WHEN THE LAB IS OUTDOORS: SAFETY FOR FIELD TRIPS AND RESEARCH IN REMOTE ENVIRONMENTS Jeffrey N. Rubin College of Natural Sciences University of Texas at Austin Austin, TX 78712-1199 jrubin@mail.utexas.edu Presented at the annual meeting of the Campus Safety, Health, & Environmental Management Association July 13, 1999 1 Abstract Laboratory safety is supported by regulations and consensus standards, but few laws, standards, or even policies exist to provide guidelines for safety related to field trips, field classes, or field research in remote areas. As with lab safety, both behavior and equipment must be addressed. A comprehensive policy should include driving, awareness and planning, communications, equipment, training, and staffing for field trips and classes. Risks - and casualties - associated with driving are far greater than those associated with most laboratory research. Institutional driving policies should be extended to cover trips to, from, and in remote areas. Driving policies should include driver qualifications, number of drivers per vehicle, driver rest and rotation, and “no-drive” times. Effective risk assessment begins with hazard awareness and pre-trip planning, and should include physical, political, medical, and social hazards. Advances in telecommunication technology reduce the likelihood that participants will be isolated in event of emergency, and enhance speed and location of emergency response: groups should not be in remote areas without some means of emergency electronic communication. Although proper equipment varies with location, time of year, and planned trip duration, basic emergency supplies, such as first aid kits, tire-changing tools, potable water, and shelter should always be included. Appropriate training includes use and basic maintenance of emergency equipment, wilderness first aid, crisis management, and prevention. Equipment and training can be tailored to the needs of the end-users. "Solo" field research should be discouraged, and field trips and classes should have adequate staffing to prevent and manage emergencies. As with all policies and advisories addressing safety, appropriate risk-benefit analysis must be applied. Policies and procedures must be determined by objective analysis rather than convenience. A case study of a recently-adopted field-safety policy demonstrates the value of achieving input and consensus from those most affected by the policy. 2 Introduction Use, transport, and disposal of chemicals, biological materials, radioactive materials and radiation sources are regulated in industrial and academic laboratories. Building, electrical, and life-safety codes control structures, equipment, and work environments. Consensus standards also apply to preventive and protective safety equipment. Few laws or standards apply, however, to research safety in remote environments, whether in the form of field trips, field classes, or simply field research. Perhaps as a result of this, people working in or going to or from remote research areas are at far greater risk than they are in laboratories. As an example, over the last 25 years the University of Texas at Austin has not suffered a single lab-related fatality or serious injury, but has seen several research personnel killed or injured either in their field area or in motor-vehicle collisions going to or from it. As more private and governmental units recognize the potential for death, injury, property damage, and litigation, safety standards for travel are becoming more common but not necessarily more standardized. A reasonable field safety standard should make field classes and field research as safe and productive as reasonably possible. Students, faculty, and staff should be properly trained and equipped to assess and minimize risk, and provide aid to themselves, their colleagues, and, as possible, others in distress. Simply curtailing field excursions is not an acceptable option. Practical skills and experience are essential components of higher education; field classes and field research are excellent ways to provide them. Departments conducting field classes or whose faculty, staff, and students conduct field research must manage risks associated with travel between, and work in, remote areas. This is intended to be a set of guidelines and expectations for academic units conducting field trips, field classes, and field research. It is intended provide realistic standards to meet safety and research/educational needs, where state and federal regulations and most university policies leave off. Field safety is multi-faceted. Principal areas addressed in this document are: • Driving • Awareness and planning • Communications • Equipment to prevent and manage emergencies • Training for emergencies 3 • Staffing for field excursions Definitions Wilderness: any location where a person becoming sick or injured is one hour or more away from definitive medical care (minimum: prehospital advanced life support); this designation incorporates not just straight-line travel, but access/egress, time/distance from functional communications, road/weather conditions, and availability of emergency resources Trip leader: any employee of an academic institution (faculty, student, staff) charged with conducting or assisting with a field excursion - primarily faculty and teaching assistants (TAs) Participant: member of a field excursion other than trip leaders - generally students Driving Many university policies provide administrative details for authorizing drivers of university vehicles and vehicles leased by the university for official business. Items addressed commonly include driver eligibility, liability and insurance, passengers, and liability release/authorization for emergency medical treatment forms for student passengers. Most university policies do not specify safety guidelines, aside from “encouraging” administrative units to develop appropriate ones. Recommended safety guidelines are as follows: Driving between midnight and 0600 should be strongly discouraged. Travel during that interval should be avoided except in cases of emergency, or during some trips that are designed to observe nature in progress (e.g., trips to observe nocturnal fauna and flora) Non-emergency travel during that interval for the sole purpose of getting from point A to point B should not be done. Example: If it becomes apparent that the choice is between stopping at lodging/campgrounds at 2300 and arriving at the "next one" at 0100, choose the former. Several governmental agencies whose employees routinely have extended travel to remote areas (e.g., Texas Forest Service, U. S. Forestry Service) require that employees stop for the night, at agency expense, if they are not within a few minutes of their destination by 2200. Drivers must be familiar with the vehicle they are driving. It doesn't take long, (and is hardly restricted to academic field excursions), but drivers should know how to operate lights, 4 wipers, turn-signals, transmission, etc., before they put a passenger-laden vehicle on the road. Each vehicle with multiple occupants that will be traveling for intervals longer than two hours should have more than one qualified driver on board. Drivers should rotate approximately every two hours or be able to take at least a 10-15 minute break approximately every two hours. Relief drivers should be encouraged to rest during "off-times." Front-seat passengers are encouraged not to sleep during long drives - rather they should monitor drivers for signs of fatigue. It is recommended that drivers obtain at least six hours of uninterrupted sleep the night before they drive. People who have been up most of the immediately preceding night are encouraged not to drive. Should driving be necessary under such conditions, a high sense of awareness of driver fatigue should be maintained by drivers and passengers. Multi-vehicle groups should be able to communicate between vehicles. Cellular phones, CB radios, or low-cost “family two-way” radios are effective for this (and radios aren’t affected by cell boundaries). If electronic communication is unavailable, trip leaders should predesignate meeting places to gather if vehicles become separated. Trip leaders should be aware when other vehicles are overdue and should know where to look in such circumstances. Awareness and planning Awareness is the most basic - and most important - step in effectively planning for field work, and must incorporate multiple aspects. Hazard awareness includes knowledge of weather patterns, temperature ranges, risk of wildland fire, flood, avalanche, severe weather, or endemic disease may determine what type of preparation is necessary. Awareness of political and social hazards such as insurrection, government corruption, rule of law (or lack of it) and degree of personal safety (Is camping safe? Are robberies common? Is local law enforcement effective - or even present?) is as important a planning tool as knowledge of physical hazards. Awareness of local customs and resources not only allows for a safer trip, it may also provide more pleasant conditions in the research area. For domestic field work, it is important to know local ordinances and customs (e.g., speed limits, “wet” vs. “dry” counties, observation of “Blue Laws”) as well as what emergency and non-emergency resources are available, including medical care, vehicle repair, stores; for field work outside US borders, travelers should also be aware of national laws and legal systems, and cultural/language differences. 5 Emergency planning includes identifying specific hazards and one’s vulnerability to them, ability to prevent/manage emergencies, and needs for successful outcomes. Self- preparation is an important aspect of contingency planning. Adverse situations may not be expected, but should be anticipated. Useful aspects of self-preparation include: • Panic suppression and “survival thinking” • Understanding the effect of an injured member on the entire group • Rescue philosophy: the rescuer, whether good Samaritan or part of an organized response, is more important than the victim (failure to take this to heart kills many would-be rescuers - and victims) The following items represent some of those to be considered in a pre-trip plan: • Weather protection: appropriate clothing to prevent hypothermia or heat illness • Adequate water supply (either local or brought in) and containers • Immunizations (necessary immunizations and/or prophylactic medications should be provided) • Research location(s) and travel routes: road conditions, fuel availability, sleeping areas in both directions; field researchers are strongly advised to obtain and bring copies of relevant topographic and road maps prior to departure • Emergency assistance: how and where to receive it, how to request it in another language (if necessary) Supervisors of students preparing to do field research in remote environments should assist their students in conducting hazard analyses, including physical, biological, and political hazards, as well as what hazard mitigation can be reasonably accomplished. Students/faculty/staff should be strongly discouraged from working alone in remote areas. Prior to departure, students/faculty/staff should leave an itinerary with their supervisor or department office, providing the following information as available: • "Base" location • Contact information and location of nearest local law-enforcement • Emergency contact in field area (may be same as previous item) • Estimated return date • Latest possible return date 6 • Emergency contact should next of kin need to be notified Participants in field trips/classes requiring physical exertion, mobility in uneven terrain, or potential exposure to significant health hazards (e.g., dust for asthmatics, anaphylaxisinducing allergens) should be made aware of the risks. All participants should be asked to provide information indicating personal medical conditions that may create a serious health threat or endanger the group (e.g., respiratory, cardiovascular, allergic, and endocrine conditions). Although participants cannot be forced to provide accurate information, they must be asked to do so and understand the consequences of not doing so. All information on such forms should be considered confidential. Students should be aware of whom will have access to the information they provide; administrators and trip leaders should treat the information provided accordingly. Figure 1 shows a suggested medical-history form. Medication for trip participants (either dosage regimens, such as insulin, or prophylactic medications, such as epinephrine auto-injectors) must be provided by the participants; prescription medications cannot be supplied by the department or institution except under specific (and uncommon) circumstances. Needs for such medications, as well as items such as carrying spare prescription eyewear and hearing-aid batteries, should be determined in advance. It is extremely unwise to undertake physically demanding fieldwork if not reasonably physically fit, or if pre-existing medical conditions pose a significant threat to survival. many institutions have offices for special-needs students. Such participants should be encouraged to work with these offices and course providers. Table 1 lists several sources of information for planning field excursions. Communications Institutions should have cellular phones available for field use. Those planning trips or research in extremely remote areas should be aware of less-conventional communications equipment, such as FM two-way radios, emergency locator transponders, and satellite phones. These items can be expensive; unless a single research group has regular needs for them, “community” communications equipment may be the most cost-effective way to meet institutional needs. 7 It is highly desirable that each excursion in a wilderness environment have a way to obtain help in an emergency, therefore it is essential for groups to have at least one cellular phone, CB radio, or other electronic means of communication where such is applicable. Trip leaders should be aware when groups within their trip are overdue and should know where to look in such circumstances. Local hand-held radio systems are recommended for remote base camps, research facilities, or field trips where students, employees, or visiting scientists are dispersed. Equipment At minimum, the following functional equipment should be available on vehicles used for field excursions: • Spare tire (two if conditions indicate and space allows), functional tire-changing tools, traffic warning devices • Five-gallon water jug or cooler (collapsible if necessary); should be cleaned and filled before each outing and filled during outing as possible • First-aid kit (stocked and maintained), including suitable first-aid handbook • Fire extinguisher (charged and inspected) • Appropriate road maps • Flashlight, preferably heavy-duty, with fresh batteries For trips/classes placing participants in a wilderness environment and requiring them to hike more than five minutes from the vehicles, "wilderness first aid" kits should be carried by trip leaders. Necessary personal protective equipment (e.g., hard hats, eye protection, ear protection) should be provided for each participant. Individuals should provide the following (non-waterproof items should be in locking plastic bags): • Drinking water (water bottle or canteen) • Personal first-aid kit or items: medicines, “comfort” items • Flashlight (heavy-duty, waterproof recommended) with spare bulb and batteries • Proper clothing for field area 8 Training There is a wide variety of training available for people working outdoors. Specific classes such as Emergency Medical Technician, Wilderness First Responder, various types of technical rescue, and survival, may be highly beneficial. Unfortunately, they tend to be expensive and time-consuming. Although trip leaders and participants are encouraged to receive as much training as they can, the following training should be required for people in the following roles: Trip leaders expected to independently supervise one or more participants in a wilderness environment: • Cardiopulmonary Resuscitation (CPR): minimum training equivalent to American Heart Association “Heartsaver” (three-four hours, includes CPR, rescue breathing, and obstructed-airway management for adult victims). Skills should be kept current. • Wilderness First Aid: minimum training of eight-hours in Wilderness First Aid. Curriculum should follow national standards in basic and delayed-transport (aka, “wilderness”) first aid; an excellent example is that offered through the National Safety Council/Wilderness Medical Society. Skills should be kept current. Table 1 lists several useful wilderness medicine texts. All trip leaders, regardless of supervisory expectations, and all drivers: • Emergency equipment use: operation, simple trouble-shooting procedures and maintenance for basic items such as vehicles, communications equipment, fire extinguishers, roadway signaling devices (e.g., flares), and tire-changing equipment. This training should be provided to other participants as appropriate and necessary. All participants in field trips/classes: • General safety orientation: Trip leaders should orient participants to specific hazards (if any) and emergency procedures (if any) before departure. All participants should know locations of emergency equipment, and basic emergency procedures (e.g., how to request help in case of injury, what to do if they become separated from the group). This is analogous to “site-specific” training required in laboratories. Personnel preparing for field research in remote environments: 9 • Operation, simple trouble-shooting procedures and maintenance of all applicable emergency and communications equipment. • CPR and Wilderness First Aid training is strongly recommended. Staffing Field excursions in wilderness environments should have sufficient staffing to enable trip leaders to keep track of participants and effectively manage the remainder of a group should one or more participants become ill or injured. The appropriate ratio of trip leaders to participants will vary considerably based on trip location, duration, activities, and local hazards. Trips in which participants are required to perform more than mildly exerting activities or travel on foot over rough terrain are recommended to have a trip leader:participant ratio not greater than 1:10. Maintaining appropriate leader:participant ratios may make it necessary to limit trip/class/lab sizes due to safety, transportation, or staffing constraints. Unaccompanied field research in wilderness environments should be discouraged. Researchers should be strongly advised to conduct remote research with at least one companion. Acknowledgments Material in this paper was drawn largely from a field safety policy, drafted by the author, proposed for the College of Natural Sciences, University of Texas at Austin. The policy represents the consensus effort of an ad hoc committee, consisting of members of each department within the College that conducted field excursions. Committee members were: J. Rubin (Chair), R. Brown, M. Helper, R. Jansen, J. Lacy. Author Jeff Rubin is Asst. Dean for Environmental Health & Safety in the College of Natural Sciences, University of Texas at Austin. He received his BS in Geology & Geophysics from Yale University in 1982, and his MA (1986) and Ph.D. (1996) in Geological Sciences from the University of Texas at Austin. He has been a volunteer firefighter since 1987 and served with City of Austin Emergency Medical Services for five years. He has publications in geology, emergency medicine, and safety. He teaches Laboratory Safety & Chemical Hygiene at the 10 University of Texas, and also teaches hazardous materials response, incident management, rescue, and wilderness first aid. 11 Table 1. Selected sources of information for pre-excursion planning. Books1 Auerbach, P.S., Donner, H.J., Weiss, E.A., 1999, Field Guide to Wilderness Medicine: Mosby, St. Louis, 549 p. th Forgey, W.W., 1994, Wilderness Medicine: Beyond First Aid, 4 Ed.: ICS Books, Merryville (IN), 244 p. Paton, B.C., Backer, H.D., Bowman, W.D., Steele, P., Thygerson, A., 1998, Wilderness First Aid: Emergency Care for Remote Locations: Jones & Bartlett, Sudbury, MA, 350 p. (National Safety Council/Wilderness Medicine Society collaboration; textbook for National Safety Council WFA course). nd Tilton, B., and Hubbell, F., 1994, Medicine for the Backcountry, 2 Ed.: ICS Books, Merryville (IN), 192 p. Weiss, E.A., 1997, A Comprehensive Guide to Wilderness & Travel Medicine, 2nd Ed.: Adventure Medical Kit, Oakland, 198 p. th Wolfe, M.S., 1998, Health Hints for the Tropics, 12 Ed.: American Society of Tropical Medicine and Medical Hygiene, Northbrook (IL), 51 p. 2 Web sites Topic General field safety Source College of Natural Sciences Univ. of Texas at Austin US maps and photos US Geological Survey URL http://www.utexas.edu/cons/safety/fieldsafety http://mapping.usgs.gov/www/products/status.html Travel advisories US State Dept. http://travel.state.gov/travel_warnings.html General travel services US State Dept. http://www.state.gov/www/services.html US Geological Survey http://water.usgs.gov/public/realtime.html ~ Real-time stream-gauge data Weather information NOAA Weather information Univ. Corp. for Atmospheric Research Diseases and immunizations CDC Tropical disease information ProMED 1 http://www.esdim.noaa.gov/weather_page.html http://www.rap.ucar.edu/weather/index.html http://www.cdc.gov/health/diseases.htm http://www.fas.org/promed Recommended by the author based on review and use. Inclusion of items on this list does not represent product endorsement by the author. 2 Commercial Web sites are not included on this list, but are provided on the first Web site listed. 12 13 Figure 1. Sample medical history form for field-excursion participants. Please provide the requested information to the best of your ability. Although you are not required to provide confidential medical information, it is in your best interest to do so. This information will be used solely for appropriate safety preparations for field trips and classes, and will be disclosed to trip/class leaders only as necessary. Medical history • Respiratory problems • Severe (i.e., potentially life-threatening) allergies to MEDICATIONS • Severe (i.e., potentially life-threatening) allergies to stings/bites, foods, other • Diabetes If you are diabetic, are you insulin-dependent? • Cardiac • Other medical history/disability (e.g., altitude sickness, mobility impairment) Medications Do you take medications (prescription or over-the-counter) on a regular basis? If so, what medications/dosages? Are any of them perishable or require other specialized storage or handling)? • Do you carry an epinephrine auto-injector for potential anaphylactic reactions? Other information/needs Do you have any other pertinent medical information or special health needs? Name: Signature: Date completed: 14 JNR 12/98 15