Ho Koeba Laundry Extractor Spin-Basket Entanglement le Flatwork Ironer Draw-In Rescue¶

Litlhatsoetso tsa khoebo, hotele, sepetlele, le lichankana li sebetsa ka mekhahlelo e meraro ea mechini ea liindasteri e kopanyang inertia e kholo ea rotational inertia, multi-ton pneumatic kapa hydraulic clamping pressure, le matla a mocheso a feteletseng: high-speed centrifugal washer-extractors, chelete ea calender flatwork ironers (mangles), le gar **pne steam. Ha mochini o hlatsoang liindasteri o ohla 50-to-400-kilogram (110-to-880-pound) moroalo oa line ea metsi ka 600 ho isa ho 1,200 revolutions ka motsotso (rpm) ho kha metsi ka 200 ho 400 G-force, perforated auto drumless stainless-steel. Haeba mochini o kenyang motlakase oa mochini oa tšireletso oa lemati o hloleha, o fetisoa ka tepi kapa terata ea jumper, kapa o buleha ha moropa o ntse o theosa, 'me mosebeletsi a fihla ka hare ho ntša lilakane tse sothehileng, line e potolohang e tšoara letsoho la bona ebe e hahola letsoho ho tloha lehetleng (**traumatic forequarter kapa transhumeration) ho kena moqomong o ohiang ka nako e ka tlase ho metsotsoana e 0.2.

Ka mokhoa o ts'oanang, koluoa ​​​​e kopantsoeng ke ** e kopantsoeng le mocheso oa ho chesa ("hot press" kapa calender roller injury)** ka hare ho flatwork ironer kapa puneumatic laundry press. Li-aena tsa indasteri li hula lilakane tse mongobo le masela a litafole pakeng tsa lirolara tse boima tsa tšepe le lifuba tse futhumalitsoeng ka mouoane, tse futhumetseng ka gase kapa tse futhumetseng ka oli tse tsamaeang ka *160 ho isa ho 200 degrees Celsius (320 ho isa ho 392 degrees Fahrenheit)**. Haeba menoana ea mosebeletsi e ka feta kapa e thella ka tlas'a *panic bar e sa lumellaneng hantle, mabanta a phepelo le silindara ea tšepe e futhumetseng e hulela letsoho le phatleng sebakeng sa nko ha a ntse a pheha letlalo le robehileng, mesifa le lesapo ka likhato tse ka bang 200 tsa Celsius. Ho tseba ho otla sebaka se seholo sa molebeli oa monoana le ho lokolla khatello ea rolara PELE ho hula letsoho le tšoasehileng morao, mokhoa oa ho pshatla le ho koala sekheo sa centrifuge, le mokhoa oa ho pholisa leqeba le kopantsoeng la tekanyo ea boraro ea mocheso oa letsoho ho pholosa bophelo le matsoho. Bona dinomoro tsa tshohanyetso, khoebo ea nama ea slicer, motsoako oa hlama, le mochini oa ho jella oa reschorente, ho pongoa le ho baballa setho sa mmele, le chesa.

Etsa sena hona joale¶

1. Otle ka bophara bo felletseng ba panic bar (setebela sa menoana) kapa otla konopo e khubelu ea mushroom Emergency Stop (E-Stop) hang-hang haeba letsoho la mosebeletsi le huleloa ka har'a setšepe sa khoebo kapa se hateletsoe ka tlas'a mochine o hatisang oa moea. Le ka mohla u se ke ua leka ho hulela letsoho la mohlaseluoa le tšoasehileng ka likhoka ho khutlela morao kapa li-roller tse hatelitsoeng li ntse li le teng; ho hula letsoho le phehiloeng, le pshatlehileng ka ntlha e thata ea nip ho hlobola letlalo le mesifa eohle masapong (thermal degloving).
2. Lokolla mochini, pneumatic, kapa hydraulic clamping pressure holim'a mochini o futhumatsang oa ironer kapa hlooho ea mouoane HANG-HANG e le hore tšepe e chesang e tlosoe letsohong la motho ea hlasetsoeng ka metsotsoana e seng mekae. Metsotsoana e meng le e meng ea ho kopana le 180-degree-Celsius (356-degree-Fahrenheit) ho chesoa ha sefuba ho fetoha botenya bo tebileng ba sefuba. menoana e hlokang ho khaoloa:
3. Ho Aini ea Flatwork: Kenya tšebetsong automatic roller lift / canopy raise switch, bula pneumatic air-dump valve, kapa tšoara manual ea tšohanyetso hand-crank/lever foreiming e ka lehlakoreng ho phahamisa khatello e phahamisitsoeng sefubeng sa mouoane/gase ebe u khutlisetsa moqolo morao.
4. Ka Mouoane oa Mouoane Tobetsa: Tobetsa konopo tse peli tsa hlooho / E-Stop e khubelu kapa u hule **valve ea ho lahla ea moea e hatelitsoeng ka letsoho ** holim'a silindara e ka morao ea pneumatic ho tlohella phala e holimo e lekantsoeng hore e bulehe; haeba selemo sa ho khutla se robehile, bula buck e ka holimo ka lehare kapa lehong la 2x4 hang-hang.
5. Haeba letsoho kapa setopo sa mosebeletsi se ts'oaroa ka har'a mochini o omisang oasher kapa mochini o omisang metsi oa indasteri, otla E-Stop e khubelu 'me u bule sekhechana sa motlakase sa lebota se seholo, ebe u emela hore moropa o eme ka ho feletseng pele o fihla ka hare. Le ka mohla u se ke ua sebelisa matsoho a hao kapa thupa ho leka ho emisa basket basket spin ea 200-kilogram (440-pound) centrifuge; ho tšoara lakane e metsi ka har'a moqomo o lebōpong la leoatle ho tla thatela letsoho la hao mochineng.
6. ** Letsetsa nomoro ea hau ea ts'ohanyetso ea lehae (911 United States le Canada, 112 ho pholletsa le European Union, 999 United Kingdom) 'me u tlalehe "High-speed commercial laundry centrifuge amputation/entrapment" kapa "Heated industrial ironer thermal crush-burn entrapment."** Kopa Fire-Rescue lithulusi tse boima tsa paramente ea ALS; hlahloba dinomoro tsa tshohanyetso.
7. *Bakeng sa ho khaoloa ha centrifuge ho khaoloa 'me ho tsoa mali a kotsi bophelong, sebelisa windlass tourniquet ea lisenthimithara tse 5 ho isa ho tse 7 (2 ho isa ho 3 inches) ka holim'a kutu e khaotsoeng hang-hang, kapa u koahele sokete ea lehetla (axilla) ka thata ka lesela la hemostatic kapa le sa hloekang 'me u tšoare sekoahelo se matla ka matsoho a mabeli hore se koalehe. le ho pholile leoto le khaotsoeng hantle holim'a mokotla oa metsi a leqhoa; bona ho tsoa madi le ho pongoa le ho baballa setho sa mmele.
8. *Hang ha letsoho kapa letsoho le lokollotsoe mochining o futhumetseng oa tšepe kapa mochini oa mouoane, nosetsa leoto le cheleng le le pshatlehileng hang-hang ka metsi a pompo a pholileng a pholileng (15 ho isa ho 20 likhato tsa Celsius / 59 ho isa ho 68 likhato tsa Fahrenheit) ka metsotso e 20 ha u ntse u hlobola lireng kapa lioache tse menoaneng e sa chesoang. Le ka mohla u se ke ua sebelisa metsi a leqhoa kapa a chesang ka ho feteletseng, a bakang leqhoa kapa metsi a batang. lisele tsa ischemic tsa moeli.

Sefate sa liqeto: mochini o hlatsoang liaparo tsa khoebo, ironer ea flatwork, le pholoso ea mochine oa mouoane¶

flowchart TD
    Start["Mechini ea Tšohanyetso ea ho Hlatsoa Liaparo tsa Khoebo"] --> Machine{"Ke mochini oa mofuta ofe oa ho hlatsoetsa o amehang?"}
    Machine -->|"Washer-Extractor / Centrifuge Spin Basket Entanglement"| Extractor["1. Tobetsa E-Stop e khubelu 'me u hakolle leboteng la motlakase o TLOHA; 2. U SE KE UA fihla moqomong oa ho ohla kapa oa lebopo ka matsoho; 3. Emela hore ho be le brake e matla / ea khohlano ho emisa baskete ka botlalo; 4. Etsa kopo ea tourniquet kapa junctional axillary packing bakeng sa letsoho le tsoileng matsoho; 5. Boloka leoto le khaotsoeng ka lesela le mongobo ka har'a mokotla oa polasetiki holim'a metsi a leqhoa"]
    Machine -->|"Heated Flatwork Ironer (Calender Roller) Hand Draw-In"| Ironer["1. Otle ka bophara bo felletseng ba molebeli oa monoana oa pele oa letsoho & otla E-Stop; 2. U SE KE UA honyetsa letsoho le qabeletsoeng morao sebakeng se thata; 3. Lokolla khatello ea pneumatic/spring roller OR crank manual handwheel ho phahamisa moqolo ho tloha 180 C (356 F) sefubeng se futhumetseng hang-hang; 4. Chesa ka tlas'a metsi a pompo a pholileng a pholileng ka metsotso e 20"]
    Machine -->|"Seaparo sa Pneumatic / Linen Steam Tobetsa Hlooho Pinning"| SteamPress["1. Tobetsa konopo ea E-Stop / ea tšohanyetso hang-hang; 2. Haeba hlooho e lula fatše, ntša velofo ea silindara ea moea e hatelitsoeng ka morao mochineng oa khatiso; 3. Pry e ka holimo e futhumetseng buck ho ea holimo ka pry bar le block e bulehileng; 4. Fokotsa mouoane o kopantsoeng oa mouoane / u chese ka metsi a pompo ka metsotso e 20"]
    Machine -->|"Walk-In / Pass-Through Industrial Tunnel Washer kapa Dryer"| Tunnel["1. Tobetsa E-Stop 'me u koale likheo tse kholo tsa mouoane, khase le motlakase; 2. Liqhomane tse buletsoeng ho ntša mouoane o chesang le moea o chesang; 3. Hlakola mosebeletsi o sebelisa Confined Space protocol mme o alafshoe mocheso oa setorouku / scalds"]
    Extractor --> EMS["Letsetsa 911 / 112 / 999 bakeng sa Trauma ea Level 1, Ho Jala Matsoho hape, kapa lipalangoang tsa Regional Burn Center"]
    Ironer --> EMS
    SteamPress --> EMS
    Tunnel --> EMS

Likotsi tsa washer-extractor ea khoebo le centrifugal hydro-extractor¶

Hobaneng ho ohla line e metsi e sebetsa joalo ka winche e phahameng ea torque¶

Litlhatsoetsong tsa khoebo, metsi a ntšoa ho tloha lishiti tse hlatsoitsoeng, lithaole le junifomo e ka ba ka hare ho motsoako high-speed washer-extractor kapa ka har'a sebaka se inehetseng sa ho kenya holimo centrifugal hydro-extractor ("spinner"). Nakong ea potoloho ea ho hula, baskete ea tšepe e sa hloekang e nang le perforated e potoloha ho **600 ho isa ho 1,200 rpm **.

Mehaho e 'meli ea 'mele e etsa hore seroto sa ho hlatsoetsa liaparo se be kotsi ka tsela e ikhethang haeba se ka fihlelleha pele se ema (zero-speed state):

1. Potoloho e kholo le linako tse telele tsa ho theosa le lebopo: Letlapa la khoebo la lishiti tsa k'hothone tse mongobo li boima ba 100 ho isa ho 400 lik'hilograma (liponto tse 220 ho isa ho tse 880) tse lihetsoeng khahlano le selikalikoe sa kantle sa moropa o boima oa tšepe, o sebetsang joalo ka lebili le leholohali. Haeba brake e matla ea elektroniki kapa brake ea pneumatic friction e ka fela kapa e hloleha, moropa o tsoela pele ho bilika ka mokhoa o khutsitseng ka inertia e hloekileng bakeng sa metsotso e 2 ho isa ho e 5 ka mor'a hore nako ea potoloho e felile.
2. Senotlolo se thata sa lesela le metsi le sothehileng: Lilakane tsa k'hothone tse metsi kapa li-polyester tse kopantsoeng hammoho ka 300 G-force li na le matla a ho robeha a lik'hilograma tse likete tse' maloa . Ha mosebeletsi ea nang le mamello a bula lemati la mochini o ntšang mochini o hlatsoang mochini leo sesebelisoa sa "zero-speed interlock se robehileng kapa se fetisoang 'me se fihle ho hula hukung ea lakane ha moropa o ntse o thinya esita le 60 ho isa ho 100 rpm, lakane e metsi e thatela ka thata letsohong la bona le forearm joalo ka lefito la constrictor. Ka mor'a motsotsoana, boima bo potolohang bo sotha letsoho ho pota-pota axis e bohareng, ho baka ** spiral comminuted fracture ea radius, ulna, le humerus** e lateloa ke ho khaoloa ho ho feletseng setsoeneng kapa soketeng ea lehetla, kapa ho hula hlooho ea mosebetsi le 'mele o ka holimo oa lemati le chitja.

Maemo a tlamang a ho hokahana a polokeho (OSHA 1910.264, ANSI L1.1, & EN ISO 10472)¶

Tlas'a OSHA 29 CFR 1910.264©(1) & (2), ANSI Z8.1 / L1.1, UK HSE Laundry Guidance, le European Standard EN ISO 10472-2, mochini o mong le o mong oa ho hlatsoa le centrifugal extractor e tlameha ho ba le lisebelisoa:

• Monahano oa lemati o hananang le motlakase LE sensor ea motsamao oa zero-speed: Lemati kapa sekwahelo se ka holimo se tlameha ho thibeloa ho buleha ha baskete e ka hare e ntse e potoloha, 'me enjene ea koloi e lokela ho thibeloa ho qala lemati le ntse le butsoe. Habohlokoa, senotlolo sa nako se bonolo ha sea lekana haeba brake e hloleha; litekanyetso tsa sejoale-joale tsa polokeho li hloka senotlolo sa rotation-sensing (zero-speed) se bolokang lemati le notleletsoe ka bolutu ho fihlela ho bilika ha baskete ho tiisa 0 rpm.
• Tiiso ea letsatsi le letsatsi ea ho notlella: Haeba monyako ofe kapa ofe oa mochini o hlatsoang mochini o omisitsoeng o ka huloa ha moropa o ntse o phetoa, mochini o tlameha ho koaloa hang-hang ebe o koalloa kantle ho ts'ebeletso (Lockout/Tagout) ho fihlela o lokisoa ke setsebi se hloahloa.

Flatwork ironer (calender roller) e hulang le likotsi tsa ho silakanya mocheso¶

Mokhoa oa ho aena o bakang ts'oaetso e mpe e kopaneng ea ho sithabela le ho chesa¶

Morekisi ** oa flatwork ironer (calender kapa mangle)** o aena lilakane tse metsi, mesamo, le masela a litafole ka lebelo la 5 ho isa ho 50 metres ka motsotso (15 ho isa ho 165 maoto ka motsotso). Ho latela moralo, e sebelisa e 'ngoe:

• Sefuba sa mofuta (Roll-and-Chest) Ironer: E 'ngoe ho isa ho tse 'ne tse kholo tse nang le mapolanka ** lirolara tsa khatello ** (tse phuthetsoeng ka Nomex/aramid feels le liliba tse thibelang mocheso) tobetsa line e mongobo fatše ka lithane tse likete tsa "pneumatic or mechanical spring force" ka har'a tšepe e betliloeng, e koalehileng heated-heated8 ka har'a bethe* bar / 115 ho 190 psi**), oli e futhumatsang, kapa licheso tsa khase ho 160 ho isa ho 200 likhato tsa Celsius (320 ho isa ho 392 degrees Fahrenheit).
• Mofuta oa Silinda (Return-Ribbon) Ironer: Canvas kapa Nomex ribbone tsa ho fepa (mabanta) li jara line ho potoloha moqomo o moholo oa tšepe o futhumatsang (160 ho isa ho likhato tse 190 tsa Celsius).

Ha opareitara e fepa karolo e ka pele ea lakane e sosobaneng e metsi holim'a mabanta a ho fepa, lintlha tsa menoana ea bona e ka tšoasoa ke lemeno la lesela le metsi kapa ea taboha lenteng la ho fepa le tabohileng. Haeba thepa e tshekaletseng ka pele e sireletsang monoana ho pota 'metso e kenang e behiloe holimo haholo (ho feta 10 ho isa ho 12 limilimithara ka holim'a lebanta), e khomaretsoe ka lente, kapa e na le microswitch e fosahetseng, menoana, letsoho le foreare li huleloa ka ho toba ho in-running nip point-* pakeng tsa thipa *1 le Celus 1 (356-degree-Fahrenheit) sefuba sa tšepe **.

Ke hobane'ng ha "Thermal Crush" e mpe haholo ho feta ho chesa habonolo kapa ho senya habonolo¶

Lingaka tse buoang liatla li arola mochini oa ironer kapa mochini oa khatiso o chesang joalo ka ** kotsi e kopaneng ea thermal-crush **, e leng e 'ngoe ea likotsi tse mpe ka ho fetesisa tsa bongaka:

1. Ka nako e le 'ngoe ho hatella le ho fetisa mocheso o tebileng: Ho chesa ho tloaelehileng ha flash kapa ho chesoa ha nakoana ho ama feela karolo e ka ntle ea epidermis hobane motho o hula letsoho la hae ka metsotsoana e 0.2. Ka har'a setšepe sa tšepe kapa mochini oa mouoane, rolara ea moea e tšoara letsoho le tlanngoe ka tlas'a makholo a lik'hilograma tsa khatello ka kotloloho khahlanong le 180-degree-Celsius steel. Khatello ea mochine e pepeta phallo eohle ea mali e sireletsang ho tsoa ka har'a li-capillaries tsa letlalo (tseo hangata li tsamaisang mocheso) ebe li batalatsa letsoho ho isa halofo ea botenya ba lona, ​​​​ho tsamaisa mocheso o bolaeang ka ho toba ka har'a letlalo la mokokotlo, li-tensor, li-capsules tse kopanetsoeng, masapo a metacarpal, le palmar neurovascular bundles ka hare ho **5 ho metsotsoana e 15 **.
2. Compartment syndrome e ka tlas'a inelastic leather eschar: Mocheso o kopanya letlalo la letsoho hore le be lekhapetleng le thata, le sa thekeseleng la letlalo (degree ea boraro eschar), ha ho pshatleha ha mochine ho etsa hore mesifa e ka hare e ruruhe ka har'a likarolo tse thata tsa letsoho le forearm. Ntle le ho lokolloa ka potlako ho buuoa (** escharotomy le fasciotomy **), khatello ea ka hare e senya mesifa leha e le efe le lisele tsa methapo tse pholohileng mocheso oa pele.

Ho ntšoa ha mohato ka mohato ho tloha ho aena e futhumetseng ea flatwork (U SE KE U BUELA KA MORAO)¶

Motsotsoana o mong le o mong letsoho la mohlaseluoa le lula le hatelletse sefuba kapa moqomo oa tšepe oa mocheso oa likhato tse 180 tsa Celsius o senya likarolo tse tebileng tsa mesifa le lesapo. Bapholosi ba tlameha ho sebetsa ka nako e tlas'a metsotsoana e 15 ba sebelisa tatelano ena ea mochini:

1. Otla sekoti se sireletsang menoana e ka pele ka bophara 'me u tobetse konopo e khubelu ea E-Stop:
2. Ho li-ironing tsa sejoale-joale tse lumellanang (OSHA 1910.264©(3) / EN ISO 10472-5), ho khoptjoa bareng e ka pele ea molebeli oa menoana kapa ho otla E-Stop ho etselitsoe ho itšeha matla a motlakase LE ho ntša moqomo oa moea e le hore rolara e boima e phahamise *5 ho isa ho 10 lisenthimithara ho theolela lisenthimithara tse 4 ho ea holimo * lisenthimithara tse 4 ho ea holimo. sefuba se futhumetseng tlase).
3. Haeba rolara e SA iphahamise ka bo eona, lokolla khatello ka letsoho hanghang:
4. ** LE KA mohla u se ke ua tšoara setsoe sa mohlaseluoa 'me u sutumelletsa letsoho morao ** ha mochini o hatellang o ntse o tlameletsoe matsohong a bona; u tla hlobolisa letlalo le phehiloeng le li-tendon ka ho feletseng menoaneng.
5. Ho li-aena tse phahamisoang moea: Fumana **valve ea letsoho ea ho tsoa mali / ea ho lahla ** holim'a ntlo ea silindara ea pneumatic ka lehlakoreng la mochini (kapa khaola / hakolla liphaephe tsa polasetiki tse hatelitsoeng ka moea tse fepelang boema-kepe ka mor'a ho koala valve e kholo ea moea) kahoo rolara e phahamisa kapa e lokolla tsitsipano ea ho koala.
6. Ho li-aena tsa mochini / tse kentsoeng nakong ea selemo kapa tsa canopy: Tšoara ka letsoho la letsoho la letsoho la tšohanyetso (handwheel) le bolokiloeng foreiming e ka thōko ea ironer, e kenye holim'a shaft ea rolara, ebe u k
7. Tshela metsi a pholileng a hloekileng letsohong le tšoasehileng FEELA ha ho ntšoa ho liehile 'ME Aaena e futhumalitsoe ka mouoane (E SE oli ea mocheso kapa motlakase o pepenene):
8. Haeba letsoho le ts'oara metsotsoana e fetang 30 sefubeng sa steam-heated ha basebetsi-'moho ba ntse ba phahamisa rolara, ho tšela metsi a pholileng a pompong ka kotloloho holim'a letsoho le koaletsoeng 'me rolara e thusa ho monya mocheso.
9. TEMOSO: Le ka mohla u se ke ua tšela metsi holim'a aene e futhumetseng ka oli ea mocheso o phahameng oa mocheso (ho fetisa mocheso oa mokelikeli) haeba peipi ea oli e lutla, 'me u arole matla a motlakase pele.

Pneumatic laundry steam press crush-burn pholoso¶

Lisebelisoa tsa khoebo tse omisang liaparo le liphahlo tsa hotele/sepetlele li sebelisa mekhatiso ea phefumoloho ea scissor-action pneumatic, li-hempe le li-collar/cuff press. Hlooho e kaholimo ea tšepe e kobehileng (ka holimo), e futhumatsoa ke mouoane o hatelitsoeng ka hare ho 150 ho isa ho 180 likhato tsa Celsius (300 ho isa ho 356 likhato tsa Fahrenheit), e theohela holim'a lesela la tlase le khannoang ke silindara ea moea e hatelitsoeng ho *5 ho isa ho 70 bareng.70 p.

Leha ho hlokahala hore ho hatisoe ho be le taolo ea likonopo tsa matsoho a mabeli (e qobellang opareitara ho sebelisa matsoho ka bobeli likonopong tse kantle ho sebaka sa khatiso ho fihlela hlooho e koala), likotsi li etsahala khafetsa ha:

• Motho ea sebetsang o roala thupa, boima, kapa theipi ho tšoara konopo e le 'ngoe fatše e le hore ba khone ho theola hempe ka letsoho la bona le sa lefelloeng ha ba ntse ba tobetsa konopo e setseng.
• Basebetsi ba babeli ba sebelisa mochine o mong oa khatiso hammoho ba sa hlokomele hore e mong o tobetsa likonopo tse koalang.
• Sesepa sa moea sa solenoid se thupa kapa sekoele se khutlang nakong ea selemo, se etsang hore boima ba lik'hilograma tse 50 (liponto tse 110) bo chesehele ka holimo ho sa lebelloa holim'a letsoho la motho ea sebetsang.

Mehato ea hang-hang ea pholoso bakeng sa ho penya mochine oa khatiso:

1. ** Tobetsa konopo e khubelu ea Release / Emergency Open ** ho console ea taolo hang-hang.
2. Haeba buck e ka holimo e lula e tlameletsoe letsohong: Sheba tšiea e ka morao ea mochine o hatisang, koala valluu ea phepelo ea moea e hatelitsoeng, 'me u hule lesale la ho thusa** ka letsoho (kapa u lokolle hose ea moea e kenang moqomong o koalang) ho ntša khatello ea moea e tšoereng hlooho.
3. Phahamisa 'me u tšehetse buck e ka holimo e chesang: Hobane buck e ka holimo ha e lumellane le selemo, ho ntša moqomo oa moea hangata ho u lumella ho sutumelletsa hlooho e ka holimo holimo ka mofeng oa eona o sirelelitsoeng; haeba selemo se khutlang se robehile, cheha tšepe ea pry bar kapa lehong la 2x4 pakeng tsa moqomo o ka tlaase oa buck le moqomo o ka holimo oa buck ho e phahamisa letsohong la phofu hang-hang.

Thuso ea pele bakeng sa likotsi tsa ho hlatsoetsa liaparo tsa centrifuge tse kopaneng¶

1. Ho pholile hang-hang le tlhokomelo ea maqeba bakeng sa flatwork ironer le ho chesa mouoane oa mochine¶

Hang ha letsoho kapa forearm e lokollotsoe ho ironer e futhumetseng kapa mochini oa mouoane:

1. Nosetsa ka metsi a pompo a pholileng a phallang (15 ho isa ho 20 C / 59 ho isa ho 68 F) ka metsotso e 20 e felletseng:
2. Li-tissue tse tebileng tse pshatlehileng khahlanong le tšepe ea 180-degree-Celsius li boloka mocheso o patehileng o tsoelang pele ho pheha mesifa le methapo metsotso e 'maloa ka mor'a hore e tlosoe. Ho nosetsa metsi ka metsotso e 20 hang-hang ho emisa tsoelo-pele ea mocheso le ho fokotsa edema; bona chesa.
3. **Le ka mohla u se ke ua sebelisa leqhoa kapa metsi a leqhoa **, e bakang vasoconstriction e matla le ho tebisa necrosis ea lisele letsohong le pshatlehileng.
4. Tlosa mabenyane ohle le lioache hang-hang, empa U SE KE UA Ebola lesela le khomaretseng kapa letlalo le cheleng:
5. Khaola lesela leha e le lefe le hlephileng le pota-potileng letsoho, empa haeba lesela la maiketsetso le chesitsoeng le qhibiliha letlalong le cheleng, le tlohele sebakeng sa lona bakeng sa ho senyeha ha opereishene 'me le phole holim'a lona.
6. Kopa ka lesela le omeletseng le sa thupeng kapa filimi e hloekisitsoeng ea polasetiki, e arotsoe hantle, 'me u phahamisetse hantle holima pelo kapa hanyenyane:
7. Le ka mohla u se ke ua thatela letlapa le chitja ka thata ho potoloha letsoho le pshatlehang ka mocheso; ho ruruha ho tla eketsa ka potlako khatello ea likarolo.
8. Lipalangoang hang-hang ho ea sepetlele se nang le ** ka bobeli Setsi sa Sebaka sa ho Chesa le Matla a ho Buoa ka Matsoho **, e le ho buuoa ka potlako **escharotomy ** (ho phunyeletsa ka letlalo le thata la letlalo le chesitsoeng) le ** fasciotomy ** (ho bula likarolo tse tebileng tsa mesifa) hangata ho hlokahala ka mor'a lihora tse ngata ho boloka menoana; bona ho senya kotsi le compartment syndrome.

2. Ho laola ho tsoa mali bakeng sa likotsi tsa centrifuge extractor avulsion¶

Ha mochini o ntšang mochini o hlatsuoang ka lebelo le phahameng o sotha le ho tabola letsoho phatleng, setsoe, kapa mahetleng:

1. Kenya windlass tourniquet haeba kutu e haufi le leoto le ntse le le teng: Beha sefofane sa moea sa khoebo (joaloka CAT kapa SOFTT-W) 5 ho isa ho 7 centimeters (2 ho isa ho 3 inches) ka holim'a sebaka se tabohang letsohong le ka holimo ebe u sotha moea oa moea ho fihlela mali a bofubelu bo khanyang a emisa ka ho feletseng; bona ho tsoa madi.
2. Sebelisa Junctional Wound Packing haeba letsoho le tsoile sekoting sa mahetla (axilla): Haeba leoto le ne le tabohile haufi haholo le lehetla hore circumferential tourniquet e lekane, beha meqolo ea lesela la hemostatic kapa lesela le sa hloekang le kene ka har'a lesapo la axillary ka ho toba khahlano le lesapo la mokokotlo ka ho toba khahlano le lesapo la mokokotlo oa matsoho ka ho toba u sebelisa axillary ea matsoho ka bobeli ho fihlela boima ba 'mele oa hau o ntse o le tlase. ho fihla ba fanang ka thuso ea bongaka maemong a tšohanyetso.
3. Khutlisetsa leoto le khaotsoeng moqomong oa ho hlatsoetsa feela ka mor'a hore motlakase o koalehe 'me potoloho e le 0 rpm: Hlakola leoto le khaotsoeng ka bonolo ho tloha maqepheng a sothehileng, o phuthele ka lesela le sa hloekang le kolobisitsoeng ka letsoai, le tiise ka har'a mokotla oa polasetiki o sa keneleng metsi, 'me u behe mokotla oo holim'a *50/50 bakeng sa ho tsamaisa leqhoa le metsi le leqhoa le pshatlehileng bona ho pongoa le ho baballa setho sa mmele.

Linomoro tsa libaka tsa tšohanyetso le liprothokholo tsa mekhatlo¶

Ha o letsetsa lits'ebeletso tsa tšohanyetso bakeng sa koello ea liaparo tsa khoebo, hlakisa hore na phofu e ntse e qabeletsoe ka har'a ironer/extractor (e hlokang ho ntšoa ha Pholoso ea Mollo) 'me u hlalose ka ho hlaka hore na ho na le kopantsweng 180-degree-Celsius thermal crush-burn of the hand kapa *high-vutation rotational Bona dinomoro tsa tshohanyetso.

Lipotso tse botsoang khafetsa¶

Ke hobane'ng ha ho le kotsi hakaale ho kena ka har'a mochini o hlatsoang thepa ea khoebo ha moqomo o ntse o le lebōpong butle ho emisa?¶

Mochine o hlatsoang oa khoebo o jereng lik'hilograma tse 100 ho isa ho tse 400 (liponto tse 220 ho isa ho tse 880) tsa maqephe a metsi o sebetsa joalo ka lebili le leholo la tšepe. Le ha enjene e tima 'me moropa o bonahala o theoha butle butle ka lebelo la 50 ho isa ho 100 rpm, o nka likete tsa newton-metres tsa torque e potolohang. Lilakane tse metsi tse soahlamaneng ka har'a moropa li matla joaloka likhoele tsa tšepe; haeba u fihla ka hare ho ntša lakane pele baskete e fihla setopong se feletseng sa 0-rpm, lesela le potolohang le tiisa letsoho la hao joaloka leraba, le phunya masapo a forearm ea hau le ho qhaqha letsoho ho tsoa lehetleng ka karoloana ea motsotsoana.

Ke hobane'ng ha bapholosi le ka mohla ba sa lokela ho hula letsoho la mosebetsi morao ho rolara ea tšepe e entsoeng ka sephara?¶

Motlakase oa khoebo o tiisa lesela le mongobo khahlanong le mocheso oa tšepe o futhumetseng oa 160-to-200-degree-Fahrenheit (320-to-392-degree-Fahrenheit) tlas'a li-kilogram tse makholo tsa khatello ea moea kapa ea selemo. Ha letsoho le huleloa sebakeng seo, mocheso o pheha ka potlako le ho fokolisa letlalo le subcutaneous fascia ha rolara e pshatla masapo. Haeba mosebetsi-’moho a tšoara letsoho la mohlaseluoa ’me a hetla morao ha rolara e ntse e hatella fatše, nōkō e tiileng e sebetsa joaloka scraper e tlosang letlalo le cheleng, methapo le mesifa masapong a letsoho (e leng kotsi e khōlō ea thermal degloving). Kamehla lokolla moea o kenang moeeng kapa oa mochine kapa u kenye rolara UP ho tloha sefubeng se futhumetseng pele.

Ke eng e etsang hore kotsi ea "thermal crush" e tsoang ho mochini o hlatsoang liaparo kapa mochini oa mouoane e be kotsi ho feta ho chesa ho tloaelehileng?¶

Ka ho chesoa ho tloaelehileng, o hula letsoho hang-hang 'me phallo ea mali ka har'a dermis e tebileng e thusa ho felisa mocheso. Ka har'a mochini o ts'oarellang oa tšepe kapa oa mouoane, khatello e matla ea mochini e pepeta mali ho tsoa liseleng ebe e tšoara letsoho le bataletseng ka thata khahlanong le tšepe ea 180-degree-Celsius ka metsotsoana e mengata, e tsamaisa mocheso o bolaeang o otlolohile ka har'a methapo e tebileng, mesifa, manonyeletso le methapo. Ka mor'a moo, letlalo le ka ntle le fetoha lesela le thata, le thata le le thata (eschar) ha mesifa e sithabetseng ka hare e ruruha ka potlako, e etsa hore ho be le lefu le matla la compartment le fokotsang phallo eohle ea mali ntle le haeba lingaka li etsa li-escharotomy le fasciotomy incisions tsa tšohanyetso.

Nka bula joang mochini o hatisang oa seaparo sa moea oa moea haeba motlakase o hloleha kapa konopo ea tokollo e sa phahamise hlooho e holimo e chesang?¶

Likhatiso tsa moea tse hlatsoetsoang ka moea le li-dry-clean li sebelisa moea o hatelitsoeng (5 ho isa ho 7 bar / 70 ho isa ho 100 psi) ka har'a silinda e ka morao ho sutumelletsa buck e kaholimo ho theosa khahlano le liliba tse boima tse hanyetsanang. Haeba likonopo tsa ho lokolla motlakase li hlōleha ho bula mochine o hatisang ha letsoho la mosebeletsi le ntse le hateletsoe, e-ea hang-hang moleng o hatelitsoeng oa moea o ka morao kapa ka lehlakoreng la mochine oa khatiso, koala valve ea ho thibela moea, 'me u hule selikalikoe sa ho tsoa mali sa moea (kapa u lokolle / u khaole tube ea moea ea polasetiki holim'a silinda). Hang ha moea o hatelitsoeng o tsoa ka har'a cylinder, liliba tsa counterbalance li tla u lumella ho phahamisa hlooho e ka holimo e chesang kapa ho e phunya ka bar ea lepolanka.

Na ke lokela ho beha leqhoa letsohong le cheleng le ho pshatleha ka rolareng e futhumetseng ea ho hlatsoa liaparo?¶

Che, le ka mohla u se ke ua tšela leqhoa kapa metsi a batang a leqhoa letsohong le cheleng le le pshatlehileng. Ha u ntse u tlameha ho pholile hang-hang letsoho tlas'a metsi a pompong a pholileng (15 ho ea ho 20 likhato tsa Celsius / 59 ho isa ho 68 likhato tsa Fahrenheit) metsotso e 20 ho thibela mocheso o patehileng ho pheha lisele tse tebileng, ho sebelisa leqhoa ho baka khatello e matla ea methapo ea mali (vasospasm). Ka letsohong leo methapo ea mali e seng e senyehile ke ho sithabela ha mechine le ho kopanya mocheso, vasoconstriction e entsoeng ke leqhoa e tla bolaea lisele tse phelang moeling le ho baka tahlehelo ea menoana.

• Tataiso ena e fana ka liprothokholo tsa thuso ea pele ea liindasteri tsa ho hlatsoetsa liaparo, ho notlela/tagout, le lithuso tsa pele tsa thermal-crush 'me ha e nke sebaka sa lithupelo tse netefalitsoeng kapa tlhokomelo ea bongaka ea litsebi. Nahana ka ho nka thuso ea pele mosebetsing, tlhokomelo ea ho chesa, le thupelo ea ho laola mali ka Sefapano se Sefubelu, St John Ambulance, kapa setsi sa hau sa naha sa tšireletso mosebetsing.

Litataiso tse amanang¶

• Sesekha sa nama sa khoebo, se kopanyang hlama, le mochini oa ho jella oa reschorente
• Compactor ea lithōle, baler, lebanta la conveyor, le pholoso ea ho koala mochine oa khatiso oa indasteri
• Ho pongoa le ho boloka maoto le matsoho
• Kotsi ea ho senya le lefu la compartment
• Licheso

Mehloli le tataiso ea semmuso¶

• Occupational Safety and Health Administration (OSHA, United States): 29 CFR 1910.264 Laundry Machinery and Operations le 29 CFR 1910.147 Taolo ea Matla a Kotsi (Lockout/Tagout)
• Mokhatlo oa Machabeng oa Maemo le CEN: EN ISO 10472-1 ho isa ho 10472-6 Litlhoko tsa Polokeho bakeng sa Mechini e Hlatsoang Liindasteri (Mechini e Hlatsoang, Li-extractors, Li-aena tsa Flatwork, le Likhatiso)
• Molaoli oa Bophelo bo Botle le Tšireletseho (HSE, United Kingdom): Tšireletseho libakeng tsa ho Hlatsoetsa le ho Hloekisa Kotsi (Tataiso ho Li-Extractors tsa Centrifugal, Li-Calender, le Likhatiso tsa Liaparo)
• Setsi sa Naha sa Maemo a Amerika (ANSI): ANSI/TCATA Z8.1 Litlhoko tsa Polokeho bakeng sa Liaparo tsa Khoebo le Lisebelisoa tsa ho Omisa le Ts'ebetso
• American Burn Association (ABA) & American Society for Surgery of the Hand (ASSH): Clinical Management of Combined Thermal-Crush Injuries of the Upper Extremity (Hot Press Injuries)