| Nebulisation
      Hazard
      
      Another
      isolated incident has occurred in another part of the NHS. The purpose of
      this bulletin is to bring it to the attention of staff.
      
       Unleaded
      petrol was substituted for Salbutamol Nebules whilst the patient was being
      given oxygen driven nebulisation, and as one of the crew was smoking, an
      explosion occurred.
      
       This
      resulted in the death of the patient.
      
       Staff
      should be aware that it is possible to put petrol in a nebulisation mask,
      and whilst this and smoking are incompatible with current Protocols, it is
      imperative that staff check to ensure that this does not occur.
      
      There
      is no clinical evidence available to suggest that Unleaded fuel would have
      less detrimental side-effects than Four Star, stocks of which are being
      withdrawn from sale after January 1st 2000, though you will get
      more Premier Points at Argos
      Training Bulletin 130 / 2000   Lampoon
      Amateur Service No-one TrustsOrcon House
 Delay Street
 Linktram
 NE3 ULS
    
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