiratory or skin sensitization
      • germ cell mutagenicity
      • carcinogenicity
      • reproductive toxicity
      • specific target organ toxicity - single exposure
      • specific target organ toxicity - repeated exposure, and
      • aspiration hazard

      In addition, there are specific classification rules for chemical mixtures for each health hazard class.


      What are the classes within the Physical hazard group?

       

      Criteria for classifying chemicals have been developed for the following physical hazard classes:

      • explosives
      • flammable gases
      • flammable aerosols
      • oxidizing gases
      • gases under pressure
      • flammable liquids
      • flammable solids
      • self-reactive substances and mixtures
      • pyrophoric liquids
      • pyrophoric solids
      • self-heating substances and mixtures
      • substances and mixtures which, in contact with water, emit flammable gases
      • oxidizing liquids
      • oxidizing solids
      • organic peroxides
      • corrosive to metals


      What are the classes within the Environmental hazard group?

       

      Criteria for classifying chemicals have been developed for the following environmental hazard class:

      • hazardous to the aquatic environment (acute and chronic)
      • hazardous to the ozone layer

      In addition, there are specific classification rules for chemical mixtures for each environmental hazard class.


      Where can I get information on the GHS criteria for the different hazard classes?

       

      The most current information and criteria is available in the 3rd revised edition of the GHS from the United Nations - you can download this guidance publication on GHS classification, labels and SDS at:

      http://www.unece.org/trans/danger/publi/ghs/ghs_welcome_e.html

      GHS is a dynamic system. The international GHS committee meets twice a year to work on developing potential new hazard classes as well as resolving specific issues, and updating the latest GHS publication. Check the above link for more information.


      What is the target date for implementation of GHS?

       

      Countries and sectors (consumer, environmental, workplace, transportation) within a country will implement GHS at varying times depending on their local circumstances.

      Canada

      Consultations through the National WHMIS Office with stakeholder associations are essentially complete. An interim policy has been established to permit use of GHS-formatted safety data sheets in Canada. Additional interim policies may be developed. Regulatory proposals to update WHMIS are anticipated in 2010.

      Europe

      GHS has been adopted into the new EU Classification, Labelling and Packaging (CLP) regulations (in force as of January 20, 2009). These regulations must be used for new products which are:

      • Pure substances by December 1, 2010
      • Mixtures by June 1, 2015

      There is a two-year transition period for existing products labelled and packaged according to EU Directives (67/548/EEC and 1999/45/EC, both as amended).

      United States

      Proposed amendments to the OSHA Hazard Communication Standard regulations were published on September 30, 2009. US OSHA is accepting comments and may have another proposed regulation posted before finalizing and publishing a "Final Rule". A two-year transition period is proposed for training and a three-year period for full implementation.

      Other Countries

      The status of GHS implementation in other countries and their sectors is listed at:

      http://www.unece.org/trans/danger/publi/ghs/implementation_e.html


      Will GHS affect other laws in Canada?

       

      It is very likely. GHS is expected to be implemented by other regulatory agencies, including by Transport Canada for the Transport of Dangerous Goods, and by Health Canada for Consumer Chemical Products and Pest Control Products. Discussions are occurring but the consultations are not complete.

      For the latest report (June 2006) on Canadian activities regarding implementation see the page "Implementation of GHS - Canadian Activity" at:

      http://www.hc-sc.gc.ca/ahc-asc/alt_formats/hecs-sesc/pdf/intactiv/ghs-sgh/com/_gencom/ghs-canada_06-sgh-eng.pdf

      More information is available on the Health Canada web site at the following address:

      The Globally Harmonized System of Classification and Labelling of Chemicals (GHS)

      http://www.hc-sc.gc.ca/ahc-asc/intactiv/ghs-sgh/index_e.html


      How will GHS change WHMIS?

       

      Roles and Responsibilities

      Overall, the current roles and responsibilities for suppliers, employers and workers likely will not change in WHMIS after GHS.

      Suppliers, Importers and Producers duties will continue to include:

      • classifying hazardous products,
      • preparing labels and SDSs, and
      • providing these elements to customers.

      Employers must continue to:

      • educate and train workers on the hazards and safe use of products,
      • ensure that hazardous materials are properly labelled,
      • prepare workplace labels and SDSs as necessary,
      • provide access for workers to up-to-date SDSs, and
      • ensure appropriate control measures are in place to protect the health and safety of workers.

      Workers will still:

      • participate in WHMIS and chemical safety training programs,
      • take necessary steps to protect themselves and their coworkers, and
      • participate in identifying and controlling hazards.

      Classification

      How chemicals are classified will be affected. It is likely (but not confirmed) that WHMIS legislation will:

      • Adopt all of the major GHS health and physical hazard classes including aspiration hazard and specific target organ toxicity-single exposure. Some sub-categories in GHS may not be adopted. It is unlikely that the environmental hazard classes will be adopted under WHMIS (but this does not exclude that it may be adopted by another government department).
      • Continue to include some hazards that are currently not in the GHS system, but are present in the current WHMIS system - such as biohazardous materials.
      • Have more specific names for its hazard classes.
      • Combine two WHMIS classes (teratogenicity/embryotoxicity and reproductive toxicity) into one new GHS hazard class called reproductive toxicity

      Supplier labels

      Labels requirements will also change, and will probably have a few new requirements. Labels will use new pictograms, as well as a signal word - Warning or Danger.

       

       

       

      Under the GHS system, once a chemical is classified, specific signal words, hazard statements and symbols/pictograms are required (prescribed) for each hazard class and category. These elements must appear on the label.

      All of the required elements for labels are not yet determined. It is still not clear, for example, if the names of hazardous ingredients will be included on the label, or if the WHMIS hatched border will still be required.

      Safety Data Sheets (SDSs)

      SDSs will use a 16-section format. There will be standardized information requirements for each section. The 9-section WHMIS format for MSDSs will no longer be acceptable. Another important change to note is that the product classification and some of the label information will probably be required on the SDS. The SDS updating requirements (every 3 years) will likely be required.


      How can suppliers prepare now?

       

      Under WHMIS after GHS, suppliers will continue to classify products, create labels and create SDSs (formerly MSDSs) but they will follow the "WHMIS after GHS" requirements.

      To prepare to classify a product, suppliers could:

      1. Obtain a copy of the GHS criteria.
      2. Identify the relevant hazard data for their ingredients and products.
      3. Review the data in light of the classification criteria to determine the appropriate hazard classes and categories. Note that there is specific guidance for classifying the health and environmental hazards of mixtures.
      4. Document the rationale and information for future reference.

      Once changes to WHMIS legislation have been published, confirm product classifications.

      Suppliers must use a "weight of evidence" approach to classify products. The validity of research reports and other information must be evaluated as a whole. In some cases a single, well-conducted study will be sufficient.

      If they are not already doing so, suppliers could also switch to a 16-section SDS format.


      How can employers prepare now?

       

      After GHS implementation, SDSs and labels for products originating within and outside of Canada will share common elements. This standardization should simplify education and training after the initial transition period is over. However employees will need training on both systems until the transition is complete.

      During the transition period, employers will be faced with more than their normal number of SDSs -- in addition to the WHMIS-compliant MSDSs for existing stock, new SDSs compliant with WHMIS after GHS requirements may be provided for new shipments of the same products. Keeping up-to-date inventories of all controlled products and the status of the MSDS/SDS will be essential.

      Where can I get more information?

       

      The Canadian Centre for Occupational Health and Safety (CCOHS), in partnership with Health Canada's National Office of WHMIS (NOW) developed and released two free on-line training courses to help workplaces prepare for "WHMIS After GHS".

      These free courses provide an introduction to the expected changes to WHMIS after GHS. Participants will learn about the expected impacts of these changes for workers, employers, and chemical suppliers.

      WHMIS After GHS: An Introduction (30 minutes)
      http://www.ccohs.ca/products/courses/whmis_ghs_intro/

      WHMIS After GHS: How Suppliers Can Prepare (60 minutes)
      http://www.ccohs.ca/products/courses/whmis_ghs_suppliers/

      Both courses are offered in English and French, and are free of charge but registration is required in order to keep users aware of changes to the courses.

      Health Canada also offers an email news service to announce information about WHMIS. Use the following link to register for this service:
      http://hc-sc.gc.ca/ewh-semt/occup-travail/whmis-simdut/mail_list-liste_distrubution-eng.php

      Kandi Wood
      1/31/2010 10:38:54 AM

      MOL Inspection Blitz For February 2010

       

      Forklift safety inspection blitz in February

      The Ministry of Labour conducted a safety inspection blitz covering lifting devices and forklifts last February. That blitz was one that stood out amongst all the other blitzes last year simply because it involved the issuance of the highest number of compliance orders, stop work orders and citations. Inspectors conducted 1, 295 visits that resulted in:

      • 3,155 compliance orders
      • 182 stop work orders
      • 27 citations (16 Part 1 summonses and 11 Part 1 tickets for offences under the Provincial Offences Act)

      With numbers like that it's no wonder the Ministry will be conducting a safety inspection blitz covering lifting devices once again this February.

      If your operations involve lift trucks or other lifting devices you might want to ensure you're not caught napping. Industrial Accident Prevention Association (IAPA) hold regular courses on Lift Truck Operator Safety Training

      Kandi Wood
      1/13/2010 8:27:37 AM

      Sabrinas Law - Ontario's Allergy Law For Schools

      Although this law has been in effect for several years, not many people are aware of it's existence:

                                           
      Ontario passes allergy law for schools
      Last Updated: Tuesday, May 17, 2005 | 3:04 PM ET
       
      Ontario has become the first Canadian province requiring public school teachers to be trained to recognize the symptoms of acute allergic reactions and know how to treat them.
      Called "Sabrina's Law," the legislation means publicly funded schools must also educate students about anaphylactic shock from allergies and establish response procedures, including how to use epinephrine injectors. The needles, commonly called EpiPens, deliver a shot of potentially life-saving medication.

      Staff will be trained to use EpiPens.
      School boards must have:
      • Regular training for staff on dealing with allergies.
      • Individual files for students with an anaphylaxis allergy.
      • Emergency procedures in place for those students.
      • Storage for emergency EpiPens.
      Parents would also be obliged to alert the school of a child's allergies.
      The legislation is named after 13-year-old Sabrina Shannon, who died from an allergic reaction in 2003. The teenager from Pembroke, Ont., had eaten fries contaminated with a dairy product.
      A member of the Ontario legislature, Dave Levac, introduced the private member's bill. He said the government is trying to make sure "everyone is aware of the steps they need to take to arrest the chances of someone getting an anaphylactic reaction."
       
      Sabrina's parents watched in the Ontario legislature as the law was passed.
       
      "Many countries are watching this now," said Sabrina's mother, Sara Shannon. "Now that they're calling it Sabrina's Law, it's something to be proud of."
      Britain and the United States are monitoring the legislation, said Levac.
      Across the country, as many as 60,000 people are at risk from some form of food allergy. Laurie Harada, executive director of Anaphylaxis Canada, says it's not just a school issue.
      "It's a public health issue ... so it's definitely a growing concern," said Harada.
      The law will take effect Jan. 1, 2006.
      Kandi Wood
      12/12/2009 5:48:33 AM

      Festive Season Safety Tips For Your Animals

      Just a note from Megan......

                                                            

      Holiday Safety Tips

                                                                                                     

      While Poinsettias are not likely to cause anything more than a tummy upset, there are holiday plants that are toxic and sometimes fatal if ingested. Some of the more common holiday flora that can create problems include Christmas Roses, Mistletoe, Holly, and Lilies.

       

      Festive foods that are plentiful and toxic in most homes during the holidays include chocolate. The toxic compounds in chocolate are Theobromine and Caffeine. Symptoms of chocolate poisoning include vomiting and diarrhea, seizures, increased heart rate and respirations, tremors, and hyperactivity.

      Some types of chocolate are not as harmful as others and the severity of the reaction from ingested chocolate depends largely on the size of the pet and the type of chocolate eaten. White chocolate is the least harmful and dark chocolate and cocoa are the most toxic.

       

      The Interactive Chocolate Chart on the National Geographic website has excellent information regarding chocolate poisoning, see http://ngm.nationalgeographic.com/2007/10/pets/chocolate-chart-interactive (control key + click to follow link). You may wish to bookmark this site in case of a chocolate emergency.

      Another treat that is harmful to dogs is Xylitol, an ingredient often found in candies and gum, particularly sugar-free brands. Symptoms of Xylitol poisoning include vomiting, weakness, ataxia, depression, seizures, coma, and death.

       

      Other poisonous foods include alcohol, cherry or peach pits, onions, coffee, garlic, grapes, raisins, raw yeast and macadamia nuts.

       

      Non-Food Hazards

       

      Remember dogs, especially puppies, will eat almost anything that is within reach. Holiday lights and extension cords: can cause severe electrical burns and/or electrocution. The chemicals inside lights can also cause serious chemical burns and noxious reactions.

       

      Christmas ornaments can cause lacerations if broken and tinsel and ribbons can become lodged in intestines if swallowed causing life-threatening blockages. Keep potpourris out of reach as well as some may contain traces of strychnine.

       

      Prevention is the best way to ensure you and your pet have a safe and happy holiday. Be sure to keep noxious plants out of reach and keep toxic foods in sealed containers. Most of all, ensure that your pet is supervised when around Christmas lights.

       

      If your pet does ingest food or items that can cause harm, call your vet immediately. A good resource for additional information is the Poison Control Center: 416 813 5900 or 1 800 268 9017.

      Megan Wood
      12/9/2009 5:57:39 AM

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