2. Safety and protection information
MERLION PLUS - E500
STD04
Page 14 of 50
IMPORTANT MEDICAL INFORMATION
Immediate hospital attention should be given to personnel who sustain equipment related injuries
while operating the system. In such cases, it is vital that medical personnel be apprised of all facts
relevant to such injuries. Therefore, all operating personnel should be provided with waterproof
emergency medical alert tags or cards, describing the nature of their work and the possibility of
injury inherent in the use of water jetting equipment. The following is an example of a standard
card that can be photo copied, laminated and used as medical alert tag.
WARNING
DEN-SIN - a division of Nilfisk Pte Ltd.
No.5 Tuas Ave 2, Singapore 639445
Tel: +65 6268 1006 Fax: +65 62684916
www.densin.com
Obtain medical treatment
immediately for ANY high-pressure
water-jet injuries.
Inform the doctor of the cause of
the injury.
Show this card to the doctor.
This card is to be carried by
personnel working with high-
pressure water jetting equipment.
MEDICAL ALERT
NOTE TO PHYSICIAN
This patient may be suffering from a water jet
injury. Evaluation and management should
parallel that of a gunshot injury. The external
manifestations of the injury cannot be used to
predict the extent of internal damage. Initial
management should include stabilization and
a thorough neurovascular examination.
X-rays can be used to access subcutaneous air
and foreign bodies distant from the site of
injury. Injuries to the extremities can involve
extensive nerve, muscle, vessel damage, as
well as cause a distal compartment syndrome.
Injuries to the torso can involve internal
organ damage. Surgical consultation should
be obtained. Aggressive irrigation and
debridement is recommended.
Surgical decompression and exploration may
also be necessary. Angiographic irrigation
studies are recommended pre-operatively if
arterial injury is suspected. Bandages with a
hygroscopic solution (MgSO
4
) and hyperbaric
oxygen treatment have been used as
adjunctive therapy to decrease pain, edema
and subcutaneous emphysema.
Unusual
infections
with
uncommon
organisms in immunocompetent patients have
been seen; the source of the water is
important in deciding on initial, empiric
antibiotic treatment, and broad spectrum
intravenous
antibiotics
should
be
administered.
Cultures should be obtained
IMPORTANT
MEDICAL INFORMATION
DEN-SIN - a division of Nilfisk Pte Ltd.
No.5 Tuas Ave 2, Singapore 639445
Tel: +65 6268 1006 Fax: +65 62684916
www.densin.com
