What is Incident Management? Best Practices & More - what is incident management
Because of their relatively larger surface area:weight ratio, children are more vulnerable to toxicants affecting the skin. Also, emergency department personnel should examine children's mouths because of the frequency of hand-to-mouth activity among children.
Be aware that use of protective equipment by the provider may cause anxiety, particularly in children, resulting in decreased compliance with further management efforts.
As the 12 to 45% of pedestrian deaths caused by 'pedestrian distraction' has been linked to cell phone usage,[48] some cities (including Sydney, Seoul, Augsburg, Bodegraven, Tel Aviv, and Singapore) have installed LED strips embedded in the sidewalk before crosswalks to warn distracted pedestrians of immanent pedestrian crossings.[49] This additional signal, which is synchronized with conventional signals, aims to decrease injury rates by telling distracted pedestrians when it is safe to cross the road without them having to lift their head.
Railroad signals, for stopping trains in their own right of way, generally use the opposite positioning of the colours; that is, for signals above the driver's eyeline, green on top and red below is the standard placement of the signal colours on railroad tracks. There are three reasons for this variation: there is no risk that railway signals will be masked by a tall vehicle between the driver and the signal; train speeds in fog are much higher than for road vehicles, so it is important that the most restrictive signal is closest to the driver's eyeline; and with railway signals often in exposed rural locations, there is a risk of any signal other than the bottom one being masked by snow building up on the hood of the signal below.
Rapid decontamination is critical. Victims who are able may assist with their own decontamination. Remove and double-bag contaminated clothing and personal belongings.
Flush exposed skin and hair with copious amounts of plain tepid water. Use caution to avoid hypothermia when decontaminating victims, particularly children or the elderly. Use blankets or warmers after decontamination as needed.
Hypochlorite irritates the skin and can cause burning pain, inflammation, and blisters. Damage may be more severe than is apparent on initial observation and can continue to develop over time.
Report to the base station and the receiving medical facility the condition of the patient, treatment given, and estimated time of arrival at the medical facility.
Consider appropriate management of chemically contaminated children at the exposure site. Provide reassurance to the child during decontamination, especially if separation from a parent occurs.
Green arrows are added to signals to indicate that drivers can travel in a particular direction, while the main lights for that approach are red, or that drivers can only travel in one particular direction. Alternatively, when combined with another green signal, they may indicate that turning traffic has priority over oncoming traffic (known as a "filter arrow").[19]: 3.5 Flashing amber arrows typically indicate that road users must give way (to other drivers and pedestrians) before making a movement in the direction of the arrow. These are used because they are safer, cause less delay, and are more flexible. Flashing amber arrows will normally be located below the solid amber.[20]
Patients who are able may assist with their own decontamination. Remove and double bag contaminated clothing and personal belongings.
Patients who ingested large volumes of hypochlorite, who have unreliable histories, or are symptomatic complaining of pain in swallowing, persistent shortness of breath, severe cough, or chest tightness should be admitted to the hospital and observed until symptom-free. Injury may progress for several hours.
Scuderia Ferrari, a Formula One racing team, formerly used a traffic light system during their pit stops to signal to their drivers when to leave the pits.[citation needed] The red light was on when the tires were being changed and fuel was being added, amber was on when the tires were changed, and green was on when all work was completed. The system is (usually) completely automatic. However, the system was withdrawn after the 2008 Singapore Grand Prix, due to the fact that it heavily delayed Felipe Massa during the race, when he was in the lead. Usually, the system was automatic, but heavy traffic in the pit lane forced the team to operate it manually. A mechanic accidentally pressed the green light button when the fuel hose was still attached to the car, causing Massa to drive off, towing the fuel hose along. Additionally, Massa drove into the path of Adrian Sutil, earning him a penalty. He finally stopped at the end of the pit lane, forcing Ferrari's mechanics to sprint down the whole of the pit lane to remove the hose. As a result of this, and the penalty he also incurred, Massa finished 13th. Ferrari decided to use a traditional "lollipop" for the remainder of the 2008 season.
In North European countries, the tram signals feature white lights of different forms: "S" for "stop", "—" for "caution" and arrows to permit passage in a given direction.[58] In Sweden, All signals use white lighting and special symbols ("S", "–" and an arrow) to distinguish them from regular signals.
Many traffic light installations are fitted with vehicle actuation, i.e. detection, to improve the flexibility of traffic systems to respond to varying traffic flows. Detectors come in the form of digital sensors fitted to the signal heads or induction loops within the road surface. Induction loops are beneficial due to their smaller chance of breakdown, but their simplicity can limit their ability to handle some situations, particularly involving lighter vehicles such as motorcycles or pedal cycles.[69] This situation most often occurs at times of day when other traffic is sparse as well as when the small vehicle is coming from a direction that does not have a high volume of traffic.[70]
Unless previously decontaminated, all patients suspected of contact with hypochlorite and all victims with skin or eye irritation require decontamination as described below. Patients exposed only to chlorine gas who have no skin or eye irritation may be transferred immediately to the Critical Care Area. Because hypochlorite is an irritant, don butyl rubber gloves and apron before treating patients.
Sodium Hypochloritepowder
Ingestion of hypochlorite solutions may lead to pulmonary complications when the liquid is aspirated. Inhalation of gases released from hypochlorite solutions may cause eye and nasal irritation, sore throat, and coughing at low concentrations. Inhalation of higher concentrations can lead to respiratory distress with airway constriction and accumulation of fluid in the lungs (pulmonary edema). Patients may exhibit immediate onset of rapid breathing, cyanosis, wheezing, rales, or hemoptysis. Pulmonary injury may occur after a latent period of 5 minutes to 15 hours and can lead to reactive airways dysfunction syndrome (RADS), a chemical irritant-induced type of asthma.
Irrigate exposed or irritated eyes with saline, Ringer's lactate, or D5W for at least 20 minutes. Eye irrigation may be carried out simultaneously with other basic care and transport. Remove contact lenses if it can be done without additional trauma to the eye. If a corrosive material is suspected or if pain or injury is evident, continue irrigation while transferring the victim to the support zone.
Some systems use the letter B for buses and T for trams. The METRO light rail system in Minneapolis, Minnesota, the Valley Metro Rail in Phoenix, Arizona, and the RTA Streetcar System in New Orleans use a simplified variant of the Belgian/French system in the respective city's central business district where only the "go" and "stop" configurations are used. A third signal equal to amber is accomplished by flashing the "go" signal.
If a chemical has been ingested, prepare the ambulance in case the victim vomits toxic material. Have ready several towels and open plastic bags to quickly clean up and isolate vomitus.
Sodium hypochloriteuses
Pedestrians are usually incorporated into urban signalised junctions in one of four ways: no facilities, parallel walk, walk with traffic, or all-red stages. No facilities may be provided if pedestrian demand is low, in areas where pedestrians are not permitted, or if there is a subway or overpass. No provision of formal facilities means pedestrians will have to self-evaluate when it is safe to cross, which can be intimidating for pedestrians.[19]: 71 With a "parallel walk" design, pedestrians walk alongside the traffic flow. A leading pedestrian interval may be provided, whereby pedestrians get a "walk" signal before the traffic gets a green light, allowing pedestrians to establish themselves on the crossing before vehicles begin to turn, to encourage drivers to give way.[45] A 'walk with traffic' facility allows pedestrians to go at the same time as other traffic movements with no conflict between movements. This can work well on one-way roads, where turning movements are banned or where the straight-ahead movement runs in a different stage from the turning movement. A splitter island could also be provided. Traffic will pass on either side of the island and pedestrians can cross the road safely between the other flows.[19]: 72
Synonyms of sodium hypochlorite include Clorox, bleach, liquid bleach, sodium oxychloride, Javex, antiformin, showchlon, chlorox, B-K, Carrel-dakin solution, Chloros, Dakin's solution, hychlorite, Javelle water, Mera Industries 2MOm³B, Milton, modified dakin's solution, Piochlor, and 13% active chlorine.
Signals such as the 3M High Visibility Signal utilize light-diffusing optics and a Fresnel lens to create the signal indication. The light from a 150 W PAR46 sealed-beam lamp in these "programmable visibility" signals passes through a set of two glass lenses at the back of the signal. The first lens, a frosted glass diffusing lens, diffuses the light into a uniform ball of light around five inches in diameter. The light then passes through a nearly identical lens known as an optical limiter (3M's definition of the lens itself), also known as a "programming lens", also five inches in diameter.[citation needed]
Sodium hypochloritevs bleach
Popular in Vietnam and China, countdown lights are additional lights installed next to (or above or below) the main signal lights. The countdown light is displayed by a countdown number with different colors (usually red, yellow, green), matching the color of the light on. When the light counts to "0" (or 1), the main light color immediately changes. Countdown lights may have zeros in the tens or none, some countdown lights may flash when getting ready to zero. Yellow lights can also have countdown lights, but most lights do not. Usually the countdown light has 2 digits, in case the time of the main light (usually the red light, rarely the green light) is longer than 100 seconds, depending on the type of light, the following possibilities may occur:
Irrigate exposed or irritated eyes with saline, Ringer's lactate, or D5W for at least 20 minutes. Check the pH of the conjunctiva every 30 minutes for 2 hours after irrigation is stopped. If the pH is not neutral an irrigating contact lens should be used to apply continuous irrigation for several hours until the pH of the tissue normalizes. Test visual acuity and examine the eyes for corneal damage and treat appropriately. Immediately consult an ophthalmologist for patients who have corneal injuries.
Flashing orange stophand: do not start to cross; if it appears during crossing, then continue to cross if unable to stop safely
Hypochlorite powder, solutions, and vapor are irritating and corrosive. Swallowing hypochlorite or contact with the skin or eyes produces injury to any exposed tissues. Exposure to gases released from hypochlorite may cause burning of the eyes, nose, and throat; cough; and damage to the airway and lungs. Generally, the more serious the exposure, the more severe the symptoms.
Patients who are comatose, hypotensive, or having seizures or cardiac arrhythmias should be treated in the conventional manner.
The Netherlands uses a distinctive "negenoog" (nine-eyed) design shown on the top row of the diagram;[59] bottom row signals are used in Belgium, Luxembourg, France, and Germany. The signals mean (from left to right): "go straight ahead", "go left", "go right", "go in any direction" (like the "green" of a normal traffic light), "stop, unless the emergency brake is needed" (equal to "amber"), and "stop" (equal to "red").
In the United States, traffic lights are currently designed with lights approximately 12 inches (300 mm) in diameter. Previously the standard had been 8 inches (200 mm); however, those are slowly being phased out in favour of the larger and more visible 12 inch lights. Variations used have also included a hybrid design, which had one or more 12 inch lights along with one or more lights of 8 inches (200 mm) on the same light.
[ ] Avoid drinking alcoholic beverages for at least 24 hours; alcohol may worsen injury to your stomach or have other effects.
Direct visualization of the esophagus is of primary importance for determining the extent of injury. All patients who are suspected of having significant ingestion, or those (such as children) for whom there is an unreliable history, must have early endoscopy within 36 to 48 hours of ingestion. Use of a flexible endoscope is associated with a lower risk of perforation. The esophagus, stomach and duodenum should be endoscopically evaluated because burns of the esophagus do not correlate with the presence of burns in the stomach.
Criticism in South Korea says that this is unrealistic and unreasonable. In addition, this can cause multiple collisions due to sudden braking.
In lieu of preemptive mechanisms, in most jurisdictions, emergency vehicles are not required to respect traffic lights. However, emergency vehicles must slow down, proceed cautiously and activate their emergency lights to alert oncoming drivers to the preemption when crossing an intersection against the light.[62][63]
In the United Kingdom, 12-inch lights were implemented only with Mellor Design Signal heads designed by David Mellor. These were designed for symbolic optics to compensate for the light loss caused by the symbol. However, following a study sponsored by the UK Highways Agency and completed by Aston University, Birmingham, UK, an enhanced optical design was introduced in the mid-1990s. Criticism[by whom?] of sunlight washout (cannot see the illuminated signal due to sunlight falling on it), and sun-phantom (signal appearing to be illuminated even when not due to sunlight reflecting from the parabolic mirror at low sun angles), led to the design of a signal that used lenslets to focus light from a traditional incandescent bulb through apertures in a matt black front mask. This cured both problems in an easily manufactured solution. This design proved successful and was taken into production by a number of traffic signal manufacturers through the engineering designs of Dr. Mark Aston, working firstly at the SIRA Ltd in Kent, and latterly as an independent optical designer.[citation needed]
Pharyngeal pain is the most common symptom after ingestion of hypochlorite, but in some cases (particularly in children), significant esophagogastric injury may not have oral involvement. Additional symptoms include dysphagia, stridor, drooling, odynophagia, and vomiting. Pain in the chest or abdomen generally indicates more severe tissue damage. Respiratory distress and shock may be present if severe tissue damage has already occurred. In children, refusal to take food or drink liquid may represent odynophagia.
[ ] Other instructions: ____________________________________ _____________________________________________________
Criteria have been developed to help ensure that new traffic lights are installed only where they will do more good than harm and to justify the removal of existing traffic lights where they are not warranted. They are most often placed on arterial roads at intersections with either another arterial road or a collector road, or on an expressway where an interchange is not warranted. In some situations, traffic signals can also be found on collector roads in busy settings.
Only decontaminated patients or those not requiring decontamination should be transported to a medical facility. "Body bags" are not recommended.
[ ] Call your doctor or the Emergency Department if you develop any unusual signs or symptoms within the next 24 hours, especially:
An all-red stage, also known as a full pedestrian stage, a pedestrian scramble or a Barnes Dance,[b] holds all vehicular traffic at the junction to allow pedestrians time to safely cross without conflict from vehicles. It allows allows the use of diagonal crossings. This may require a longer cycle time and increase pedestrian wait periods, though the latter can be eased by providing two pedestrian stages.[19]: 71–72
Asymptomatic patients and those who experienced only minor irritation of the nose, throat, eyes, or respiratory tract may be released. In most cases, these patients will be free of symptoms in an hour or less. They should be advised to seek medical care promptly if symptoms develop or recur (see the Hypochlorite--Patient Information Sheet below).
Irrigate exposed or irritated eyes with saline, Ringer's lactate, or D5W for at least 20 minutes. Remove contact lenses if it can be done without additional trauma to the eye. Continue irrigation while transporting the patient to the Critical Care Area.
The International Municipal Signal Association provides input as to standards concerning traffic signals and control devices. One example is the input the association provided for the Manual on Uniform Traffic Control Devices (MUTCD).[97] The MUTCD is issued by the Federal Highway Administration (FHWA) of the United States Department of Transportation (USDOT).[98]
In the United States, the criteria for installation of a traffic control signal are prescribed by the Manual on Uniform Traffic Control Devices (MUTCD), which defines the criteria in nine warrants:[99]
Give 4 to 8 ounces of water or milk to alert patients who can swallow if not done previously. Dilutants are contraindicated in the presence of shock, upper airway obstruction, or in the presence of perforation.
Traffic lights, traffic signals, or stoplights – also known as robots in South Africa,[1][2] Zambia, and Namibia – are signaling devices positioned at road intersections, pedestrian crossings, and other locations in order to control the flow of traffic.[3]
"Phases" (or "signal groups" in Australia and New Zealand) are indications show simultaneously, e.g. multiple green lights which control the same traffic approach. A "movement" is any path through the junction which vehicles or pedestrians are permitted to take, which is "conflicting" if these paths cross one another. A stage (or "phase" in ANZ) is a group of non-conflicting phases which move at the same time. The stages are collectively known as a "cycle".[67] The time between two conflicting green phases is called an "intergreen period", which is set at an appropriate length for the junction to safely clear, especially for turning traffic which may be waiting in the centre of the junction. This often results in an all red stage, when all approaches are shown a red light and no vehicle can proceed. This all red is sometimes extended to allow a pedestrian scramble, where pedestrians can cross the empty junction in any direction all at once.[68] Some signals have no "all red" phase: the light turns green for cross traffic the instant the other light turns red.[c]
If a work-related incident has occurred, you may be legally required to file a report; contact your state or local health department.
Automobile racing circuits can also use standard traffic signals to indicate to racing car drivers the status of racing. On an oval track, four sets may be used, two facing a straight-away and two facing the middle of the 180-degree turn between straight-away. Green would indicate racing is underway, while amber would indicate to slow or while following a pace car; red would indicate to stop, probably for emergency reasons.
If exposure levels are determined to be safe, decontamination may be conducted by personnel wearing a lower level of protection than that worn in the Hot Zone (described above).
If victims can walk, lead them out of the Hot Zone to the Decontamination Zone. Victims who are unable to walk may be removed on backboards or gurneys; if these are not available, carefully carry or drag victims to safety.
Synonyms of calcium hypochlorite include Losantin, hypochlorous acid, calcium salt, BK powder, Hy-Chlor, chlorinated lime, lime chloride, chloride of lime, calcium oxychloride, HTH, mildew remover X-14, perchloron, and pittchlor.
Unlike preemption, which immediately interrupts a signal's normal operation to serve the preempting vehicle and is usually reserved for emergency use, "priority" is a set of strategies intended to reduce delay for specific vehicles, especially mass transit vehicles such as buses. A variety of strategies exist to give priority to transit but they all generally work by detecting approaching transit vehicles and making small adjustments to the signal timing. These adjustments are designed to either decrease the likelihood that the transit vehicle will arrive during a red interval or decrease the length of the red interval for those vehicles that are stopped. Priority does not guarantee that transit vehicles always get a green light the instant they arrive as preemption does.
Signals can either be placed nearside – between the stop line and the kerbline of the intersecting road – or farside – on the opposite side of the junction. In European countries, signals are often placed on the nearside.[91] In the UK, at least two signal heads are required (known as the primary and secondary heads), one of which is normally nearside and the other of which could be nearside or farside.[19] In the US, signals are normally located farside, though in some states, nearside signals are also used. Nearside signals can be beneficial to road safety, as drivers have more time to see a red light and are less likely to encroach on pedestrian crossings.[91]
Consult with the base station physician or the regional poison control center for advice regarding triage of multiple victims.
Obtain the name of the patient's primary care physician so that the hospital can send a copy of the ED visit to the patient's doctor.
Flush exposed skin and hair with copious amounts of plain water. Use caution to avoid hypothermia when decontaminating victims, particularly children or the elderly. Use blankets or warmers after decontamination as needed.
How muchsodium hypochloritein 1 litre water
Contraindications for endoscopy include: unstable patient, evidence of perforation, upper airway compromise, or more than 48 hours after ingestion.
Direct contact with hypochlorite solutions, powder, or concentrated vapor causes severe chemical burns, leading to cell death and ulceration.
When you call for your appointment, please say that you were treated in the Emergency Department at _________ Hospital by________and were advised to be seen again in ____days.
In some states in the United States, at some busy intersections, buttons will make a beeping sound for blind people. When the light changes, a speaker built into the button will play a recording to notify blind people that it is safe to cross. When the signal flashes red, the recording will start to count down with the countdown timer. In several countries such as New Zealand, technology also allows deaf and blind people to feel when lights have changed to allow safe crossing. A small pad, housed within an indentation in the base of the box housing the button mechanism, moves downwards when the lights change to allow crossing. This is designed to be felt by anyone waiting to cross who has limited ability to detect sight or sound. In Japan, a traffic light emits an electronic sound that mimics the sound of birdsong to help the visually impaired. Some traffic lights fix the order and type of sound so that they can tell which direction is a green light. In general, "Piyo" (peep) and "Piyo-piyo", which is a small bird call, and "Kakkō" and "Ka-kakkō", which is a cuckoo call, are associated with this system.[52] Some pedestrian crossings in Lithuania make a slow beeping sound indicating that the traffic light is about to turn off.
Traffic lights were first introduced in December 1868 on Parliament Square in London to reduce the need for police officers to control traffic.[6] Since then, electricity and computerised control have advanced traffic light technology and increased intersection capacity.[7] The system is also used for other purposes, including the control of pedestrian movements, variable lane control (such as tidal flow systems or smart motorways), and railway level crossings.
Drivers spend on average around 2% of journey time passing through signalised junctions.[92] Traffic lights can increase the traffic capacity at intersections and reduce delay for side road traffic, but can also result in increased delay for main road traffic.[93] Hans Monderman, the innovative Dutch traffic engineer, and pioneer of shared space schemes, was sceptical of their role, and is quoted as having said of them: "We only want traffic lights where they are useful and I haven't found anywhere where they are useful yet."[94]
The first system of traffic signals, which was a semaphore traffic signal, was installed as a way to replace police officer control of vehicular traffic outside the Houses of Parliament in London on 9 December 1868. This system exploded on 2 January 1869 and was thus taken down. But this early traffic signal led to other parts of the world implementing similar traffic signal systems. In the first two decades of the 20th century, semaphore traffic signals like the one in London were in use all over the United States. These traffic signals were controlled by a traffic officer who would change the commands on the signal to direct traffic.[8]
The rules governing traffic light junctions for vehicles differ by jurisdiction. For example, it is common in North America that drivers can turn kerb-to-kerb (i.e. turning right at most junctions), even when a red light shows.[77][78] On the other hand, this turn on red rule is uncommon in Europe, unless an arrow signal or traffic sign specifically permits it.[79][80][81][82]
Some regions have signals that are interruptible, giving priority to special traffic, usually emergency vehicles such as firefighting apparatus, ambulances, and police cars.[60][61] Most of the systems operate with small transmitters that send radio waves, infrared signals, or strobe light signals that are received by a sensor on or near the traffic lights. Some systems use audio detection, where a certain type of siren must be used and detected by a receiver on the traffic light structure.
Sodium hypochloritecommon name
Administer supplemental oxygen by mask to patients who have respiratory symptoms. Treat patients who have bronchospasm with an aerosolized bronchodilator such as albuterol.
The separation of conflicting streams of traffic in time can reduce the chances of right-angle collisions by turning traffic and cross traffic, but they can increase the frequency of rear-end crashes by up to 50%.[95] Since right-angled and turn-against-traffic collisions are more likely to result in injuries, this is often an acceptable trade-off. They can also adversely affect the safety of bicycle and pedestrian traffic. Between 1979 and 1988, the city of Philadelphia, Pennsylvania, removed signals at 199 intersections that were not warranted. On average, the intersections had 24% fewer crashes after the unwarranted signals were removed.[95] The traffic lights had been erected in the 1960s because of since-resolved protests over traffic. By 1992, over 800 traffic lights had been removed at 426 intersections, and the number of crashes at these intersections dropped by 60%.[96]
The International Agency for Research on Cancer has determined that hypochlorite salts are not classifiable as to their carcinogenicity to humans.
Quickly establish a patent airway, ensure adequate respiration and pulse. Stabilize the cervical spine with a collar and a backboard if trauma is suspected. Administer supplemental oxygen as required. Assist ventilation with a bag-valve-mask device if necessary.
Some variations exist on this set up. One version is a horizontal bar with five lights – the green and amber arrows are located between the standard green and amber lights. A vertical five-light bar holds the arrows underneath the standard green light (in this arrangement, the amber arrow is sometimes omitted, leaving only the green arrow below the steady green light, or possibly an LED-based device capable of showing both green and amber arrows within a single lamp housing).[citation needed] Some newer LED turn arrows seen in parts of Canada are capable of multicoloured animation. Such lights will often display a flashing and animated green or amber arrow when the dedicated turn is allowed but then transform into a red arrow on a white background with a red line through it, emphasising that the turn is no longer allowed. These lights will also often have the words "no turn" displayed, or an explanatory reason why the turn is not allowed, such as "train" in the case of a rail or light rail crossing. [citation needed]
Rescuers should be trained and appropriately attired before entering the Hot Zone. If the proper equipment is not available, or if rescuers have not been trained in its use, assistance should be obtained from a local or regional HAZMAT team or other properly equipped response organization.
Evaluate and support airway, breathing, and circulation as in ABC Reminders above. Children may be more vulnerable to corrosive agents than adults because of the smaller diameter of their airways. Establish intravenous access in seriously ill patients if this has not been done previously. Continuously monitor cardiac rhythm.
Consider appropriate management in victims with chemically-induced acute disorders, especially children who may suffer separation anxiety if separated from a parent or other adult.
In some jurisdictions such as Australia, pedestrian lights are associated with a sound device, for the benefit of blind and visually impaired pedestrians. These make a slow beeping sound when the pedestrian lights are red and a continuous buzzing or fast beeping sound when the lights are green. In the Australian States of Queensland, New South Wales, Victoria, and Western Australia, the sound is produced in the same unit as the push buttons. In a circle above the button, the sound is produced and can be felt along with a raised arrow that points in the direction to walk.[50] This system of assistive technology is also widely used at busy intersections in Canadian cities. In the United Kingdom, the Puffin crossings and their predecessor, the Pelican crossing, will make a fast beeping sound to indicate that it is safe to cross the road. The beeping sound is disabled during the nighttime so as not to disturb any nearby residents.[51]
Evaluate and support airway, breathing, and circulation. Children may be more vulnerable to corrosive agents than adults because of the smaller diameter of their airways. In cases of respiratory compromise secure airway and respiration via endotracheal intubation. If not possible, surgically secure an airway.
Because of their relatively larger surface area:body weight ratio children are more vulnerable to toxicants that affect the skin.
Continuous-flow traffic lanes are found only at "T" intersections where there is no side street or driveway entrance on the right side of the main thoroughfare; additionally, no pedestrians are permitted to cross the main thoroughfare at intersections with a continuous-flow lane, although crossing at the side street may be permitted. Intersections with continuous-flow lanes will be posted with a white regulatory sign approximately 500 ft (150 m) before the intersection with the phrase, "right lane continuous traffic," or other, similar, wording. If the arrow is extinguished for any reason, whether by malfunction or design, traffic through the continuous lane will revert to the normal traffic pattern for adjacent lanes, except that turning or moving into or out of the restricted lane is still prohibited.[citation needed]
Calcium or sodium hypochlorite react explosively or form explosive compounds with many common substances such as ammonia, amines, charcoal, or organic sulfides
Flashing blue or green man: do not start to cross; if it appears during crossing, then continue to cross if unable to stop safely
ATSDR can also tell you the location of occupational and environmental health clinics. These clinics specialize in recognizing, evaluating, and treating illnesses resulting from exposure to hazardous substances.
This handout provides information and follow-up instructions for persons who have been exposed to calcium or sodium hypochlorite.
Pedestrian countdown timers are becoming common at urban signal-controlled crossings. Where a pedestrian countdown is shown, it is normally used in conjunction with the flashing hand signal (in the US and Canada) or blackout period (UK), showing the amount of time remaining in seconds until the end of the flashing hand or blackout.[19][46] Pedestrian countdown timers do not significantly increase or reduce the number of red- and amber-light running drivers. Studies have found that pedestrian countdown timers do significantly improve pedestrian compliance over traditional pedestrian signals; however, results are mixed.[46][47]
The timing of the intergreen is usually based on the size of the intersection, which can range from two to five seconds.[citation needed] Modelling programs include the ability to calculate intergreen times automatically. Intergreen periods are determined by calculating the path distance for every conflict point in the junction, which is the distance travelled to the conflict point by the movement losing right of way minus the distance travelled to the same conflict point by the movement gaining right of way using the possible conflict points (including with pedestrians) and calculating both the time it would take the last vehicle to clear the furthest collision point and the first vehicle from the next stage to arrive at the conflict point. At actuated junctions, integreens can be varied to account for traffic conditions.[19]
An advanced stop line can be placed after the stop line at traffic lights. This allows cyclists to position themselves in front of traffic at a red light and get a headstart.[53]
[ ] You may continue taking the following medication(s) that your doctor(s) prescribed for you: _______________________________
Ingestion of hypochlorite solutions or powder can also cause severe corrosive injury to the mouth, throat, esophagus, and stomach, with bleeding, perforation, scarring, or stricture formation as potential sequelae.
Red Man: Do Not Cross. If it appears during crossing, then continue to cross if unable to stop safely. Green Man: Safe to Cross.
A set of lights, known as a signal head,[19]: 3.2.4 may have one, two, three, or more aspects. The most common signal type has three aspects facing the oncoming traffic: red on top, amber (yellow) below, and green below that. Additional aspects may be fitted to the signal, usually to indicate specific restrictions or filter movements.
More information about hypochlorite can be obtained from your regional poison control center, your state, county, or local health department; the Agency for Toxic Substances and Disease Registry (ATSDR); your doctor; or a clinic in your area that specializes in occupational and environmental health. If the exposure happened at work, you may wish to discuss it with your employer, the Occupational Safety and Health Administration (OSHA), or the National Institute for Occupational Safety and Health (NIOSH). Ask the person who gave you this form for help in locating these telephone numbers.
The control of traffic lights made a big turn with the rise of computers in America in the 1950s. One of the best historical examples of computerized control of lights was in Denver in 1952. In 1967, the city of Toronto was the first to use more advanced computers that were better at vehicle detection.[7] The computers maintained control over 159 signals in the cities through telephone lines.[18]
A third type is known as a "doghouse" or "cluster head" – a vertical column with the two normal lights is on the right side of the signal, a vertical column with the two arrows is located on the left, and the normal red signal is in the middle above the two columns. Cluster signals in Australia and New Zealand use six signals, the sixth being a red arrow that can operate separately from the standard red light.[citation needed] In a fourth type, sometimes seen at intersections in Ontario and Quebec, Canada, there is no dedicated left-turn lamp per se. Instead, the normal green lamp flashes rapidly, indicating permission to go straight as well as make a left turn in front of opposing traffic, which is being held by a steady red lamp. (This "advance green", or flashing green can be somewhat startling and confusing to drivers not familiar with this system. This also can cause confusion amongst visitors to British Columbia, where a flashing green signal denotes a pedestrian-controlled crosswalk. For this reason, Ontario is phasing out the use of flashing green signals and instead replacing them with arrows.)[21][22]
In Unicode, the symbol for U+1F6A5 🚥 HORIZONTAL TRAFFIC LIGHT is HORIZONTAL TRAFFIC LIGHT and U+1F6A6 🚦 VERTICAL TRAFFIC LIGHT is VERTICAL TRAFFIC LIGHT.
Keep this page and take it with you to your next appointment. Follow only the instructions checked below.
This has been reaffirmed by the ruling of the Supreme Court of Korea in May 2024,[23][24] for a case where the driver was speeding at 62 km/h in a street limited up to 40 km/h (55 % upper than the allowed speed).[25][unreliable source?]
Children may be more vulnerable to corrosive agents than adults because of the smaller diameter of their airways. Children may also be more vulnerable to gas exposure because of increased minute ventilation per kg and failure to evacuate an area promptly when exposed.
There is no antidote for hypochlorite, but its effects can be treated and most exposed persons get well. Persons who have experienced serious symptoms may need to be hospitalized.
[ ] Return to the Emergency Department/Clinic on ____ (date) at _____ AM/PM for a follow-up examination.
Patients who are comatose, hypotensive, or having seizures or who have cardiac arrhythmias should be treated according to advanced life support (ALS) protocols.
Sodium and calcium hypochlorite are manufactured by the chlorination of sodium hydroxide or lime. Sodium and calcium hypochlorite are used primarily as oxidizing and bleaching agents or disinfectants. They are components of commercial bleaches, cleaning solutions, and disinfectants for drinking water and waste water purification systems and swimming pools (Teitelbaum 2001).
Consider hospitalizing patients who have a suspected significant exposure or have eye burns or serious skin burns. Patients with perforation should be prepared for emergency surgery.
Children exposed to the same levels of gases as adults may receive a larger dose because they have greater lung surface area:body weight ratios and higher minute volumes:weight ratios. Children may be more vulnerable to corrosive agents than adults because of the smaller diameter of their airways. In addition, they may be exposed to higher levels than adults in the same location because of their short stature and the higher levels of chlorine found nearer to the ground.
Without an all-red phase, cross-turning traffic may be caught in a yellow trap. When the signal turns yellow, a turning driver may assume oncoming traffic will stop and a crash may result. For this reason, the US bans sequences that may cause a yellow trap.[27] This can also happen when emergency vehicles or railroads preempt normal signal operation. [28] In the United States, signs reading "Oncoming traffic has extended green" or "Oncoming traffic may have extended green" must be posted at intersections where the "yellow trap" condition exists.[29][30]
Because of their relatively larger surface area:body weight ratio, children are more vulnerable to toxins affecting the skin.
The low energy consumption of LED lights can pose a driving risk in some areas during winter. Unlike incandescent and halogen bulbs, which generally get hot enough to melt away any snow that may settle on individual lights, LED displays – using only a fraction of the energy – remain too cool for this to happen.[83][84] As a response to the safety concerns, a heating element on the lens was developed.[85][86]
The three-aspect standard is also used at locks on the Upper Mississippi River. Red means that another vessel is passing through. Amber means that the lock chamber is being emptied or filled to match the level of the approaching vessel. After the gate opens, green means that the vessel may enter.
Upon activation, the normal traffic light cycle is suspended and replaced by the "preemption sequence": the traffic lights to all approaches to the intersection are switched to "red" with the exception of the light for the vehicle that has triggered the preemption sequence. Sometimes, an additional signal light is placed nearby to indicate to the preempting vehicle that the preempting sequence has been activated and to warn other motorists of the approach of an emergency vehicle. The normal traffic light cycle resumes after the sensor has been passed by the vehicle that triggered the preemption.
Where pedestrians need to cross the road between junctions, a signal-controlled crossing may be provided as an alternative to a zebra crossing or uncontrolled crossing. Traffic lights are normally used at crossings where vehicle speeds are high, where either vehicle or pedestrian flows are high or near signalised junctions.[19]: c.18 In the UK, this type of crossing is called a pelican crossing, though more modern iterations are puffin and pedex crossings. In the UK, these crossings normally need at least four traffic signals, which are of a regular type (red, amber, and green), two facing in each direction. Furthermore, pedestrians will be provided with push buttons and pedestrian signals, consisting of a red and green man. Farside signals are located across the crossing, while nearside signals are located below the traffic lights, facing in the direction of oncoming traffic.[19]: c.18 A HAWK beacon is a special type of traffic used in the US at mid-block crossings. These consist of two red signals above a single amber signal. The beacon is unlit until a pedestrian pushes the cross button. Then an amber light will show, followed by both red lights, at which point the 'Walk' symbol will illuminate for pedestrians. At the end of the crossing phase, the 'Don't Walk' symbol will flash, as will the amber traffic light.[44]
Skin Protection: Chemical-protective clothing should be worn due to the risk of skin irritation and burns from direct contact with solid hypochlorite or concentrated solutions.
If you have questions or concerns, please contact your community or state health or environmental quality department or:
Respiratory Protection: Positive-pressure, self-contained breathing apparatus (SCBA) is recommended in response to situations that involve exposure to potentially unsafe levels of chlorine gas.
Be certain that appropriate decontamination has been carried out (see Decontamination Area above).
Engineers also need to set the amber timings (and red-amber, where appropriate), which is normally standardised by a traffic authority. For example, in the UK, the amber time is fixed nationally at three seconds and the red-amber time at two seconds, which results in a minimum intergreen time of five seconds (plus any all-red time).[19] The US also uses a minimum of three seconds, but local traffic authorities can make timings longer, especially on wider, suburban roads. This variation has resulted in controversy when municipalities with shorter amber times use red light cameras.[71] Where pedestrian signals are used, the timing of the "inivitation to cross" – the period where a steady walk signal shows – and clearance periods – time when the walk signal flashes or no signal is shown – need to be calculated. This is normally set against a design speed, e.g. 1.2 m/s (3.9 ft/s). Similarly, these can be made extendable using sensors, allowing slower-moving pedestrians more time to cross the street.[19]
Traffic lights for public transport often use signals that are distinct from those for private traffic. They can be letters, arrows or bars of white or (an LED 100-watt typical) coloured light.
Another type of traffic light that is used in racing is the Christmas Tree, which is used in drag racing. The Christmas Tree has six lights: a blue staging light, three amber lights, a green light, and a red light. The blue staging light is divided into two parts: Pre-stage and stage. Sometimes, there are two sets of bulbs on top of each other to represent them. Once a driver is staged at the starting line, then the starter will activate the light to commence racing, which can be done in two ways. If a Pro tree is used, then the three amber lights will flash at the same time. For the Sportsman tree, the amber light will flash from top to bottom. When the green light comes up, the race officially begins but if a driver crosses the line before that happens, then a red light will come up and that will be a foul. [citation needed]
Consider racemic epinephrine aerosol for children who develop stridor. Dose 0.25-0.75 mL of 2.25% racemic epinephrine solution in water, repeat every 20 minutes as needed cautioning for myocardial variability.
Conventional traffic signal lighting, still common in some areas, uses a standard light bulb. The light then bounces off a mirrored glass or polished aluminium reflector bowl, and out through a polycarbonate plastic or glass signal lens. In some signals, these lenses were cut to include a specific refracting pattern. Traditionally, incandescent and halogen bulbs were used. Because of the low efficiency of light output and a single point of failure (filament burnout), some traffic authorities are choosing to retrofit traffic signals with LED arrays that consume less power, have increased light output, and last significantly longer.[citation needed] Moreover, in the event of an individual LED failure, the aspect will still operate albeit with a reduced light output. The light pattern of an LED array can be comparable to the pattern of an incandescent or halogen bulb fitted with a prismatic lens.
For more information, contact: Agency for Toxic Substances and Disease Registry Division of Toxicology and Human Health Sciences 4770 Buford Highway Chamblee, GA 30341-3717 Phone: 1-800-CDC-INFO 888-232-6348 (TTY) Email: Contact CDC-INFO
If concentrated hypochlorite solutions contact the skin, chemical burns may occur; treat as thermal burns. Patients developing dermal hypersensitivity reactions may require treatment with systemic or topical corticosteroids or antihistamines.
In 2016 when speed limit was up to 60 km/h, proposed alternatives to this kind of collision were only roundabouts, speed compliance increase and speed practice reduction or elderly zones are also proposed solutions.[26]
Calcium hypochlorite is generally available as a white powder, pellets, or flat plates, while sodium hypochlorite is usually a greenish yellow, aqueous solution. Hypochlorite is used widely in cleaning agents, and in bleaching, drinking-water and swimming-pool disinfecting. Calcium hypochlorite decomposes in water to release chlorine and sodium hypochlorite solutions and can release chlorine gas if mixed with other cleaning agents.
Because of their relatively larger surface area:weight ratio, children are more vulnerable to toxicants affecting the skin.
In the US, most notably the Southeastern, there often is a "continuous-flow" lane. This lane is protected by a single, constant-green arrow pointing down at the lane(s) permitting the continuous flow of traffic, without regard to the condition of signals for other lanes or cross streets. Continuous lanes are restricted in that vehicles turning from a side street may not cross over the double white line to enter the continuous lane, and no lane changes are permitted to the continuous lane from an adjacent lane or from the continuous lane to an adjacent lane until the double white line has been passed. Some continuous lanes are protected by a raised curb located between the continuous lane and a normal traffic lane, with white and/or amber reflective paint or tape, prohibiting turning or adjacent traffic from entering the lane.[citation needed]
Variable lane control is a form of intelligent transportation systems which involve the use of lane-use control signals, typically on a gantry above a carriageway. These lights are used in tidal flow systems to allow or forbid traffic to use one or more of the available lanes by the use of green lights or arrows (to permit) or by red lights or crosses (to prohibit).[73] Variable lane control may be in use at toll plazas to indicate open or closed booths; during heavy traffic to facilitate merging traffic from a slip road.[73]
In Japan, tram signals are under the regular vehicle signal; however, the colour of the signal intended for trams is orange. The small light at the top tells the driver when the vehicle's transponder signal is received by the traffic light. In Hong Kong, an amber T-signal is used for trams, in place of the green signal. In addition, at any tramway junction, another set of signals is available to indicate the direction of the tracks. In Australia and New Zealand, a white "B" or "T" sometimes replaces the green light indicating that buses or trams (respectively) have right of way.
In South Korea, the yellow light dilemma zone is not legally recognized. In other words, when the yellow light is on, traffic may not pass the stop line or enter the intersection even if cannot safely stop when the light shows.
Arrow aspects may be used to permit certain movements or convey other messages to road users. A green arrow may display to require drivers to turn in a particular direction only or to allow drivers to continue in a particular direction when the signal is red.[19]: 3.5 Generally, a green phase is illuminated at the beginning of the green phase (a "leading turn") or at the end of the green phase (a "lagging turn").[citation needed] An 'indicative arrow' may be displayed alongside a green light. This indicates to drivers that oncoming traffic is stopped, such that they do not need to give way to that traffic when turning across it. As right-turning traffic (left-side drive) or left-turning traffic (right-side drive) does not normally have priority, this arrow is used to allow turning traffic to clear before the next phase begins.[19]: 3.5
Sodium hypochloriteformula
Patients who are comatose, hypotensive, or having seizures or cardiac arrhythmias should be treated in the conventional manner.
The colours red, amber, and green are often used as a simple-to-understand rating system for products and processes. It may be extended by analogy to provide a greater range of intermediate colours, with red and green at the extremes.[100]
The symbolism of a traffic light (and the meanings of the three primary colours used in traffic lights) are frequently found in many other contexts. Since they are often used as single spots of colour without the context of vertical position, they are typically not comprehensible to up to one in ten males who are colour blind.[citation needed]
Consider racemic epinephrine aerosol for children who develop stridor. Dose 0.25-0.75 mL of 2.25% racemic epinephrine solution in water, repeat every 20 minutes as needed cautioning for myocardial variability.
Alternatively, cyclists can be considered pedestrians on approach to a junction, or where a cycle track crosses a road and combined pedestrian-cyclist traffic lights (known as Toucan crossings in the UK) can be provided.[56]
Be certain that victims have been decontaminated properly (see Decontamination Zone above). Victims who have undergone decontamination or have been exposed only to vapor pose no serious risks of secondary contamination to rescuers. In such cases, Support Zone personnel require no specialized protective gear.
Traffic lights control flows of traffic using social norms and legal rules. In most jurisdictions, it is against the law to disobey traffic signals and the police, or devices such as red light cameras, can issue fines or other penalties – and in some cases prosecute – drivers who break those laws.[74] US-based studies have found that the majority of drivers think that it is dangerous to run a red light at speed and the most common reason for red light running include inattentive driving, following an oversized vehicle or during inclement weather.[75][76]
Pedestrian signals are used to inform pedestrians when to cross a road. Most pedestrian signal heads will have two lights: a 'walk' light (normally a walking human figure, typically coloured green or white) and a 'don't walk' light (normally either a red or orange man figure or a hand), though other variations exist.[38]
In cases of respiratory compromise secure airway and respiration via endotracheal intubation. Avoid blind nasotracheal intubation or use of an esophageal obturator: only use direct visualization to intubate. When the patient's condition precludes endotracheal intubation, perform cricothyrotomy if equipped and trained to do so.
In some European countries and Russia, dedicated traffic signals for public transport (tram, as well any that is using a dedicated lane) have four white lights that form the letter T.[citation needed] If the three top lamps are lit, this means "stop". If the bottom lamp and some lamps on the top row are lit, this means permission to go in a direction shown. In the case of a tram signal, if there are no tram junctions or turns at an intersection, a simpler system of one amber signal in the form of the letter T is used instead; the tram must proceed only when the signal is lit.
Using a special aluminium foil-based adhesive tape, these signals are "masked" or programmed by the programming lens so that only certain lanes of traffic will view the indication. At the front of these programmable visibility signals is a 12" Fresnel lens, each lens tinted to meet United States Institute of Transportation Engineers (ITE) chromaticity and luminance standards. The Fresnel lens collimates the light output created by the lamp and creates a uniform display of light for the lane in which it is intended.
Sodium hypochloritepH
A speed sign is a special traffic light, variable traffic sign, or variable-message sign giving drivers a recommended speed to approach the next traffic light in its green phase[36] and avoid a stop due to reaching the intersection when lights are red.[37][a]
The toxic effects of sodium and calcium hypochlorite are primarily due to the corrosive properties of the hypochlorite moiety. Hypochlorite causes tissue damage by liquefaction necrosis. Fats and proteins are saponified, resulting in deep tissue destruction. Further injury is caused by thrombosis of blood vessels. Injury increases with hypochlorite concentration and pH. Symptoms may be apparent immediately or delayed for a few hours. Calcium hypochlorite decomposes in water releasing chlorine gas. Sodium hypochlorite solutions liberate the toxic gases chlorine or chloramine if mixed with acid or ammonia (this can occur when bleach is mixed with another cleaning product). Thus, exposure to hypochlorite may involve exposure to these gases.
The United States is not party to the Vienna Convention; rather, the Manual on Uniform Traffic Control Devices (MUTCD) outlines correct operation in that country. In the US, a single signal head may have three, four, or five aspects (though a single aspect green arrow may be displayed to indicate a continuous movement). The signals must be arranged red, amber, and green vertically (top to bottom) or horizontally (left to right).[31] In the US, a single-aspect flashing amber signal can be used to raise attention to a warning sign and a single-aspect flashing red signal can be used to raise attention to a "stop", "do not enter", or "wrong way" sign.[31] Flashing red or amber lights, known as intersection control beacons, are used to reinforce stop signs at intersections.[32] The MUTCD specifies the following vehicular signals:[31]
Hypochlorite solutions can liberate toxic gases such as chlorine. Chlorine's odor or irritant properties generally provide adequate warning of hazardous concentrations. However, prolonged, low-level exposures, such as those that occur in the workplace, can lead to olfactory fatigue and tolerance of chlorine's irritant effects. Chlorine is heavier than air and may cause asphyxiation in poorly ventilated, enclosed, or low-lying areas.
MUTCD specifies a standard vertically oriented signal with either two or three lenses, displaying white lines on a black background.[57]: Fig.8C-3
Victims who are conscious and able to swallow should be given 4 to 8 ounces of water or milk; if the victim is symptomatic, delay decontamination until other emergency measures have been instituted. Dilutants are contraindicated in the presence of shock, upper airway obstruction, or in the presence of perforation.
Children do not always respond to chemicals in the same way that adults do. Different protocols for managing their care may be needed.
No information was located regarding reproductive or developmental effects of calcium or sodium hypochlorite in experimental animals or humans. Calcium and sodium hypochlorite are not included in Reproductive and Developmental Toxicants, a 1991 report published by the U.S. General Accounting Office (GAO) that lists 30 chemicals of concern because of widely acknowledged reproductive and developmental consequences.
Follow up is recommended for all hospitalized patients because long-term gastrointestinal or respiratory problems can result. Respiratory monitoring is recommended until the patient is symptom-free. Chlorine-induced reactive airways dysfunction syndrome (RADS) has been reported to persist from 2 to 12 years.
In the US, design advice typically advises that the cycle lane should continue through the junction to the left of the right-turn lane; however, this creates conflict where motor vehicles wish to enter the right lane, as they must cross the cycle lane at a bad angle.[54]
Victims who are conscious and able to swallow should be given 4 to 8 ounces of water or milk. Dilutants are contraindicated in the presence of shock, upper airway obstruction, or in the presence of perforation.
Sodium hypochloritesolution
In the Canadian province of Quebec and the Maritime provinces, lights are often arranged horizontally, but each aspect is a different shape: red is a square (larger than the normal circle) and usually in pairs at either end of the fixture, amber is a diamond, and green is a circle. In many southern and southwestern U.S. states, most traffic signals are similarly horizontal in order to ease wind resistance during storms and hurricanes.[33] Japanese traffic signals mostly follow the same rule except that the green "go" signals are referred to as 青 (ao), typically translated as "blue", reflecting a historical change in the Japanese language. As a result, Japanese officials decreed in 1973 that the "go" light should be changed to the bluest possible shade of green, bringing the name more in line with the color without violating the international "green means go" rule.[34]
A World Economic Forum study found that signalised junctions are linked to higher rates of localised air pollution. Drivers accelerate and stop frequently at lights and as such peak particle concentration can be around 29 times higher than during free-flow conditions. The WEF recommends that traffic authorities synchronise traffic signals, consider alternative traffic management systems and consider placing traffic lights away from residential areas, schools, and hospitals.[92]
In the US, an intersection is usually required to meet one or more of these warrants before a signal is installed. However, meeting one or more warrants does not require the installation of a traffic signal, it only suggests that they may be suitable. It could be that a roundabout would work better. There may be other unconsidered conditions that lead traffic engineers to conclude that a signal is undesirable. For example, it may be decided not to install a signal at an intersection if traffic stopped by it will back up and block another, more heavily trafficked intersection. Also, if a signal meets only the peak hour warrant, the advantages during that time may not outweigh the disadvantages during the rest of the day.
CAS# Calcium Hypochlorite 7778-54-3, Sodium Hypochlorite 7681-52-9 UN# Calcium Hypochlorite 1748, Sodium Hypochlorite 1791
Patients who have ingested hypochlorite, or who show evidence of significant exposure to hypochlorite or chlorine (e.g., severe or persistent cough, dyspnea or chemical burns) should be transported to a medical facility for evaluation. Patients who have minor or transient irritation of the eyes or throat may be discharged from the scene after their names, addresses, and telephone numbers are recorded. They should be advised to seek medical care promptly if symptoms develop or recur (see Patient Information Sheet below).
Quickly establish a patent airway, ensure adequate respiration and pulse. If trauma is suspected, maintain cervical immobilization manually and apply a cervical collar and a backboard when feasible. Administer supplemental oxygen as required and establish intravenous access if necessary. Place on a cardiac monitor, if available.
Traffic lights have also been used in computer software, such as the macOS user interface, and in pieces of artwork, particularly Traffic Light Tree in London, UK.
National or sub-national highway authorities often issue guidance documents on the specification of traffic signals and design of signalised intersections according to national or local regulations. For example, in the United States the Federal Highway Administration issues the Manual on Uniform Traffic Control Devices and the Signalized Intersections Information Guide, which is a synthesis of best practices and treatments to help practitioners make informed decisions.[72]
Consider racemic epinephrine aerosol for children who develop stridor. Dose 0.25-0.75 mL of 2.25% racemic epinephrine solution in water, repeat every 20 minutes as needed cautioning for myocardial variability.
The MUTCD identifies five types of traffic light mounts. On pedestals, signal heads are mounted on a single pole (this is the normal installation method for the UK).[89][19] On mast arms, signal heads are mounted on a rigid arm over the road protuding from the pole. On strained poles, signals are suspended over a roadway on a wire, attached to poles at opposite kerbs. This is the most common installation method in the United States. Unipoles are similar to strain poles, but a single structure over the road, rather than two poles linked with wire. Finally, signals can be attached to existing structures such as an overpass.[89] Dummy lights are traffic signs located in the centre of a junction, which operate on a fixed cycle. These have generally been decommissioned due to safety concerns; however, a number remain due to historic value.[90]
Contact with low concentrations of household bleach causes mild and transitory irritation if the eyes are rinsed, but effects are more severe and recovery is delayed if the eyes are not rinsed. Exposure to solid hypochlorite or concentrated solutions can produce severe eye injuries with necrosis and chemosis of the cornea, clouding of the cornea, iritis, cataract formation, or severe retinitis.
A variety of different control systems are used to operate signal cycles smoothly, ranging from simple clockwork mechanisms to sophisticated computerised control systems. Computerised systems are normally actuated, i.e. controlled by loop detectors or other sensors on junction approaches. Area-wide coordination can allow green wave systems to be set up for vehicles or cycle tracks.[64] Smart traffic light systems combine traditional actuation, a wider array of sensors and artificial intellegence to further improve performance of signal systems.[65] A traffic signal junction or crossing is typically controlled by a controller mounted inside a cabinet nearby.[66]
Under Dutch engineering principles, cyclists are instead kept to the right of the junction, with protected kerbs. This improves safety by putting cyclists into the eyeline of motor vehicles at the stop line, allowing cyclists a headstart over turning traffic. This design also allows cyclists to complete far-side turns without having to wait in the centre of the junction.[54] UK engineers have innovated on this design through the Cycle Optimised Protected Signals (CYCLOPS) junction, e.g. in Manchester. This places the cycle track around the edge of the signal junction and gives cyclists and pedestrians a single all-red phase, entirely separate from motor traffic and shortens pedestrian crossing times.[55]
Quickly establish a patent airway, ensure adequate respiration and pulse. If trauma is suspected, maintain cervical immobilization manually and apply a cervical collar and a backboard when feasible.
Victims who are conscious and able to swallow should be given 4 to 8 ounces of water or milk; if the victim is symptomatic, delay decontamination until other emergency measures have been instituted. Dilutants are contraindicated in the presence of shock, upper airway obstruction, or in the presence of perforation.
Ingestion of hypochlorite solutions causes vomiting and corrosive injury to the gastrointestinal tract. Household bleaches (3 to 6% sodium hypochlorite) usually cause esophageal irritation, but rarely cause strictures or serious injury such as perforation. Commercial bleaches may contain higher concentrations of sodium hypochlorite and are more likely to cause serious injury. Metabolic acidosis is rare, but has been reported following the ingestion of household bleach. Pulmonary complications resulting from aspiration may also be seen after ingestion.
Victims exposed only to chlorine gas released by hypochlorite who have no skin or eye irritation do not need decontamination. They may be transferred immediately to the Support Zone. All others require decontamination as described below.
Specific tests for the presence of hypochlorite in blood or urine generally are not useful to the doctor. If a severe exposure has occurred, blood and urine analyses and other tests may show whether the lungs, heart, or brain have been injured. Testing is not needed in every case.
Where cycle lanes or cycle tracks exist on the approach to a signal-controlled junction, it must be considered how to incorporate cyclists safely into the junction to reduce conflict between motor vehicles and cyclists.
Calcium hypochlorite is generally available as a white powder, pellets, or flat plates. It decomposes readily in water or when heated, releasing oxygen and chlorine. It has a strong chlorine odor, but odor may not provide an adequate warning of hazardous concentrations. Calcium hypochlorite is not flammable, but it acts as an oxidizer with combustible material and may react explosively with ammonia, amines, or organic sulfides. Calcium hypochlorite should be stored in a dry, well ventilated area at a temperature below 120ºF (50ºC) separated from acids, ammonia, amines, and other chlorinating or oxidizing agents.
The manufacturers took a licence for the generic design from the Highways Agency, with Dr. Aston engineering a unique solution for each manufacturer. Producing both bulb and LED versions of the signal aspects, these signals are still the most common type of traffic light on UK roads. With the invention of anti-phantom, highly visible Aston lenses, lights of 8 inches (200 mm) could be designed to give the same output as plain lenses, so a larger surface area was unnecessary. Consequently, lights of 12 inches (300 mm) are no longer approved for use in the UK and all lights installed on new installations have to be 200 mm (8 in) in accordance with TSRGD (Traffic Signs Regulations and General Directions). Exemptions are made for temporary or replacement signals.[citation needed]
Flashing green man or no man: do not start to cross (only at mid-block crossings); if it appears during crossing, then continue to cross if unable to stop safely
The 1968 Vienna Convention on Road Signs and Signals Chapter III provides international standards for the setup of traffic signal operations. Not all states have ratified the convention. A three-colour signal head should have three non-flashing lights which are red, amber, and green, either arranged horizontally (on the side opposite to the direction of traffic) or vertically (with red on top). A two-colour signal head may be used in temporary operation and consists of red and green non-flashing lights. In both cases, all lights should be circular or arrow-shaped.[4] Permissible signals for regulating vehicle traffic (other than public transport vehicles) are outlined in Article 23:[4]
Other persons may still be at risk in the setting where this incident occurred. If the incident occurred in the workplace, discussing it with company personnel may prevent future incidents. If a public health risk exists, notify your state or local health department or other responsible public agency. When appropriate, inform patients that they may request an evaluation of their workplace from OSHA or NIOSH. See Appendix III for a list of agencies that may be of assistance.
A single small exposure from which a person recovers quickly is not likely to cause delayed or long-term effects. After a serious exposure, symptoms may worsen for several hours.
The diagnosis of acute hypochlorite toxicity is primarily clinical. However, laboratory testing is useful for monitoring the patient and evaluating complications. Routine laboratory studies for all exposed patients include CBC, glucose, and electrolyte determinations. Patients who have respiratory complaints may require pulse oximetry (or ABG measurements) and chest radiography. Chlorine inhalation may be complicated by hyperchloremic metabolic acidosis; in addition to electrolytes, monitor blood pH.
Exposure to toxic gases generated from hypochlorite solutions can lead to reactive airways dysfunction syndrome (RADS), a chemical irritant-induced type of asthma. Chronic complications following ingestion of hypochlorite include esophageal obstruction, pyloric stenosis, squamous cell carcinoma of the esophagus, and vocal cord paralysis with consequent airway obstruction.
In addition to being positioned and mounted for desired visibility for their respective traffic, some traffic lights are also aimed, louvered, or shaded to minimize misinterpretation from other lanes. For example, a Fresnel lens on an adjacent through-lane signal may be aimed to prevent left-turning traffic from anticipating its own green arrow. Intelight Inc. manufactures a programmable traffic signal that uses a software-controlled LED array and electronics to steer the light beam toward the desired approach.[87] The signal is programmed unlike the 3M and McCain models. It requires a connection to a laptop or smartphone with the manufacturer's software installed. Connections can be made directly with a direct-serial interface kit, or wirelessly with a radio kit over WIFI to the signal. In addition to aiming, Fresnel lenses, and louvers, visors and back panels are also useful in areas where sunlight would diminish the contrast and visibility of a signal face. Typical applications for these signals were skewed intersections, specific multi-lane control, left-turn pocket signals, or other areas where complex traffic situations existed.
In 1912, the first electric traffic light was developed by Lester Wire, a policeman in Salt Lake City, Utah.[9] It was installed by the American Traffic Signal Company on the corner of East 105th Street and Euclid Avenue in Cleveland, Ohio.[10][11][12] The first four-way, three-colour traffic light was created by William Potts in Detroit, Michigan in 1920.[13] His design was the first to include an amber 'caution' light along with red and green lights.[14] Potts was Superintendent of Signals for the Police Department of Detroit. He installed automatic four-way, three-colour traffic lights in 15 towers across Detroit in 1921.[15][14][13] By 1922, traffic towers were beginning to be controlled by automatic timers more widely. The main advantage of the use of the timer was that it saved cities money by replacing traffic officers. The city of New York was able to reassign all but 500 of its 6,000 officers working on the traffic squad, saving the city $12,500,000.[16]
Sodium hypochlorite is generally sold in aqueous solutions containing 5 to 15% sodium hypochlorite, with 0.25 to 0.35% free alkali (usually NaOH) and 0.5 to 1.5% NaCl. Solutions of up to 40% sodium hypochlorite are available, but solid sodium hypochlorite is not commercially used. Sodium hypochlorite solutions are a clear, greenish yellow liquid with an odor of chlorine. Odor may not provide an adequate warning of hazardous concentrations. Sodium hypochlorite solutions can liberate dangerous amounts of chlorine or chloramine if mixed with acids or ammonia. Anhydrous sodium hypochlorite is very explosive. Hypochlorite solutions should be stored at a temperature not exceeding 20ºC away from acids in well-fitted air-tight bottles away from sunlight.
Traffic lights normally consist of three signals, transmitting meaningful information to road users through colours and symbols, including arrows and bicycles. The regular traffic light colours are red to stop traffic, amber for traffic change, and green for allowing the traffic, arranged vertically or horizontally in that order. Although this is internationally standardised,[4] variations in traffic light sequences and laws exist on national and local scales.[5]