(完整word版)施工现场应急预案.pdf

1 一、应急预案的组织管理通过识别潜在的事件或紧急情况，为预防或减少可能随之引发的安全事故的影响，制定施工现场应急预案和措施，并成立施工现场应急预案领导小组。1、施工现场应急预案小组组织成员如下：组长：陈吉平副组长：唐利伟、赵光伟、卢奎、李前定、朱建平、赵彬成员：曾涛（保健急救员及驾驶员）、庄伟、刘祖前、邱中亚、叶青、伍海、赵雄、候乃峰、张文峰、蔡毅斌、李绪宽、晏泽飞、彭勃、龙小连、彭凤姣、王欢欢及现场保卫人员。2、成员职责组长：负责组织制定现场应急预案，并负责应急响应时现场指挥实施。副组长：参与制定现场应急预案，并负责组织应急响应时的现场调查、现场疏散、人员安排、伤员抢救、外部联系等。保健急救员：负责应急物资及设备的采购和保管，应急响应时对伤员进行初步检查，并采取相应的抢救措施进行施救，直至伤员送至医院或医生来到现场，保证抢救的连续性。成员：协助副组长在应急响应时落实执行现场调查、现场疏散、伤员抢救等。项目驾驶员：应急响应时如伤员的伤势较轻，现场急救后伤情较稳定，由驾驶员负责马上将伤员送至医院进行进一步的检查治疗。现场保卫人员：主要负责在采取逃生和紧急疏散时的组织工作，并负责疏散后的疏散情况检查，保证全部人员能及时有序地疏散至指定的集合地点（集合地点必须有有效的安全距离和其他安全特征）。2 3、应急管理对象3.1自然灾害，如地震、暴雨、洪涝、山体滑坡等；3.2火灾或爆炸可能造成的事故；3.3食物中毒；3.4操作失误可能造成的事故；3.5有毒有害气体泄漏等。4、应急响应流程事故应急响应流程图5、应急响应原则应急响应总的原则是：保护员工的生命健康为第一位，在紧急危险情况下，应先抢救人员，后抢救生存设施和保护环境。二、应急处理的设备和设施管理1、应急电话现场项目管理人员全部配备移动电话，项目办公室安装固定电话，电话号事故发生报告应急领导小组启动应急措施现场采取应对措施，控制事故扩大抢救伤员，采取急救措施现场调查、根据伤者情况决定是否拨打报救电话将伤者送医院进一步检查治疗事故处理、解除应急文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I33 码为：024-25250081、024-25250329，作为现场事故应急处理电话，同时保证与外界能随时联络，并将急救电话号码张贴于醒目处，如天气查询121、火警电话 119、救护电话 120、报警电话 110。事故应急处理电话安装在项目综合办公室，晚上由保卫人员值班，随时保证电话畅通，应急预案领导小组成员的移动电话应保证24 小时不关机，保持联系畅通。电话报救时应注意以下几点：说明伤情（病情、火情、案情）和已经采取了些什么措施，以便让救护人员事先做好急救的准备；讲清楚伤者（事故）发生的详细地理位置；说明拨打报救电话的单位和联系电话，以便救护车（消防车、警车）找不到地方时随时联系；电话挂断前应询问接听人是否还有不清楚的地方，确定清楚后方可挂断电话。应急通讯联络方案2、急救箱2.1 急救箱的配备急救箱的配备应以简单和使用为原则，保证现场急救的基本需要，并可根据不同情况予以增减，定期检查补充，确保随时可供急救使用。事故发现人电话或口头告知施工现场负责人，并保护好现场和采取相应的措施施工负责人马上电话告知应急预案小组组长启动应急措施根据现场调查情况由应急预案小组组长决定是否应拨打报救电话文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I34 2.1.1 器械敷料类消毒注射器（或一次性针筒）、静脉输液器、心内注射针头两个、血压计、听诊器、体温计、张口器及舌钳、止血带、止血钳、剪刀、手术刀、氧气瓶（便携式）、无菌橡皮手套、无菌敷料、棉球、棉签、绷带、胶布、夹板、手电筒（电池）、镊子、病历记录、处方等。2.1.2 药物肾上腺素、异丙基肾上素、阿托品、慢心律、异博定、硝酸甘油、西地兰、氨茶碱、安定、碳酸氢钠、乳酸钠、10%葡萄糖酸钙、维生素、止血敏、安洛血、10%葡萄糖、25%葡萄糖、生理盐水、乙醚、酒精、碘酒、高锰酸钾等。2.2 急救箱使用注意事项2.2.1 急救箱由项目保健急救员专门保管，急救箱不能上锁；2.2.2 定期对急救药品进行检查，对过期药品进行更换，每次急救使用后要及时补充；2.2.3 急救箱放置在项目综合办公室，并应告知项目内部人员或贴牌告示。3、其他应急设备和设施3.1 在现场出现不安全情况，甚至发生事故时可能出现采光和照明情况不好，因此在应急处理时应配备应急照明，如可充电工作灯、电筒等；3.2 如现场有危急情况时，可能对危险区需进行隔离，因此应配备警戒带、各类安全禁止、警告、指令、提示标志牌等；3.3 情况紧急时如需安全逃生、救生，还应配备安全带、安全绳、担架等专用应急设备和设施。三、现场应急急救措施1、现场急救概念和急救步骤文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I35 1.1 现场急救概念现场急救，就是应用急救知识和简单的急救技术进行现场的初级救生，最大程度上稳定伤员的伤情，维持伤员的基本生命特征，例如呼吸、脉搏、血压等。现场急救工作，为伤员的下一步的全面医疗救治做好了必要的处理和准备，保证了救治的连续性，减少了伤员的救护难度和提高了危重伤员的生存率。1.2 急救步骤急救是对伤病员提供紧急的监护和救治，给伤病员以最大的生存机会，急救一定要遵循以下四个急救步骤：1.2.1 调查事故现场，调查时要确保对伤病员或其他人员无任何危险，迅速使伤病员脱离危险场所。1.2.2 初步检查伤病员，判断其神志、气管、呼吸循环是否有问题，必要时立即进行现场急救和监护，使伤病员保持呼吸道的通畅，视具体情况采取有效的止血、防止休克、包扎伤口、固定、保存好断离的器官和组织、预防感染、止痛等措施。1.2.3 呼救；应立即拨打急救电话（120），并继续施救，一直要坚持到救护人员到达现场接替为止；同时还应将伤病员的伤病情况和简单的救治过程向救护人员反映清楚。1.2.4 如果没发现危及伤病员的体征，应再进行二次检查，以免遗漏其他的损伤、骨折和病变；这样有利于现场施行必要的急救和稳定病情，降低并发症和伤残率。2、现场应急处理措施2.1 施工现场的火警火灾急救文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I36 2.1.1火灾急救施工现场发生火警、火灾事故时，应立即了解起火部位、燃烧的物质等基本情况，拨打“119”向消防部门报警，同时组织撤离和扑救。在消防部门到达前，对易燃易爆的物质采取正确有效的隔离。如切断电源，撤离火场内的人员和周围易燃易爆物及一切贵重物品，根据火场情况，机动灵活地选择灭火器具。在扑救现场，应行动统一，如火势扩大，一般扑救不可能时，应及时组织撤退扑救人员，避免不必要的伤亡。扑灭火情可单独采用、也可同时采用几种来灭火方法（冷却法、窒息法、隔离法、化学中断法）进行扑救。灭火的基本原理是破坏燃烧的三个条件（即可燃物、助燃物、火源）中的任一条件。在扑救的同时要注意周围情况，防止中毒、坍塌、坠落、触电、物体打击等二次事故的发生。在灭火时，应保护好火灾现场，以便事后调查起火原因。2.1.2 火灾现场自救注意事项（1）救火人员工应注意自我保护，使用灭火器材救火时应站在上风位置，以防因烈火、浓烟熏烤而受到伤害。（2）火灾袭来时要迅速疏散逃生，不要贪恋财物。（3）必须穿越浓烟逃走时，应尽量用浸湿的衣物披裹身体，用湿毛巾或湿布捂住口鼻，或贴近地面爬行。（4）身上着火时，可就地打滚，或用厚重衣裳物覆盖压灭火苗。（5）大火封门无法逃生时，可用浸湿的被褥衣物等堵塞门缝，泼水降温，呼救待援。2.1.3 烧伤人员现场救治文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I37 在出事现场，应立即采取急救措施，使伤员尽快与致伤因素脱离接触，以免继续伤害深层组织。（1）伤员身上燃烧着的衣服一时难以脱下时，可让伤员躺在地上滚动，或用水洒扑灭火焰。切勿奔跑或用手拍打，以免助长火势，防止手的烧伤。如附近有河沟或水池，可让伤员跳入水中。如为肢体烧伤则可把肢体直接浸入冷水中灭火和降温，以保护身体组织免受灼烧的伤害。（2）用清洁包布覆盖烧伤面做简单包扎，避免创面污染。自己不要随便把水泡弄破，更不要在创面上涂任何有刺激性的液体或不清洁的粉和油剂。因为这样既不能减轻疼痛，相反增加了感染机会，并为下一步创面处理增加了困难。（3）伤员口渴时可给适量饮水或含盐饮料。（4）经现场处理后的伤员要迅速转送医院救治，转送过程中要注意观察呼吸、脉搏、血压等的变化。2.2 严重创伤出血伤员的现场救治创伤性出血现场急救是根据现场现实条件及时地、正确地采取暂时性地止血，清洁包扎，固定和运送等方面的措施。2.2.1 止血（1）压迫止血法：先抬高伤肢，然后用消毒纱布或棉垫覆盖在伤口表面，在现场可用清洁的手帕、毛巾或其他棉织品代替，再用绷带或布条加压包扎止血。（2）指压动脉出血近心端止血法：按出血部位分别采用指压面动脉、颈总动脉、锁骨下动脉、颞动脉、股动脉、胫前后动脉止血法。该方法简便、迅速有效，但不持久。文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 ZG1U2D4H2I3文档编码:CR5R10T1G4K4 HF1M8I6Z3D5 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