Académique Documents
Professionnel Documents
Culture Documents
The size of continuous earth wire used with cables in domestic installation
should not be less than 14 S.W.G. in any case. It is important to mention that
the earth wire must be electrically continuous. The joints should be made
properly after removing rust etc.
ELECTRIC SHOCK
The human failure in handling the electrical components or repairing the
distribution system without switching off the supply, the ultimate effect of
electric shock on human body may be death. The result of electric shock on
human body may be fatal but it may be due to:
(a) Fibrillation of heart i.e. damaging the heart to small pieces causing the
stopping of breathing.
(b) Stopping of breathing action caused by blockade in the nervous system
causing respiration.
(c) Local over heating or burning of the body due to sparking.
The fibrillation of the heart is the most serious cause of death and there is no
cure, although there is a possibility of rescuing a man who has suffered by the
latter two causes.
Milliamp(mA)
Effect
1 to 8
8 to 15
15 to 20
20 to 50
50 to 100
200 and above
Electric
resistance
of Body
In ohms
1,000
100 V
Current
(A)
Neither wet
nor dry
5,000
0.020
Dry
1,00,000
0.001
Totally wet
0.100
Effect
500 V
Curren
t
(A)
0.5
Certain
deaths
and slight
burns
No burns 0.1
or injury,
painful
shock
Very light 0.005
shock no
burns
Effect
10,000 V
Current Effect
(A)
Burns,
probabl
e death
10
Certain
death,
slight
burns
Light
shock
no
burns
0.1
Severe
burns
may
survive
Severe
burns,
may
survive
Sure
death,
slight
burns
Therefore, in wet situations, the body and contact resistance is low and
therefore, even a small leakage becomes dangerous. Although under such
conditions, 50 volts is sufficient to prove fatal if applied for an appreciable
time, this can only be considered as exceptional.
(b)Frequency: When the frequency is low the electric shock is more severe and
dangerous, and the direct current shock is most severe.
(c)The path taken by the current through the body: If the path of the leakage
current is without involving the chest or heart, survival is possible but there are
severe burns on the parts of the body Involved in the shock depending upon
the value of the current.
(d)Duration of the contact: If the duration of the contact is for a more time,
the situation becomes dangerous due to numbness is the body part in contact.
Such electric shock becomes dangerous and sometimes fatal if contact is not
broken within the earliest possible time.
(e)Area of contact: Resistance decreases with the area of contact with the live
part and the contact pressure. The accidents are nearly fatal in such situations.
(3) To free the person from contact with live wire, stand on a dry plank, stool,
table or any other insulating object and pull the man away from the mains. If it
is not possible, ul1 his coat if dry. Use your own coat, cloth, paper, bamboo
stick, wooden pole etc. either to pull or push the person without touching his
body directly. Sometimes the live wire itself (if L.T.) may be pulled or pushed
away using a dry bamboo or any other dry stick such as walking stick.
(4) Send for a doctor.
(5) Observe the victim if he is unconscious and breathing normally. If not, start
giving artificial respiration without any delay. It requires training and practice
to give artificial respiration, in the absence of which, it is more likely that the
patient may he smothered. When the person regains consciousness, stimulants
should be avoided unless ordered by the doctor.
c) With arms straight, lean forward gradually over the patient bringing the
weight of your body to bear on the patient for about a second Fig. (a).
Next release all pressure for about 3 seconds by swinging your body
backward but without lifting your hands from the patient Fig.(b).
d) Repeat this application and relaxation of pressure as described above,
without any marked pause between the movements at the rate of about
1 2 to 15 times per minute until natural breathing is restored.
e) Do not give up efforts to restore natural breathing, until the victim is
pronounced to be safe by a doctor there is every possibility that the
victim may survive even after more than an hour of unconsciousness.
f) The patient should be kept warm with blankets or coats and hot water
bottles, if available, should applied to the feet.
g) Do not give any liquid until the patient is conscious.
Method-2:
When the patient has burns etc. on his chest or anywhere on front side, then
the patient must not be laid his front downward. The main process of artificial
respiration is to expand and contract his chest to draw the air in and expel it
out a1ternately. In this method, first loosen the clothes around the chest and
stomach and place a rolled up coat or improvised pillow beneath the shoulders
so that the head falls backwards.
First motion: Kneel in the position shown in Fig. and hold the patient just below
the elbows and draws his hand over his head until they are horizontal. Keep
them in that position for about two seconds. Now bring the patients hands so
as to compress his chest by bringing them down as shown in the figure and
keep repeating two motions at the same rate.
Mouth-to-mouth respiration method:
It is easily applied and particularly suited where the patient has suffered
chest injuries.
Mouth-to-mouth method for adults: Insert thumb of your left hand between
victims teeth. Hold the jaw upward so that the head tilted backwards. Close
victims nostrils with your right hand. Take a deep breath and place your mouth
tightly over victims mouth and your own thumb. Blow carefully enough to
make victims chest rise. Repeat inflation every three or four seconds. The main
precaution to be adopted is that a handkerchief or some other cloth should be
placed over the victims mouth to prevent direct transmission of germs from
one mouth to the other.
Mouth-to-mouth method for children:
Hold the angle of the childs jaw at the ear lobes using both hands and lift up
forcibly so that the head is tilted backwards. Push childs lower lip towards the
chin with your thumbs. Never let the chin sag. Take the breath and place your
mouth tightly over childs mouth (for a small child cover both mouth and nose).
Blow in gently until his chest moves then take your mouth off and let him
exhale passively. Repeat inflation about one every two to three seconds.
The mouth to mouth method has been found to supply ten to twelve times
more volume of air into the lungs than any of the other methods. There is a
danger of sagging of the victims tongue into the throat and blocking the air
passage. But this is prevented in the new technique if the victims head is tilted
back.
Can anything be done if the heart stops beating?
The following main points may be of great help in reviving head stoppage due
to drowning choking or electric shock
1. Check for pulse, if no pulse is apparent, start working at once without
wasting seconds in asking for equipment or help. The lack of sufficient oxygen
carried in the blood to feed the brain may result in peril of any heart as the
brain is the most sensitive tissue of the body.
2. Lay the patient face up on a solid bed or floor.
3. Tilt the head back.
4. Kneel on the body so that you can use your weight in applying pressure.
Place the heel of your right hand on the breast bone with fingers spread and
raised so that pressure is only on the breastbone not on the ribs.
5. Place your left hand on top of the right and press vertically downwards,
firmly enough to depress the breastbone one to one and a quarter inch. (In
case of child, use only one hand for relatively light pressure). The chest of an
adult is resistant when he is conscious. It will be surprisingly flexible when he is
unconscious.
6. Release the pressure immediately, lifting the hands slightly, then repeat in a
frequency of 60 to 80 thrusts per minute approximating the normal heart
action.
7 If normal heart beat and respiration has resumed, even then, the patient
should be shifted to hospital as soon as possible.
8. Continue the massage until you get professional medical aid for the patient.
Also continue if possible, the mouth to mouth breathing until the patient is put
on oxygen.