NFPA Journal - January/February 2020 - 50
BURN
TREATMENT
different, the layout of these facilities
can be different, which means you can't
just implement codes like NFPA 101
and NFPA 99 without making adjustments-the pieces wouldn't fit together.
"It's a holistic system," said D'Antona,
who currently serves as the director of
engineering for Boston-based Partners
HealthCare and has worked on health
care facility projects in the Middle East,
GLOBAL FOOTPRINT The fire problem in international hospitals is being addressed
in part through US-based health care organizations overseeing facilities abroad.
The Jiangsu Province Hospital in China (top) maintains a partnership with Brigham
Health in Boston, while the Cleveland Clinic has run a facility in Abu Dhabi since 2015.
50 | NFPA JOURNAL * J A N U A R Y / F E B R U A R Y 2 0 2 0
Africa, and Haiti. "In the US, our sprinkler layout is the way it is because the
clinical units are laid out the way they
are based off the clinical care model.
Where I see breakdowns is if you try to
implement things piecemeal."
In some of the world's least
developed countries, a total lack of
awareness seems to exist around the
codes and standards that address the
threats to fire and life safety in health
care facilities.
The 2014 study published in the
Journal of Clinical Anesthesia found
this to be the case in India, where
hospitals frequently experience fires
made worse by oxygen-rich air. "The
National Fire Protection Association
publications NFPA 53, [Recommended
Practice on Materials, Equipment,
and Systems Used in Oxygen-Enriched Atmospheres], and NFPA 99
list recommendations [for limiting
oxygen concentration in the air in
hospitals], which are not followed in
Indian hospitals," the study says. "In
fact, very few of these hospitals in
India are aware of the existence of any
international codes and standards for
[oxygen] handling."
TOP: SSYOUNG/WIKIPEDIA; BOTTOM: CLEVELAND CLINIC
Jason D'Antona, a veteran electrical
engineer who specializes in health care
facility design and management and
sits on several NFPA technical committees, explained how in the US, we've
had decades to mold our safety regulations based on the layout of hospitals,
which is based on how clinical care
is best delivered. In other countries,
he said, if that clinical care model is
NFPA Journal - January/February 2020
Table of Contents for the Digital Edition of NFPA Journal - January/February 2020
Contents
NFPA Journal - January/February 2020 - Cover1
NFPA Journal - January/February 2020 - Cover2
NFPA Journal - January/February 2020 - 1
NFPA Journal - January/February 2020 - 2
NFPA Journal - January/February 2020 - 3
NFPA Journal - January/February 2020 - Contents
NFPA Journal - January/February 2020 - 5
NFPA Journal - January/February 2020 - 6
NFPA Journal - January/February 2020 - 7
NFPA Journal - January/February 2020 - 8
NFPA Journal - January/February 2020 - 9
NFPA Journal - January/February 2020 - 10
NFPA Journal - January/February 2020 - 11
NFPA Journal - January/February 2020 - 12
NFPA Journal - January/February 2020 - 13
NFPA Journal - January/February 2020 - 14
NFPA Journal - January/February 2020 - 15
NFPA Journal - January/February 2020 - 16
NFPA Journal - January/February 2020 - 17
NFPA Journal - January/February 2020 - 18
NFPA Journal - January/February 2020 - 19
NFPA Journal - January/February 2020 - 20
NFPA Journal - January/February 2020 - 21
NFPA Journal - January/February 2020 - 22
NFPA Journal - January/February 2020 - 23
NFPA Journal - January/February 2020 - 24
NFPA Journal - January/February 2020 - 25
NFPA Journal - January/February 2020 - 26
NFPA Journal - January/February 2020 - 27
NFPA Journal - January/February 2020 - 28
NFPA Journal - January/February 2020 - 29
NFPA Journal - January/February 2020 - 30
NFPA Journal - January/February 2020 - 31
NFPA Journal - January/February 2020 - 32
NFPA Journal - January/February 2020 - 33
NFPA Journal - January/February 2020 - 34
NFPA Journal - January/February 2020 - 35
NFPA Journal - January/February 2020 - 36
NFPA Journal - January/February 2020 - 37
NFPA Journal - January/February 2020 - 38
NFPA Journal - January/February 2020 - 39
NFPA Journal - January/February 2020 - 40
NFPA Journal - January/February 2020 - 41
NFPA Journal - January/February 2020 - 42
NFPA Journal - January/February 2020 - 43
NFPA Journal - January/February 2020 - 44
NFPA Journal - January/February 2020 - 45
NFPA Journal - January/February 2020 - 46
NFPA Journal - January/February 2020 - 47
NFPA Journal - January/February 2020 - 48
NFPA Journal - January/February 2020 - 49
NFPA Journal - January/February 2020 - 50
NFPA Journal - January/February 2020 - 51
NFPA Journal - January/February 2020 - 52
NFPA Journal - January/February 2020 - 53
NFPA Journal - January/February 2020 - 54
NFPA Journal - January/February 2020 - 55
NFPA Journal - January/February 2020 - 56
NFPA Journal - January/February 2020 - 57
NFPA Journal - January/February 2020 - 58
NFPA Journal - January/February 2020 - 59
NFPA Journal - January/February 2020 - 60
NFPA Journal - January/February 2020 - 61
NFPA Journal - January/February 2020 - 62
NFPA Journal - January/February 2020 - 63
NFPA Journal - January/February 2020 - 64
NFPA Journal - January/February 2020 - 65
NFPA Journal - January/February 2020 - 66
NFPA Journal - January/February 2020 - 67
NFPA Journal - January/February 2020 - 68
NFPA Journal - January/February 2020 - 69
NFPA Journal - January/February 2020 - 70
NFPA Journal - January/February 2020 - 71
NFPA Journal - January/February 2020 - 72
NFPA Journal - January/February 2020 - 73
NFPA Journal - January/February 2020 - 74
NFPA Journal - January/February 2020 - 75
NFPA Journal - January/February 2020 - 76
NFPA Journal - January/February 2020 - 77
NFPA Journal - January/February 2020 - 78
NFPA Journal - January/February 2020 - 79
NFPA Journal - January/February 2020 - 80
NFPA Journal - January/February 2020 - Cover3
NFPA Journal - January/February 2020 - Cover4
https://www.nxtbook.com/nxtbooks/nfpa/journal_2024spring
https://www.nxtbook.com/nxtbooks/nfpa/journal_2023winter
https://www.nxtbook.com/nxtbooks/nfpa/journal_2023fall
https://www.nxtbook.com/nxtbooks/nfpa/journal_2023summer
https://www.nxtbook.com/nxtbooks/nfpa/journal_2023spring
https://www.nxtbook.com/nxtbooks/nfpa/journal_2022winter
https://www.nxtbook.com/nxtbooks/nfpa/journal_2022fall
https://www.nxtbook.com/nxtbooks/nfpa/journal_2022summer
https://www.nxtbook.com/nxtbooks/nfpa/journal_2022spring
https://www.nxtbook.com/nxtbooks/nfpa/journal_2021winter
https://www.nxtbook.com/nxtbooks/nfpa/journal_2021fall
https://www.nxtbook.com/nxtbooks/nfpa/journal_2021summer
https://www.nxtbook.com/nxtbooks/nfpa/journal_2021spring
https://www.nxtbook.com/nxtbooks/nfpa/journal_20201112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20200910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20200708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20200506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20200304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20200102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20191112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20190910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20190708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20190506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20190304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20190102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20181112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20180910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20180708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20180506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20180304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20180102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20171112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20170910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20170708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20170506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20170304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20170102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20161112
https://www.nxtbook.com/nxtbooks/nfpa/journal_201610_sprinkler
https://www.nxtbook.com/nxtbooks/nfpa/journal_20160910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20160708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20160506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20160304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20160102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20151112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20150910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20150708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20150506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20150304
https://www.nxtbook.com/nxtbooks/nfpa/journal_201501
https://www.nxtbook.com/nxtbooks/nfpa/journal_20141112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20140910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20140708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20140506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20140304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20140102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20131112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20130910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20130708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20130506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20130304
https://www.nxtbook.com/nxtbooks/nfpa/journal_20130102
https://www.nxtbook.com/nxtbooks/nfpa/journal_20121112
https://www.nxtbook.com/nxtbooks/nfpa/journal_20120910
https://www.nxtbook.com/nxtbooks/nfpa/journal_20120708
https://www.nxtbook.com/nxtbooks/nfpa/journal_20120506
https://www.nxtbook.com/nxtbooks/nfpa/journal_20120304
https://www.nxtbookmedia.com