NFPA Journal - January/February 2020 - 50
BURN
TREATMENT
different, the layout of these facilities
can be different, which means you can't
just implement codes like NFPA 101
and NFPA 99 without making adjustments-the pieces wouldn't fit together.
"It's a holistic system," said D'Antona,
who currently serves as the director of
engineering for Boston-based Partners
HealthCare and has worked on health
care facility projects in the Middle East,
GLOBAL FOOTPRINT The fire problem in international hospitals is being addressed
in part through US-based health care organizations overseeing facilities abroad.
The Jiangsu Province Hospital in China (top) maintains a partnership with Brigham
Health in Boston, while the Cleveland Clinic has run a facility in Abu Dhabi since 2015.
50 | NFPA JOURNAL * J A N U A R Y / F E B R U A R Y 2 0 2 0
Africa, and Haiti. "In the US, our sprinkler layout is the way it is because the
clinical units are laid out the way they
are based off the clinical care model.
Where I see breakdowns is if you try to
implement things piecemeal."
In some of the world's least
developed countries, a total lack of
awareness seems to exist around the
codes and standards that address the
threats to fire and life safety in health
care facilities.
The 2014 study published in the
Journal of Clinical Anesthesia found
this to be the case in India, where
hospitals frequently experience fires
made worse by oxygen-rich air. "The
National Fire Protection Association
publications NFPA 53, [Recommended
Practice on Materials, Equipment,
and Systems Used in Oxygen-Enriched Atmospheres], and NFPA 99
list recommendations [for limiting
oxygen concentration in the air in
hospitals], which are not followed in
Indian hospitals," the study says. "In
fact, very few of these hospitals in
India are aware of the existence of any
international codes and standards for
[oxygen] handling."
TOP: SSYOUNG/WIKIPEDIA; BOTTOM: CLEVELAND CLINIC
Jason D'Antona, a veteran electrical
engineer who specializes in health care
facility design and management and
sits on several NFPA technical committees, explained how in the US, we've
had decades to mold our safety regulations based on the layout of hospitals,
which is based on how clinical care
is best delivered. In other countries,
he said, if that clinical care model is
NFPA Journal - January/February 2020
Table of Contents for the Digital Edition of NFPA Journal - January/February 2020
Contents
NFPA Journal - January/February 2020 - Cover1
NFPA Journal - January/February 2020 - Cover2
NFPA Journal - January/February 2020 - 1
NFPA Journal - January/February 2020 - 2
NFPA Journal - January/February 2020 - 3
NFPA Journal - January/February 2020 - Contents
NFPA Journal - January/February 2020 - 5
NFPA Journal - January/February 2020 - 6
NFPA Journal - January/February 2020 - 7
NFPA Journal - January/February 2020 - 8
NFPA Journal - January/February 2020 - 9
NFPA Journal - January/February 2020 - 10
NFPA Journal - January/February 2020 - 11
NFPA Journal - January/February 2020 - 12
NFPA Journal - January/February 2020 - 13
NFPA Journal - January/February 2020 - 14
NFPA Journal - January/February 2020 - 15
NFPA Journal - January/February 2020 - 16
NFPA Journal - January/February 2020 - 17
NFPA Journal - January/February 2020 - 18
NFPA Journal - January/February 2020 - 19
NFPA Journal - January/February 2020 - 20
NFPA Journal - January/February 2020 - 21
NFPA Journal - January/February 2020 - 22
NFPA Journal - January/February 2020 - 23
NFPA Journal - January/February 2020 - 24
NFPA Journal - January/February 2020 - 25
NFPA Journal - January/February 2020 - 26
NFPA Journal - January/February 2020 - 27
NFPA Journal - January/February 2020 - 28
NFPA Journal - January/February 2020 - 29
NFPA Journal - January/February 2020 - 30
NFPA Journal - January/February 2020 - 31
NFPA Journal - January/February 2020 - 32
NFPA Journal - January/February 2020 - 33
NFPA Journal - January/February 2020 - 34
NFPA Journal - January/February 2020 - 35
NFPA Journal - January/February 2020 - 36
NFPA Journal - January/February 2020 - 37
NFPA Journal - January/February 2020 - 38
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NFPA Journal - January/February 2020 - 40
NFPA Journal - January/February 2020 - 41
NFPA Journal - January/February 2020 - 42
NFPA Journal - January/February 2020 - 43
NFPA Journal - January/February 2020 - 44
NFPA Journal - January/February 2020 - 45
NFPA Journal - January/February 2020 - 46
NFPA Journal - January/February 2020 - 47
NFPA Journal - January/February 2020 - 48
NFPA Journal - January/February 2020 - 49
NFPA Journal - January/February 2020 - 50
NFPA Journal - January/February 2020 - 51
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NFPA Journal - January/February 2020 - 53
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NFPA Journal - January/February 2020 - 80
NFPA Journal - January/February 2020 - Cover3
NFPA Journal - January/February 2020 - Cover4
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