Roberts M J, Deboy G R, Field W E, Maier D E
J&M Roberts LLC, Syracuse, Indiana, USA.
J Agric Saf Health. 2011 Oct;17(4):303-25. doi: 10.13031/2013.39804.
Entrapment in flowable agricultural material continues to be a relevant problem facing both farmers and employees of commercial grain storage and handling operations. While considerable work has been done previously on the causes of entrapment in grain and possible preventative measures, there is little research on the efficacy of current first response or extrication techniques. With the recent introduction of new grain rescue equipment and training programs, it was determined that the need exists to document and summarize prior grain rescue strategies with a view to develop evidence-based recommendations that would enhance the efficacy of the techniques used and reduce the risks to both victims and first responders. Utilizing the Purdue University Agricultural Entrapment Database, all data were queried for information related to extrication of victims from grain entrapments documented over the period 1964-2006. Also analyzed were data from other sources, including public records related to entrapments and information from onsite investigations. Significant findings of this study include the following: (1) between 1964 and 2006, the number of entrapments averaged 16 per year, with the frequency increasing over the last decade; (2) of all cases documented, about 45% resulted in fatality; (3) no less than 44% of entrapments occurred in shelled corn; (4) fatality was the result in 82% of cases where victims were submerged beneath the grain surface, while fatality occurred in 10% of cases where victims were only partially engulfed; (5) the majority of rescues were reported to have been conducted by untrained personnel who were at the scene at the time of entrapment; and (6) in those cases where the rescue strategies were known, 56% involved cutting or punching holes in the side walls of the storage structure, 19% involved utilizing onsite fabricated grain retaining walls to extricate partially entrapped victims, and the use of grain vacuum machines as a rescue strategy was on the increase. Among the recommendations growing out of the study are these: (1) conduct further tests on the efficacy of grain rescue strategies, including the use of recently introduced grain rescue tubes and grain vacuum machines; (2) incorporate the findings into future first responder training programs; and (3) enhance the first response skills of personnel working at grain storage facilities, both on-farm and at commercial operations.
被困在流动性农业物料中仍然是农民以及商业粮食储存和处理企业员工面临的一个重要问题。虽然此前已经针对谷物被困的原因及可能的预防措施开展了大量工作,但对于当前应急响应或救援技术的效果却鲜有研究。随着近期新型谷物救援设备和培训项目的推出,人们确定有必要记录和总结以往的谷物救援策略,以便制定基于证据的建议,提高所使用技术的效果,并降低对受害者和急救人员的风险。利用普渡大学农业被困数据库,查询了1964年至2006年期间记录的所有与从谷物被困中解救受害者相关的信息。还分析了来自其他来源的数据,包括与被困相关的公共记录以及现场调查信息。这项研究的重要发现包括:(1)1964年至2006年期间,被困事件的数量平均每年为16起,且在过去十年中频率有所增加;(2)在所有记录的案例中,约45%导致了死亡;(3)不少于44%的被困事件发生在脱壳玉米中;(4)在受害者被淹没在谷物表面以下的案例中,82%导致了死亡,而在受害者仅部分被掩埋的案例中,10%导致了死亡;(5)据报告,大多数救援是由被困时在现场的未经培训人员进行的;(6)在那些已知救援策略的案例中,56%涉及在储存结构的侧壁上切割或打孔,19%涉及利用现场制作的谷物挡土墙解救部分被困的受害者,并且使用谷物真空机作为救援策略的情况正在增加。该研究提出的建议包括:(1)对谷物救援策略的效果进行进一步测试,包括使用最近推出的谷物救援管和谷物真空机;(2)将研究结果纳入未来的急救人员培训项目;(3)提高农场和商业运营中粮食储存设施工作人员的应急响应技能。