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Call to Action

April 7, 2013 — Leave a comment

As the ICC Committee Action Hearing draws near we would like to make you aware of several critical code change proposals that the healthcare industry will attempt to get passed.  These changes negatively effect responders and patients life safety in hospitals (I-2 occupancies).

The healthcare industry proposes to:

• Discontinue maintenance of existing smoke and fire barriers (IFC 1103.1/1104.1; F212-13)

• Consider glass walls in sprinklered buildings to be 1 hour rated (IFC 1103.4.1; F218-13)

• Eliminate fire resistance rated corridors (IFC 1105.3.2; F239-13)

• Treat existing smoke barriers as ½ hour rated, not requiring any fire stopping or opening protectives (IFC 1105.5.2; F241-13)

The Patient Fire Safety Coalition is an advocacy group that serves patients and individuals who become “not capable of self-preservation”; ensuring that they will be safe in their healing environment. The Patient Fire Safety Coalition is the voice for those who cannot speak, and a watch dog to make certain that health care facilities maintain the highest standards of fire protection and life safety.

We need code officials and AHJ’s to speak against these changes in Dallas.  Please join the cause. If you would like more information contact us at info@patientfiresafety.org.

Reviewing 9 of the most deadly hospital fires, reveals several recurring factors, including:cleveland_clinic

  • heavy fuel load
  • lack of compartmentation (to limit fire and smoke spread)
  • lack of fire sprinkler protection
  • no early warning system (fire alarm)
  1. Cleveland Clinic (1929) – 120 killed

More than 120 people lost their lives when flammable items (nitrocellulose x-ray film, in this case) was stored to close to a heat source. Contributing factors to these deaths included:

  • improper storage of flammables – stored too closely to other types of flammables and a heat source
  • lack of fire sprinkler protection – not required at the time, potentially could have held the fire in check
  • unprotected openings between floors – allowed the fire, heat, smoke, and toxic gases to travel up and through several levels

2.  Mercy Hospital (1950) – 41 killed

When a patient in the St. Elizabeth’s Women’s Psychopathic Building at Mercy Hospital lit her curtains on fire, 40 elderly women were killed and one attendant.  Contributing factors to these deaths included:

  • incendiary/arson fire – fire intentionally set
  • barred windows – hindered fire department rescue efforts
  • flammable wall coverings – combustible fiberboard was used for the corridor ceilings

3.  St. Anthony Hospital (1949) – 74 killed

Seventy-four lives were claimed when a fire, which started in a laundry chute, quickly spread throughout the facility.  Contributing factors to these deaths included:

  • combustible laundry chute construction
  • lack of fire alarm or fire sprinkler systems
  • open corridors and stairs
  • lack of smoke barriers

4.  Hartford Hospital (1961) – 16 killedhartford_hospital_patient

A fire starting in a trash chute spread through the facility igniting the flammable interior finishes resulting in 16 deaths.  Contributing factors to these deaths included:

  • flammable/combustible interior finishes – large amounts of plastics, linoleum, and fabrics throughout
  • dead-end corridors – occupants had to travel through fire/smoke to escape
  • partial fire sprinkler protection – fire sprinklers present on only 3 floors
  • undivided, concealed spaces – spaces above ceiling allowed the rapid and uninhibited travel of smoke
  • unprotected openings – smoke door was held open allowing smoke and fire to fill up an entire floor

 

5.  Missouri Facility (1974) – 8 killed

Eight lives were lost when a fire broke out in this Missouri facility, with a heavy fuel load, and staff that was not adequately trained. Contributing factors to these deaths included:

  • heavy fuel load – patient rooms contained large amounts of foam, mattresses, couches, and bedding
  • improperly functioning fire alarm system – fire alarm alerted staff in the halls, but did not alert the fire department
  • partial fire sprinkler protection – in laundry and trash rooms only
  • unprotected openings – staff left the doors to patient rooms in the open position

6.  Michigan Hospice (1985) – 8 killedhartfor_hospital

When a fire started from a patients recliner and began to spread, 8 lives were lost.  Contributin factors to these deaths included:

  • heavy fuel load – patients were allowed to bring items from home
  • unprotected openings – fire and smoke spread through the ventilation systems and stairwells, smoke doors were left open

7.  California Hospital (1985) – 5 killed

A patient smoking while trying to shut down his oxygen supply ignited a fire that quickly spread, taking 5 lives.  Contributing factors to these deaths included:

  • careless smoking
  • unprotected opening – patients door was left open, permitting spread of fire

8.  New York Hospital (1993) – 3 killed

A medical equipment malfunction contributed to the death of 3 patients.  Two of the patients were in the room of origin, and the third was two rooms down.  His door had not been properly shut, as had all the other patient rooms.  Contributing factors to low mortality rate:

  • fire alarm system was in place
  • fire sprinkler protected corridors
  • trained staff
  • auto closing doors and rated walls – limited fire and smoke spread

9.  Virginia Hospital (1994) – 6 killed

This fire started in a patients bedding, and was fed from an open oxygen line, until the oxygen zone was shut off.  Contributing factors to these deaths included:

  • unprotected openings – door to the room was left open
  • lack of fire alarm detection devices – no smoke alarms in the patient rooms
  • lack of fire sprinklers and working fire department connection
  • undivided concealed spaces – spaces above ceiling permitted smoke movement and seep down

balanced_fire_protectionAs we can see from this short history these fires spread and took lives, not due to one system operating or malfunctioning but, due to multiple systems that are inteded to work together and create redundancy not being in place.  Hospitals are supposed to be a place of safety, refuge, and healing.  It is only when the facility takes a balanced approach to life safety that your loved one remains truly safe, and real healing can take place.

 

 

 

 

For more information on the above mentioned fires download the report, “Major Hospital Fires” from the National Fire Protection Association.