Application example: Hazardous goods transport
Transcription
Application example: Hazardous goods transport
Dräger Review Energy 103 Europe’s natural gas reserves are stored in caverns Hazardous Goods Dräger Review 103 Safer transport thanks to zero blood alcohol Technology for Life October 2011 Dream October 2011 Risk and Safety When sleep is work Risk New technologies require new strategies EN_01_388_Titel.indd 1 08.09.11 08:17 C on t en t s 150,000 kilos CalCulating 4 e x pe r i e n C e She helps newborns and their parents, he “does alcohol”. 6 n e w s the Dräger Design center is a virtual hospital. a training truck enables realistic accident-rescue exercises. Dräger strikes a high profile at leading trade shows. 8 Fo Cu s Mankind has faced risks throughout its history, and people have learned to manage them. but our high-tech world is giving rise to new types of risks – which can only be overcome with new strategies. 2 EN_02-03_388_Inhalt.indd 2 24 treating RPTC MUNICH 8 CoRbIs cOver phOtOgraphy: plainpicture/Sauber, helge is the approximate weight of the apparatus used in a proton beam therapy for cancer patients at the rinecker proton therapy Center in munich. read more starting on page 24. 16 energy crude oil and natural gas are stored in underground caves. these caverns are used to safeguard energy supplies in times of crisis. 24 ane s t he si a the proton beam is being used in a new kind of cancer treatment – the beam is generated in a superconducting particle accelerator. 20 sh ippin g C o mpanie s companies that transport hazardous materials bear a great responsibility. in germany, the hamburg-based hoyer group is taking this role seriously – for example, through its use of breathalcohol vehicle immobilizers. 28 D r e am r e se arC h Dreams can help to heal the soul, but they can also be haunting – for patients in intensive care, for example. 32 mo bile g a s D e t eC tor s a blue steel cabinet is used to ensure orderly allocation and return of gas detection technology and other equipment. Dräger review 103 | OctOber 2011 01.09.11 13:50 36 F ir e Fig h t i n g New Zealand Fire Service uses dramatic campaigns to warn about dangers – including those that can arise when using the stove at home. 50 DevelOping 50 O u t lO Ok what can technology learn from animals? bionics uses ideas born from millions of years of evolution. 54 serv ice Dräger worldwide. 42 in s ig h t the Parat c has been providing protection against toxic firerelated gases for 30 years. the fire escape hoods are hand crafted. 46 D r u g t e s t Südharz Hospital in Nordhausen, germany, uses the Drugtest 5000 as part of the admission process. Dräger review 103 | OctOber 2011 EN_02-03_388_Inhalt.indd 3 56 clOse - u p the UcF 7000 infrared camera can “see” people and hot spots through heavy smoke. its “eye” is a special chip. get t y iMageS helping Mara SoMMer 36 iMprint Publisher: Drägerwerk Ag & co. KgaA, corporate communications editorial address: Moislinger Allee 53–55, 23558 Lübeck, germany / [email protected], www.draeger.com editor in Chief: björn wölke, tel.: +49 451 882 20 09, Fax: +49 451 882 39 44 Publishing House: teLLUS cOrPOrAte MeDiA gmbH editorial Consultant: Nils Schiffhauer (responsible according to press law) art Direction, Design, and Picture editing: redaktion 4 gmbH translation: transForm gmbH Printing: Dräger + wullenwever print+media Lübeck gmbH & co. Kg iSSN 1869-7275 3 01.09.11 13:51 E xpER IEN CE PeO Pl e w h O Pe rFO rM What Moves Us – Dräger Worldwide Elizabeth MacMillan York, Registered Nurse at the Sunnybrook NICU in Toronto, Canada veloped ventilation technologies and the other knowledge, skills, and strategies we needed. Neonatal intensive care was a unique area within pediatric medicine and nursing. today, we live in a world where we can share new knowledge and the latest technologies immediately. the global neonatal world has become very small and we can learn from each other globally, to the benefit of infants and families. the families are an integral part of the care team while their infants are in our NicU and during visits to our Neonatal Follow Up clinic. Families support our work after leaving the NicU by participating on our Family Advisory council. this council gives of their time and expertise to provide advice to the NicU team and support to present NicU families. i could not have hoped for a more enjoyable, exciting and fullfilling career.” PhOtOgrAPhY: JOhN hrYNiUk/POlAriS/lAiF, MArA SOMMer; text: Silke UMbAch “From time to time, i experience an unexpected moment of happiness: i pass a family on the street and the parents recognize me. ‘You took care of our baby in the NicU.’ we talk about the child and all that has happened since it was discharged. this child and family were in our neonatal intensive care unit during what must have been a very challenging time for the family. Such encounters highlight for me the value of the work we do. in our professional world, these infants and their families are a part of our world only for a short time – a matter of days or months. For the families we care for, we remain a part of their lives forever. the work we do today in neonatal intensive care has changed dramatically since i began working in the field over 30 years ago. More than 40 years ago, the pediatric community began ventilating infants. in the early days, our eyes were our monitoring tools as we de- 4 EN_04-05_Menschenbewegen.indd 4 Dräger review 103 | OctOber 2011 01.09.11 13:51 James Dempsey, New Zealand Police, Wellington “when describing our job we simply say: ‘i do alcohol,’ which means we conduct roadside breath checks. i used to be a truck driver, but i wanted to join the police force. At first i was a beat patrol cop, and then i moved to alcohol. we have mobile testing devices and the ‘booze bus.’ we use the buses to set up checkpoints, where everyone is tested, even if there are no grounds for suspicion. when we catch someone who’s over the drink drive limit, they usually get upset and even insist they had only one drink. i guess in many cases that’s got to be a really big glass! we want to send a message: Anyone who is going to get behind the wheel should be sure not to drink any alcohol whatsoever. there are lots of repeat offenders, and for them the punishment becomes much more severe. Anyone caught for the third time faces up to two years’ imprisonment, loss of their driver’s license for more than one year, and a fine of up to 6,000 New Zealand dollars (about € 3,500). Once i experienced something really creepy: A car that rolled up to us, Dräger review 103 | OctOber 2011 EN_04-05_Menschenbewegen.indd 5 with no passengers inside! we just jumped out of the way, and the car collided with a tree. we discovered that the vehicle was stolen, and the four occupants had fled into the bushes. the saddest moments are when kids are involved. the other day we stopped a woman who had her 18-month old baby in the car; her blood-alcohol content was 1.2 percent. we had to call her husband. He was at home in bed and was really shocked. the checkpoints make drivers much more afraid that we’ll catch them, like in Auckland last year, when we caught over 300 people in one weekend. the Dräger Alcotest 9510 is very effective – and accepted for evidential purposes in courts of law in New Zealand. the devices in the bus print out three copies of the test strip, one for us, one to be presented in court, and one for the driver. the information on the print-out includes the names of the driver and the police officer, and the time of the test. So it’s no longer possible to claim: ‘but i wasn’t even driving at that time.’” 5 01.09.11 13:52 A+A: The world of occupational safety. D-111137-2011 PHOtOgrAPHy: rene tiLLmAnn Ne w s The Dräger Design Center: showcasing the latest medical technology in action. A Maze of Hazardous The Dräger Design Center: substances L ike a Virtual Hospital A+A, germany’s leading trade fair for occupational safety, is held in Düsseldorf every two years. this year’s event will run from October 18 to 21 and will host around 1,500 exhibitors. Dräger is appearing in an approximately 500-squaremeter booth in Hall 6/e 15 under the slogan “Lost in the jungle of hazardous substances?”. “we’ll be showing how to measure and detect dangerous gases,” says Oliver Steinmann from Dräger, “and how our products and services help to protect, support, and save lives.” the exhibits will include a new automatic detector tube pump (Dräger X-act 5000) – an explosion-proof, all-in-one solution for taking measurements with Dräger short-term detector tubes or sampling tubes and systems. A team of over 50 Dräger employees will be on hand to respond to customers’ questions and requests. the 2009 A+A attracted about 66,000 visitors from 65 countries. 6 EN_06-07_Nachrichten.indd 6 the new Dräger Design center in Lübeck, germany, showcases the company’s medical systems about 700 square meters of floor space. the facility, which occupies an existing building, was completed in a mere six months at a cost of around 2 million euros. “we’ve recreated all acute care areas,” explains project manager Dietmar Schäfer. visitors to the “Hospital Area” can trace a patient’s progress through the stages of transport ventilation, resuscitation, induction, operation, post-operative, recovery, and intensive care. this gives visitors first-hand experience with not only various Dräger devices in action, but also integrated medical equipment such as gas management systems. “in addition to the devices,” says Schäfer, “we also showcase other solutions along the clinical pathway, such as patient data management systems.” Upon request, a room can be set up according to the exact specifications desired by customers for their own hospital. “this enables them to try everything out and see if it fits in with their established working practices, or if any changes are necessary,” Schäfer explains. Using a 3D computer application, the desired configuration can then be created as a virtual working environment and documented. this results in a customized solution that is tailored to the client’s precise specifications, without the need for costly modifications after installation. the Design center also has conference rooms where customers can see detailed demonstrations of individual devices and have a chance to try them out. “we’re expecting several thousand visitors a year,” says Schäfer. the facility is designed so that two separate groups can visit simultaneously. Dräger review 103 | OctOber 2011 01.09.11 13:53 D-100-2010 D-111145-2011 Dräger Raises 2011 Earnings Forecast The TRT 7000: A simulated truck crash. A new form of ventilation monitoring. A Training Truck for Rescue Drills MEDICA: Illustrating the Patient’s Transport For many fire crews, the task of freeing the driver from a crashed truck can pose unfamiliar challenges. the door alone weighs around 80 kilograms, and whereas scrap yards offer ample opportunity to practice cutting through car bodywork, trucks rarely end up there, since they are mainly broken up for spare parts. with the trt 7000, emergency services personnel can now train for truck accidents and incidents involving hazardous goods. Designed in consultation with firefighting experts, the truck rescue trainer provides the perfect scenario for practically any emergency drill. this includes obtaining access to a trapped driver, forcing back the front end of the driver’s cab, pumping off hazardous liquids, and sealing tank leaks. the truck trailer used to transport the trt 7000 is approved for road use, so the rig can be deployed on any training site. All of the vehicle parts cut up in the course of training can be replaced. the MeDicA trade show, which will be held in Düsseldorf from November 16 to 19, will feature more than 4,500 exhibitors and the very latest products and services for the healthcare sector. “in our 700-square-meter booth we will be illustrating the patient’s transport within the hospital,” explains Ole Schäfer from Dräger. in line with the slogan “At your side in the hospital,” the different care areas will be showcased, including the emergency room, the operating room, the intensive care unit, and the neonatal care unit – with a focus on the role played by solutions from Dräger. the latter include patient data files, which provide medical personnel with all the information they require. Additionally, Dräger will present a new form of ventilation monitoring, electrical impedance tomography*, enabling intensivists to view regional distribution of ventilation. Dräger review 103 | OctOber 2011 EN_06-07_Nachrichten.indd 7 * eit is not commercially available in all countries. Drägerwerk Ag & co. KgaA (Lübeck) expects earnings in financial year 2011 to be better than previously forecasted. On the unchanged assumption of slight net sales growth and unchanged exchange rates, the company now anticipates an ebit margin of 8.0 to 9.5 percent (previously: 7.5 to 8.5 percent). the reason for this is the positive business performance in the first half of 2011. Nevertheless, Dräger invested 12.3 percent more in research and development alone than in the previous year. “in 2011, we will invest more in future products and market potentials as well as in the expansion of sales activities,” said Stefan Dräger, chairman of the executive board of Drägerwerk verwaltungs Ag. Dräger also plans to invest more in the group-wide it infrastructure. However, the costs for the new marketing and sale structure in 2011 will not come to the same figure as originally planned. Communicating in a Full Face Mask the fully integrated FPS-cOM-PLUS communication unit has been specifically developed for the Dräger FPS 7000 full face mask. it enables clear communication even under the most extreme conditions, and it can be used either as a voice amplifier or connected to a radio handset via cable. A noise reduction system filters out any interference. New Dräger Review: Initial Reactions Starting this year, Dräger review has combined stories from the two fields of medical and safety technology. the change was not as radical as the editors had expected. the readers’ reaction has been uniformly positive with regard to both the journalistic content and the magazine’s new look. Our thanks go to all as well as those who sent us feedback – often in detail. 7 06.09.11 07:50 Just the tip of the iceberg. The real risk to shipping lies hidden beneath the 8 surface of the water. EN_08-15_FokusRisiko.indd 8 Dräger review 103 | OctOber 2011 01.09.11 13:55 Ri sk Fo c u s The Invisible Enemy today’s technological world has given birth to a new species of risk. an appropriate response requires the development of nEw sTraTEgIEs. PhOtOgRaPhy: cORbis F or one farmer from the village of Kaponga, in northwestern New Zealand, there was once a Friday the 13th that he will always remember for its “silver lining.” For although he lost a cow, he ended up keeping his cowshed. That night, an extraordinary chain of events occurred. It was raining, getting very dark, and a driver failed to see a cow in the road and hit it broadside. The force of the impact caused the engine hood to fly up, and the windshield disintegrated. The car skidded off the road and knocked over an electricity pole. A short circuit sent a power surge racing into the farmer’s house and his cowshed, where it caused the electricity meter to burst into flames. The building would have gone up in smoke but for the fact that the flames burst a water pipe, thereby dousing the blaze. The cow in the road succumbed, but the rest of the herd in the barn were just wet and confused. The driver was barely injured, and, all things considered, the farmer was greatly relieved. Although there was nothing earthshaking about the events in Kaponga that night, they certainly demonstrate how the world can be shaken. As a rule, it isn’t isolated incidents that wreak havoc, but rather their surprising concatenation – rain, a stray cow, nighttime driving, a short circuit in the cowshed. There’s nothing exceptional or risky about such events if we consider them separately. But that night they were all lined up like dominoes ready to topple. On a large scale, such a sequence of events can have a major impact. Take the oil spill in the Gulf of Mexico, or the radiation leak in Fukushima, DRägeR Review 103 | OctObeR 2011 EN_08-15_FokusRisiko.indd 9 or the grounding of international air traffic by volcanic ash from Iceland – all stemmed from an unfortunate combination of factors such as bad weather, plate tectonics, an erupting volcano, planning errors. And it was only in combination that they developed the kind of explosive power that kept the world on tenterhooks for months. If the wind hadn’t been blowing from the wrong direction, thus blowing a cloud of volcanic ash into European airspace and crippling air travel, few people would have even paid attention to the eruption of Eyjafjallajökull in Iceland. Technology can help minimize risk Nobody ever really thinks about such occurrences before they actually happen. The term coined by philosopher Nassim Taleb to describe such rare and unpredictable events is “black swans.” Each event of this type is extremely improbable, but since so many of them are lurking just beyond the horizon, so to speak, there is always the chance that one or the other will come to pass. As a result, we have the impression of a regular string of surprising events. While such surprises can’t be prevented, we can certainly prepare for them. People have always been exposed to risk, not least in the form of natural disasters. Today, technology helps minimize risk, but paradoxically it can also exacerbate the consequences of such events. In prehistoric times, earthquakes caused less damage on the human level, since there were fewer people around and fewer buildings to be destroyed. During the Lis- > P robabilities and associated dangers From a technical point of view, risks are measured in terms of probability of occurrence and the magnitude of consequences. Once these two variables have been quantified, the rest is simple calculation. but how are they quantified? Most people have difficulty assessing the probability of an event and its consequences. this poses the biggest problem in dealing with risks. and it occurs well before the math comes into play. the following example shows how misleading probabilities can be. in the summer of 1913 there was an unbelievable series in the Monte carlo casino – the roulette ball landed on black 26 times in a row. None of the seasoned gamblers at the roulette table had ever witnessed anything like it. and almost all of them let themselves be deceived by their intuition. they gambled on red, because they felt it was long overdue – as if the incredible run of black had somehow tipped the scales in red’s favor. yet, as every gambler knows, each turn of the wheel is a new game: the probability of the ball landing on black is invariably 48.65 percent. On that basis, the chances of the unbroken run were a minuscule 0.0000063519 percent! the gamblers’ unreliable instinct ended up making the casino several million francs richer. 9 01.09.11 13:55 “We aren’t programmed to understand probabilities” > bon earthquake of 1755, the first major disaster of modern times, it was not the actual earth tremors that killed thousands of people. Most of the victims died under collapsed buildings up to eight stories high or in the subsequent blaze that swept through the city. Similarly, the biggest hazard of the Kobe earthquake of 1995 was fire fueled by gas from ruptured mains. A lack of water severely hampered the efforts of the fire service, and the flames killed more people than the earthquake itself. Of particular concern today are the exponential risks associated with computer viruses. In 2003 a computer worm by the name of “SQL Slammer” was programmed by unknown perpetrators and unleashed on the online community. Within minutes it had infected thousands of servers around the world, bringing the Internet almost to the point of collapse. And in the U.S., the worm crashed the security system of a nuclear power plant. Although different risks emerge with time, our way of dealing with them – inherited from our ancestors in the Stone Age – has remained essentially the same. There are risks whose probability and consequences can be evaluated. These remain largely predictable: We expect them and know how to deal with them. And then there are the unpredictable, incalculable risks – the kind that cannot be comprehended, either because their probability is unknown or there is no clear idea of what they might involve. In such cases, there is no precise awareness of risk, merely a vague foreboding. Once such a fear has begun to spread, it is very diffi- 10 EN_08-15_FokusRisiko.indd 10 cult to contain. For many years, debate has raged as to whether radiation from cell phones causes cancer. The scientific evidence is scanty, and in June the World Health Organization (WHO) classified the radiation as “potentially carcinogenic.” Many people took this as a recommendation not to use cell phones, although the WHO had not in fact said that cell phones are dangerous, merely that it cannot be stated with certainty that they are harmless. It was a detail that many people failed to register. Instead, they felt it confirmed their vague anxiety about the invisible radiation. Be prepared for the unexpected As a rule, the response to risk is an emotional one – and the most common emotion in this case is fear. But some people thrive on a “no risk, no fun!” attitude. People aren’t machines. Their actions are determined not only by probabilities but also by moods and hormones. People who have had insufficient sleep are more willing to take risks than those who are well rested. In a study of 17 traders at the London Stock Exchange, John Coates from the University of Cambridge found that increased testosterone levels also made them more prepared to take risks. By contrast, the stress hormone cortisol reduces this readiness. “Security has two senses, which we must carefully distinguish: felt and real,” explains the U.S. ITsecurity expert Bruce Schneider. “You can feel secure, although you’re not, and you can be secure but without feeling it.” In life, the unexpected happens all the time. The weather forecast says sun- Dräger review 103 | OctOber 2011 01.09.11 13:55 Ri sk Fo c u s communication enriches our lives – but its usefulness often obscures risks such as electromagnetic radiation. In their physical aspect, crowds behave like liquids. This knowledge can prevent the outbreak of panic. DRägeR Review 103 | OctObeR 2011 EN_08-15_FokusRisiko.indd 11 PhOtOgRaPhy: wit teRs (laRge PictuRe), cORbis, get t y images, DaDP A tornado comes from nowhere, leaves a trail of devastation, and disappears once again – a freak of nature. The at first undetermined source of a dange- rous strain of E. coli slowed sales of salads and raw vegetables in summer 2011. shine, and it rains. We go to the doctor for a flu shot and still end up lying in bed with a nasty dose. After climbing to the top of the Eiffel Tower, we meet, of all people, our neighbor. Paradoxically, our brain is programmed to forecast the future and to weigh such predictions, but we still end up systematically making mistakes in this area. “We’re not programmed to understand probabilities,” says the U.S. mathematician Amir Aczel. Our thinking about probability is strongly influenced by emotional experiences. And emotions tend to be induced by spectacular events rather than insidious dangers. Whenever such an event is recalled, the emotional center of our brain, the amygdala, gets to work and reminds us of the feelings associated with it – fear, dread, and panic, for example, but also pleasure and joy. That’s why we tend to exaggerate the risks of dramatic events such as terrorist attacks or aircraft crashes and underestimate structural risks such as smoking. On the level of everyday risks, this approach can cause problems. With regard to larger risks, such as the safety of a technical installation, it soon reaches its limits. In fact, in a complex world, the key to staying safe is not trying to predict everything but rather being prepared for surprises. The people at Dräger take risk transformation very seriously. Safety is the company’s core competence, and “technology for life” is its guiding principle. Dräger’s services include drawing up risk analyses and risk-management concepts for companies and even municipal authorities, as well as providing emergency-response training > 11 01.09.11 13:55 The greatest damage is often done in the first quarter of an hour after the onset of an accident PhOtOgraPhy: Sven winterling Training under realistic conditions is the only way to prepare for an emergency. 12 EN_08-15_FokusRisiko.indd 12 > for employees and senior executives. Increasingly, such programs are focusing on a new type of risk, such as that exemplified in Germany’s “Solar Valley.” Located near the city of Halle an der Saale, this is one of the largest solar industry sites in Europe. It is home to Q-Cells and other leading manufacturers of photovoltaic systems. Dräger has developed and tested a safety concept for the companies based there. One of the persons responsible for the project is Peter Schmiedtchen, an expert in emergency management at Dräger and himself an experienced fireman. Solar Valley poses a special challenge in that the authorities have exempted Q-Cells from the requirement of maintaining its own onsite fire department. This saves the company a lot of money, since having an onsite fire department means keeping a crew of half a dozen firefighters on 24-hour standby, which can rapidly generate annual costs running into seven figures. This almost backfired in 2007, when there was an escape of dangerous chemicals. The volunteer firefighters soon arrived but were at a loss as far as what to do. “They had no idea how to deal with the chemicals,” explains Sven Winterling, safety officer at Q-Cells. It was some time before the leakage was stopped. In response, Q-Cells and Dräger drew up a concept based on safety teams that take action in the event of an emergency, and which are manned not by professional firefighters but rather regular employees from Q-Cells. “Most of them work in production,” says Winterling. All in all, there are 82 employees on the safety teams, all on a voluntary basis. Dräger review 103 | OctOber 2011 01.09.11 13:55 Ri sk Fo c u s That may sound like a makeshift solution, but in fact it has considerable advantages over the previous arrangement. The safety teams are on the scene just as quickly as an onsite fire department would be, and much faster than an external fire department. And most important of all, the company employees know what they’re facing right away. Because it is their place of work, they have a decisive head start over regular fire crews, which always need some time to get their bearings. This can save valuable minutes – which is a crucial consideration given that most fatalities occur, and the greatest damage is done, in the first quarter of an hour after the onset of an accident. overcoming anxieties Preparing the safety teams involves more than just providing the right equipment. Proper training is also vital. Schmiedtchen conducts special drills designed to instill the key elements of emergency management, including a clear chain of command and a fixed workflow: assessment of the situation followed by formulation of a strategic concept, its execution, then renewed assessment, and so on, until the situation is under control. Also very important is psychological training. This might include a visit to a high ropes course, where team members practice rappelling routines, or an exercise that calls for them to build a raft from barrels in order to cross a river in a supposedly contaminated zone, requiring them to also wear breathing apparatus. The aim is to teach them how to overcome their anxieties, stay calm un- DRägeR Review 103 | OctObeR 2011 EN_08-15_FokusRisiko.indd 13 der time pressure and in unfamiliar situations, and develop team skills. And sometimes, when his trainees have really started to sweat, Schmiedtchen piles on yet another task. “In an emergency it’s not unusual to be confronted by several events simultaneously,” he explains. “We’re not a boot camp, but we do turn up the temperature, little by little.” But, says Schmiedtchen, regardless of how much the personnel practice, “there’s no way to know how a fellow team member will react in a real emergency.” In the meantime, other companies have taken a look at the safety concept at Q-Cells and set up their own safety teams. This could well be the way forward for the chemicals industry, where risks can arise that rapidly exhaust the capacity of conventional fire services. “Some of the sub- stances in use today are far more flammable and give off much more energy,” says Schmiedtchen. Only specialists are able to assess the risks involved. Automakers, for example, are considering the use of a new coolant in air conditioning units. In the event of fire, however, this can form the extremely dangerous substance hydrofluoric acid, an eventuality for which most fire departments aren’t prepared. Training courses like those conducted by Schmiedtchen are now finding favor beyond industry, not least because of the increasing privatization of public services. Emergency planning for major events, for example, must also take local infrastructure into account. In the runup to the 2008 European soccer championship in Austria and Switzerland, for instance, Dräger helped prepare local > Vaccination – a small risk to avert a big one immunization offers an interesting case study in risk assessment. A person accepts a small risk to avoid a larger one. the probability of the risks involved varies by several orders of magnitude: in about one in every 100 cases, there are minor side effects such as rash, nausea, and slight fever; in around one in every 10,000 cases, there are graver side effects such as high fever and febrile seizures, especially in conjunction with measles and mumps vaccinations; and in roughly one in every 100,000 cases, there are potentially fatal side effects such as invagination of the intestine. Other adverse effects are so rare that it is virtually impossible to demonstrate a causal relationship. some doctors suspect a link between flu vaccination and guillain-baré syndrome, a paralyzing inflammation of the nervous system. evaluation of such risks is difficult and controversial, and the frequency of the side effects must always be taken into account. Using harmless and more common side effects as evidence of rare and dangerous ones, as radical opponents of vaccination sometimes do, can quickly fog the issue. On the other hand, it would be negligent to discount the risks of vaccination altogether. 13 01.09.11 13:55 The world is full of risks what kind of risks do people face? An up-to-date answer can be found in the 2011 global risk report published by the Development works Alliance, a coalition of leading german relief organizations in conjunction with the United Nations University. its global risk index assigns a single value per country, based on a whole variety of risks in terms of both natural hazards and social vulnerability. Canada 2.57 USA 3.72 Haiti 11.45 Guatemala 20.88 Global Risk Index Vulnerability Threats Exposure to natural dangers + 33% 33% 33% Susceptibility The likelihood of suffering injury in the event of an incident Lack of response capability Lack of capacity to reduce the negative impact of a hazardous event Lack of ability to adjust Lack of long-term strategies to bring about a transformation of society NATURE SOCIETY > transport services and Vienna’s General Hospital for the mass events. According to Germany’s Federal Ministry of the Interior, more than 80 percent of the country’s crucial infrastructure is privately owned. That could prove fatal in an emergency, as the private sector isn’t always as meticulous as the state in making emergency provisions. For example, emergency generators are required by law for hospitals but not for gas stations. In the event of a major power outage, it would be impossible to pump fuel from tanks underground. But then where would we get the diesel for the emergency generators? The human factor Medical treatment saves lives, but sometimes it can also prove fatal. Such inci- 14 EN_08-15_FokusRisiko.indd 14 Costa Rica 16.74 Peru 7.24 Brazil 4.26 Chile 11.97 dents are generally the result of human error rather than a lack of knowledge. Back in the mid-1990s, hospitals began using simulated environments in which medical professionals could train with techniques for minimizing errors and managing incidents in an authentic setting, such as the operating room, resuscitation room, or intensive care unit. “Our guide was the aviation industry and the training programs in use there,” says Jutta Antwi-Schultze-Lebenstedt from the Dräger Academy, which has been running seminars for hospital personnel for eight years now. For many decades, airline pilots have been required to undergo simulator training at regular intervals. By the same token, safety in the healthcare profession depends very much on the routine competence of the teams administering treatment. For this reason, the seminars organized by Antwi-Schultze-Lebenstedt provide instruction not only in patient treatment but also in decision-making, delegation of responsibilities, teamwork, communication, leadership skills, and situational awareness. The simulated incidents are video-recorded and followed by a debriefing session, which provides participants with an opportunity to reflect on what went well and where improvements could be made. By giving medical professionals hands-on experience of critical situations, such seminars make a real contribution toward reducing risks in the healthcare sector. Whatever the task at hand, allowance should always be made for something that can go wrong. At Dräger, Craig Jones, who is originally from South Africa, is Dräger review 103 | OctOber 2011 01.09.11 13:56 Ri sk Fo c u s Greece 7.09 Russian Federation 3.56 Germany 2.96 Japan 11.13 cambodia 16.58 Philippines 24.32 Pakistan 7.84 Niger 14.03 Bangladesh 17.45 India 7.68 Zimbabwe 9.63 Papua New Guinea 15.45 Vanuatu 32.00 Indonesia 11.69 Madagascar 14.46 Australia 4.28 New Zealand 4.28 Data: UNU-eHs, baseD ON tHe PReview glObal Risk Data PlatfORm, cResis, ciesiN, aND glObal Databases; fOR a DetaileD DescRiPtiON, see www.weltRisikObeRicHt.De responsible for the practice of project management on a group-wide basis. It’s his job – together with a team of employees spread across many departments and regions – to establish uniform and professional procedures governing project management. As Jones explains, this is not an easy assignment. “Sometimes people don’t really understand the concept of risk. So when I ask them about the risks involved in their project, they come up with answers like ‘We’re running late.’ But that’s not a risk. At most, you can say it’s the consequence of a risk.” Jones teaches project managers how to identify risks and assess their probability. First of all, this means classifying risks according to whether they are strategic, operational, unforeseeable, or risks of change. All have an influ- DRägeR Review 103 | OctObeR 2011 EN_08-15_FokusRisiko.indd 15 ence on people, processes, finances, and interfaces. Each risk is assessed, an emergency plan is drawn up, and each of these processes is regularly reviewed and updated during the project. Obviously, this is only possible to the extent that risks can be foreseen. “A hacker attack or theft of data are foreseeable risks,” explains Jones. But what about the kind of risks that can’t be anticipated and for which it is impossible to draw up a concrete response? Even in this case, it is still possible to prepare for them by assigning responsibilities and establishing lines of communication. Managing the risks of interconnectivity In the past people simply weren’t confronted with events similar to those of the present day: a financial crash that can race like wildfire through the world’s stock markets in only a matter of hours, or epidemics that spread around the whole world in days. The increasing interconnectivity of our world today not only generates new risks; it also creates new ways of managing them. Jones recommends a company-wide digital risk-management system that will provide a resource for project managers, enabling them to keep a log of their risk analyses and to look up how others have dealt with comparable risks. By networking our methods and practices for dealing with risk, we will no longer need to rely on the remedies bequeathed to us by our ancestors in the Stone Age. Tobias Hürter 15 01.09.11 13:56 En ErgY c Av erN StO r Age O peration Squirrel even in times of emergency, countries must be able to ensure energy supplies for a specified period of time. in northern germany, Oil and gaS are stored in man-made salt caverns created deep underground. A ccording to the Roman historian Tacitus, Frisians don’t sing – Frisia non cantat. Whatever truth there may be in his words, the blackand-white cows here definitely moo. Just beneath the lush pasture where some of them are peacefully grazing are a few layers of peat, followed by around 700 meters of the best halite – or rock salt, as it’s commonly known. Hans Joachim Schweinsberg picks up an inch-thick section of a drill core. Ten centimeters in diameter, it weighs 406 grams. “This salt was precipitated from the sea that covered what is now the North German Plain about 240 million years ago,” he explains. Schweinsberg – a geologist by profession – works for IVG Caverns where he is director of the Etzel Cavern Information Center. Drill cores like this show whether the rock is suitable for the company’s purposes, which is to create large caverns for storing oil and natural gas. PhOtOgrAPhy: NilS SchiffhAuer Caverns – prize pieces of real estate Oil and gas are stored beneath the lush green pastureland of East Frisia. 16 EN_16-19_Kavernenspeicher.indd 16 Here in the municipality of Friedeburg, the nearest big town is Wilhelmshaven where the new JadeWeserPort – Germany’s only deepwater container harbor that doesn’t depend on the tide – will soon be helping to offset a period of industrial decline and cutbacks in the German navy. IVG Caverns is already making a big contribution to this process of economic regeneration. In fact, around half of the company’s annual investment of 100 million euros remains within a radius of 70 kilometers. At peak times this generates more than 1,000 limited contract jobs in the area and according to Manfred Wohlers, Managing Director of the Etzel cavern facility, at least 200 will become permanent if there is further expansion. As Wohlers explains, the cavern facility is a prize asset in the portfolio of IVG Immobilien AG. One of Europe’s major real estate companies, IVG Immobilien manages assets valued at over 22 billion euros, including several office properties with a total market value of 4.3 billion euros. The system of caverns extends beneath the fields of Etzel. Each is best compared to a carrot suspended vertically at a depth starting at 1,000 meters and ending at somewhere between 1,400 and 1,700 meters. This unusual piece of real estate provides up to 650,000 cubic meters of space for storing oil or natural gas, the latter pressurized at up to 200 bars. Deposited in the 52 caverns – up to 144 are planned in all – is a large share of Germany’s energy reserves. These were first accumulated in the mid-1960s. In 1950 coal and lignite from domestic production still met around 88 percent of Germany’s energy needs. By 1966, oil already accounted for almost 46 percent of the country’s energy supplies, following economic growth and a rapid expansion of motorized transport. Only 10 percent of this was produced at home with almost 70 percent coming from OPEC. Back then the world was in the grip of the Cold War and memo- Dräger review 103 | OctOber 2011 01.09.11 13:57 Safety first: Bernhard Hamphoff from Dräger measures a pipe flange to ensure there are no gas leaks. ries of the Berlin Blockade of 1948-1949 were still painfully fresh. While the city was kept supplied with food and fuel for almost a year during the blockade, thanks to an airlift involving 200,000 flights, that would have been impossible for the whole country. The outbreak Dräger review 103 | OctOber 2011 EN_16-19_Kavernenspeicher.indd 17 of the Korean War in 1950 showed how vulnerable the global flow of financial resources and raw materials were to the geopolitical forces. By 1964 the Americans had entered Vietnam. For the German government, which at the time had already launched “Oper- ation Squirrel” in 1961, urging households to stock emergency supplies was a clear indication of the necessity to build up the country’s strategic petroleum reserves (SPR). Mandatory stockpiling was implemented in 1966, a measure that prompted discussion throughout > 17 01.09.11 13:57 The leases for these unusual pieces of real estate run for at least 30 years > Europe. As the degree of oil dependency increased, so too has the length of time that national reserves must be able to last. In Germany this has risen from 45 days to 90 days, but in actual practice the time period is now the equivalent of 145 days. South Korea holds the world’s largest SPR, enough to cover 185 days. Safely stored deep underground Such crucial reserves require safe storage. Above-ground facilities, in addition to being vulnerable to attack, also occupy a large area and are comparatively expensive. In 1970 the German government commissioned the Bonn-based company Industrieverwaltungsgesellschaft (IVG), which then was still state-owned, to provide storage for 10 million barrels of petroleum at a single location. Etzel was selected for its combination of favorable conditions. It sits above a salt dome ideally suited for creating caverns and it is close to not only the deepwater harbor of Wilhelmshaven where oil tankers dock but also to the North Sea which provides the seawater required to flush out the caverns from the rock salt. When test drilling is completed, the main borehole is sunk through cap rock and at least 200 meters of salt. Two concentric pipes, one inside the other, are sunk into this hole: The so-called production string, 9 5/8 inches in diameter, pumps in seawater and a 7-inch pipe inserted inside is used to discharge the brine. A process known as Solution Mining is used to form the cavern. Water from the North Sea, with a salt content of around 30 grams per liter, is flushed into the hole at a pressure of between 30 and 60 bars where it dissolves up to 300 grams of rock salt per liter. Sixteen pumps at the main pumping station supply as many as 6,000 cubic meters of seawater an hour for this purpose. The resulting brine is then cleaned and pumped back along a 1.1-meter diameter pipeline to Wilhelmshaven, 25 kilometers away, where it discharges into the North Sea from the Niedersachsenbrücke pier. To flush out a cavern, around eight times its volume in seawater is needed. “And around three and a half years, plus capital expenditure of between 15 and 20 million euros,” adds Wohlers. Drilling only begins when the company has a cus- Gas safety from day one From the earliest days of ivg caverns, mobile and stationary gas detection systems from Dräger have protected employees and the surrounding area. today’s mobile systems largely feature devices from the x-am 3000, 5000, and 7000 series, whereas the stationary gas detection systems – e.g., for gas venting – employ, for example, open-path systems and Polytron measuring heads. 18 EN_16-19_Kavernenspeicher.indd 18 tomer for a new cavern. Leases with the energy companies run for 30 years and can be extended. The utilities are responsible for construction and operation of the above-ground gas compression plant, while the caverns are the responsibility of IVG Caverns, in line with German mining law. To create the caverns, a number of directional drillings are undertaken from a central location. For reasons of stability, salt caverns must be separated by a distance of around 300 meters. Prepared for future shifts in energy policy The salt dome beneath Etzel is ideal for a range of uses. Salt caverns provide hermetically sealed storage for not only oil but also gas, which is stored in the same type of cavern at a pressure of up to 200 bars. Maintenance and repair needs are monitored by means of sophisticated measuring systems (see the box) – to prevent a potentially catastrophic buildup of explosive gases. The gas caverns are operated at a pressure of at least 60 to 80 bars. This, as Schweinsberg explains, “prevents the caverns from slowly closing up – what we call convergence.” The caverns are subject to enormous geomechanical forces and even at a depth of 1,500 meters the temperature is already 55 °C. Under these conditions salt becomes plastic and starts to flow, although very slowly. Does this convergence have any effects at the surface? “In principle, yes,” says Schweinsberg, “and we monitor it very closely.” In practice, the ground at the imaginary center of the cavern system has sunk by all of 26 centi- Dräger review 103 | OctOber 2011 01.09.11 13:57 c Av e rN StOr Age EnE rgY further information online, including: Product information www.draeger.com/103/gas Dräger review 103 | OctOber 2011 EN_16-19_Kavernenspeicher.indd 19 Piping is the only sign of the cavern many meters underground. Pipes, valves, and pressure gauges hold the gas in check. PhOtOgrAPhy: NilS SchiffhAuer (2), ivg cAverNS (2) meters over the last 35 years. At the edges however, this is just a couple of centimeters or even millimeters which is well short of what would become noticeable on buildings or lead to the subsidence familiar to people who live in areas where there is or has been coal mining. And are there other consequences? “We communicate very openly with the general public,” says Press Officer Armin Garbe, as he prepares to meet a group of women from the area who have cycled over to the information center. No questions are off limits. According to Garbe, all the restrictions on noise and light emissions are adhered to and the seawater pumped back into the North Sea has substantially less than the maximum allowed concentration of pollutants. What’s more, the operation creates jobs with a future. What began as a storage site for the nation’s petroleum reserves – almost one third of Germany’s SPR is still held here – is now getting a further boost from the gas industry. “And we’re not worried about the future,” says Wohlers, because energy policy shifts won’t make the caverns obsolete. As he explains, potential uses include energy storage in the form of pressurized air. Even more tempting for Wohlers is the prospect of synthesizing methane from hydrogen and CO2. “The whole infrastructure, right up to the consumer, could then more or less stay as it is.” nils Schiffhauer The caverns are created using drill strings of pipes bolted together. A look down below: A cross-section image depicting o il and gas caverns in Etzel, East Frisia, germany. 19 01.09.11 13:57 In t er lo c k X t S h ippin g cO mpan ieS phOtOgraphy: hOyer gmbh the transport of hazardous substances, including chemicals, is subject to strict egulations. 20 EN_20-23_Speditionen.indd 20 Dräger review 103 | OctOber 2011 01.09.11 13:58 Sh i ppi n g co m pa n i eS Alc o ho l In t er lo c k Z ero tolerance on europe’s roads Shipping companies have a big responsibility, especially when their business is transporting hazardous goods in tank containers or tanker trailers. one of europe’s biggest operators in this sector is the hamburg-based hoyer group. Since mid-2010, 30 of the company’s trucks have been equipped with BreAth-Alcohol VehIcle ImmoBIlIZers – and plans call for more to follow. M atthias Krohn makes fast work of the formalities: a powerful handshake, followed by an offer of his business card and a cup of black coffee. Krohn isn’t a man for small talk. When he speaks, it’s because he has something to say. And when he does express himself, he does so in a loud, clear, candid voice that comes from 19 years of professional experience. His business card bears the title of fleet manager. And that means, as he explains, practically everything on wheels. A team of 400 drivers in Germany Krohn, who is in his mid-40s, works for the business unit Hoyer Chemilog. His particular responsibility is for the unit’s German vehicle fleet, which comprises 300 tractor units, 350 container chassis, and 250 tanker trailers. A crew of around 400 drivers transports just about everything in the liquid chemicals market throughout all of Europe. The company’s own database lists over 20,000 products. These include polyols, which are found in antifreeze agents, for example, and also lubricants, solvents, and isocyanates. The latter are highly toxic and used in the manufacture of such things as insecticides. Hazardous goods account for about half of the freight transported by Hoyer Chemilog. Such products pose a particular challenge for fleet manager Krohn and his team. Vehicle type, for example, is a crucial factor. “Many hazardous goods have to be loaded and unloaded via a top inlet/outlet rather than a bottom one,” he explains, adding that there are numerous variations in tanker design, sealants, Dräger review 103 | october 2011 EN_20-23_Speditionen.indd 21 k ing of the road: matthias krohn is fleet manager for hoyer chemilog. tanks, and special alloys and coatings. By the same token, it’s also essential to recruit the right kind of driver. “We specifically look for people with lots of experience in the transport of hazardous goods,” Krohn says. Drivers are subject to frequent occupational health checks and must complete the legally required programs of basic and advanced training. And, for the worst-case scenario, they have to learn to use masks, filters, and personal protective equipment. This is obviously a tightly regulated sector. What’s more, today’s truck drivers are expected and required to be able to do a lot more than just drive the vehicles. Practically every minute of their working life is subject to a mass of regulations, all of which they have to know. These include environmental directives governing proper handling of hazardous goods, not to mention the road traffic laws. Familiarity with both has to be demonstrated at regular intervals. In return, drivers are authorized to transport hazardous goods in accordance with the European Agreement concerning the Inter- national Carriage of Dangerous Goods by Road, commonly known as ADR (Accord européen relatif au transport international des marchandises dangereuses par route). This regularly updated agreement specifies strict regulations regarding the packaging, labeling, and proper securing of hazardous goods for the purposes of road transport. Yet times have changed in the industry. Truck tires have become bigger, and profit margins smaller. The strong demand for fuel throughout Europe, combined with falling reserves in the U.S., is just one of the factors driving up costs in the industry. “If you look at the price of diesel today, it’s no wonder shippers are having problems earning money,” says Krohn of the current market situation. And it’s not surprising that companies are looking for ways to cut costs and improve efficiency. But there’s one area in which Hoyer will never compromise: safety. “Our trucks,” says Krohn, “are like business cards on wheels. They have our company name on them, not the name of the driver. If something happens, it’s our responsibility – and that’s in full public view.” like the rest of society Hoyer takes this responsibility very seriously. In recent decades, the company has invested continuously in new systems, infrastructure, equipment, and employee training in order to ensure conformity to the highest standards of safety, health, environmental, and quality (“SHEQ”), and to eliminate accidents, incidents, and complaints. This > 21 01.09.11 13:58 What’s the point of having the latest technology, if the driver has been drinking alcohol? 22 EN_20-23_Speditionen.indd 22 Breath-alcohol vehicle immobilizer: First blow, then go. p hotography: hoyEr gmbh > includes the company’s zero tolerance policy when it comes to being under the effects of alcohol while on duty. Alcohol and the often underestimated dangers of residual alcohol in the blood are a risk factor in many jobs. “Truck drivers are no different than the rest of society,” says Krohn. But there is a major difference, he adds: “A truck driver isn’t sitting at a supermarket checkout; he’s at the wheel of a rig with 25 tons of hazardous goods on board, rolling down busy roads.” The World Health Organization (WHO) estimates that 2.5 million people die annually from the effects of alcohol consumption, including road-traffic accidents. To help counteract this scourge, Hoyer conducts spot checks for alcohol consumption, not only at its locations but also en route. The introduction of tests was made possible by a works agreement, which applies not only to drivers but also to commercial employees. This ensures that the policy enjoys widespread acceptance. “It prevents the creation of a twotier system,” Krohn explains. Equality in the workplace is a persuasive argument, in addition to being a fundamental element of German law. In addition, the medical examinations for new drivers include alcohol and drug tests. It’s more difficult to test drivers once they have left the depot, of course, particularly if they are on international runs. The need for efficiency alone rules out the possibility of constantly shadowing them on their routes. For this and other reasons, last year Hoyer equipped 30 of its vehicles with the Dräger Interlock XT*, a breath-alcohol measuring instrument Hazardous goods: The contents of a tank container are precisely declared. * For law enforcement purposes only in the U.S.; including state administrative and judicial process. 01.09.11 13:58 Sh i ppi n g co m pa n i eS Alc o ho l In t er lo c k that features a vehicle immobilizer. The handheld unit is installed just like a cell phone and contains an electrochemical sensor that measures only alcohol. So it isn’t responsive to other gases, such as acetone, which can be exhaled by diabetics. This ensures that the system won’t immobilize the vehicle for the wrong reasons. If the breath-alcohol reading is negative, the control unit installed beneath the dashboard doesn’t block the starter mechanism. As soon as the ignition key is turned, the device is automatically activated. After only a few seconds, the Interlock XT requests a breath sample from the driver via the mouthpiece of the handheld unit. If the result of the breath-alcohol test is acceptable, the system releases the starter mechanism and the truck can be driven away. Hoyer is planning to double the number of Interlock XTs in its fleet by the end of 2011 and equip all of its vehicles with the immobilizers in the medium term. With each unit costing in excess of 1,000 euros, such an investment requires careful consideration. However, a state-sponsored program called “Deminimis” supports freight companies with investments intended to increase safety and protect the environment. This program has helped Hoyer to pay a large share of the costs for the Interlock units. Drivers were initially skeptical, and some complained about having a “spy in the cab.” Others were worried that the devices would be too complicated, Krohn recalls. But that was soon forgotten once the units had been installed and the drivers had received training. Now, according to Dräger review 103 | october 2011 EN_20-23_Speditionen.indd 23 Krohn, the system is very much accepted, since it helps to screen out “bad apples.” The Interlock XT also records any unsuccessful attempts to start the engine, for purposes of later analysis. the dangers of tolerance But what happens if the Interlock test is positive? Krohn explains that the driver has two choices: “Wait until the body has broken down the residual alcohol – provided there isn’t a fixed deadline to meet – or contact his logistics manager immediately.” This is followed by a meeting with human resources, which can also result in an official warning. In the event of a recurrence, the driver’s employment is immediately terminated. Before it comes to that, however, support is offered. “If a driver admits to having an alcohol problem and needs help, we won’t just throw him out.” Krohn’s advice to employers thinking about installing breath-alcohol immobilizers is to show zero tolerance for alcohol at the wheel: “What’s the point of having the very latest technology, if you don’t have the Interlock and your driver’s weaving across the road with a blood-alcohol content (BAC) of 0.05 percent?” he asks. However, drivers shouldn’t be misled into thinking that the immobilizer provides them with a bill of sobriety. “If the police request a breath sample and the driver is above the legal limit, then he has a lot of explaining to do,” says Krohn. “When all is said and done, each individual must take responsibility for his own actions.” Björn Wölke “We are born optimists” thomAs hoyer, chairman of the advisory board of the hoyer group, discusses the market for the transport of hazardous goods and the challen ges that the industry will face in the future. how do you see the industry developing in the future? there’s only limited potential for growth in the market for transporting hazardous goods in europe and the U.S., unlike the situation in asia. in europe the market is extremely fragmented. what we urgently need is consolidation or, in other words, competition that’s less fierce. a reason able degree of consolidation would ensure us an appropriate return. only those companies with such an appropriate return will be prepared to invest in safety. What are the challenges facing the industry? And where are the opportunities and the risks? as a family company, we are born optimists with a healthy dose of realism. it’s entire ly up to us to seize the market opportunities that arise. we see a risk in the rise of buyer power among our customers in the chemicals industry, where there has al ready been a consolidation that is still to come in our sector. then again, it’s up to us to convince our customers that only a large and financially strong company offering comprehensive geographical cover age can guarantee safe transport. 23 01.09.11 13:58 An e s t he si A r a Di at iO n t h e r ap y tumor therapy: Protons on target chemotherapy and radiation therapy are used to stop tumors from growing. proton beams offer a new fORM Of RADiAtiOn theRAPY that promises to be less harmful and more precise than anything ever used before. the rinecker proton therapy center operates one of the most advanced proton therapy facilities in the world. B oy, does that thing turn slowly! That’s often the reaction of patients when they see how the aiming device moves just a few centimeters in the radiation therapy room at the Rinecker Proton Therapy Center (RPTC) in Munich. “But then they’re very surprised when we show them the apparatus behind the device, and they see how quickly that moves,” says Dr. Morten Eckermann, Chief Anesthesiologist at the private clinic. The apparatus that actually moves – known as a gantry – is 11 meters in diameter and weighs approximately 150 tons. Its purpose is to mount a three-dimensional assault on hidden tumors, attacking them in a manner that does as little harm to the body as possible. “What we have here,” says the clinic’s Medical Director, Dr. Manfred Herbst, “is the world’s most modern device for inhibiting the growth of cancerous tumors – or even for destroying them completely – using a proton beam in a scanning procedure.” Herbst, an internal medicine and radiation therapy specialist, wanted to introduce this technology at a different hospital back in the 1990s. It took a few more years for the advanced approach to gain a foothold, however, and it was Dr. Hans Rinecker who would eventually establish the first clinical proton irradiation therapy center in Europe. A 3D battle against malignant DnA Alongside chemotherapy and traditional x-ray treatment, proton therapy provides physicians with yet another weapon for destroying the genetic information (DNA) of a tumor and preventing its cells from mul- 24 EN_24-27_Strahlentherapie.indd 24 tiplying. Such procedures cause tumors to stop growing and their irradiated cells to denature. Ideally, what’s left behind is a type of scar tissue that doesn’t harm or inhibit the patient in any way. DNA is destroyed at the RPTC with the help of protons – the positively charged components of hydrogen nuclei. Protons, which were discovered in 1920 by the New Zealand-born British physicist Ernest Rutherford, account for most of the cosmic radiation around us. Today, they are brought to near-light speeds in particle accelerators in order to study the nature of matter. how physics benefits medicine Proton therapy is based on nuclear research, which achieved major advances as a result of the development of the atomic bomb in the 1940s, especially in the U.S. Like Wilhelm Conrad Röntgen, a German physicist who discovered x-rays in 1895, scientists in the mid-20th century were faced with a “completely new type of radiation” (see Dräger Review 102; p. 36 ff.) whose benefits and potential dangers were virtually impossible to foresee at the time. One of the first and most important steps that would eventually lead to today’s proton therapy was taken by Robert R. Wilson, an American physicist. Wilson was working at Los Alamos, a nuclear research site in New Mexico, which was equipped with the first particle accelerator (cyclotron) capable of accelerating protons to a speed that would enable them to penetrate human tissue. In 1946, Wilson drew up a proposal to “acquaint doctors and biologists with several of the physical attributes of these beams and their possible applications.” > A treatment room with aiming device (gantry): One of four identical rooms at the Rinecker Proton therapy Center. Dräger review 103 | OctOber 2011 01.09.11 14:00 PhOtOgraPhy: rPtc Munich The first clinical proton therapy center in Europe: The Rinecker Proton Therapy Center in Munich. Dräger review 103 | OctOber 2011 EN_24-27_Strahlentherapie.indd 25 25 01.09.11 14:01 photogRaphy: Rptc Munich An e s t he si A R adi at io n t h e R ap y Left: the proton beam source – a superconducting cyclotron. to the right of the center of the image is the beam emission tube, which disappears into the complex beam guidance structure. At right: A patient rests on the contoured couch while awaiting treatment. there can be no movement during the treatment process, as the proton beam must be guided precisely to the tumor. > And the beams were very special indeed: Their characteristic Bragg peak (see graphic) seems to contradict human in‑ tuition – but it is this particular attribute that makes proton beams very suitable for radiation therapy. The key to determine is the point on the beam’s passage through the body at which it releases the greatest amount of energy. In an ideal scenario, this energy should be concentrated on the tumor and leave surrounding healthy tis‑ sue largely untouched. However, ionizing radiation – such as x‑rays and proton beams – behave differ‑ ently in the body than a beam of light does in the air: The latter’s energy diminishes according to the square of the distance it has travelled. X‑rays release their peak en‑ ergy dose immediately beneath the skin. Then, like light beams, they grow contin‑ ually weaker as they move farther through tissue. This means that they cause more damage to healthy tissue on their way to the tumor than they do to the cancer it‑ self. “That’s what causes all the severe side effects,” says Herbst, “and it’s also why x‑ray treatments must be carried out repeatedly with relatively low doses of ra‑ diation, in order to give healthy tissue a chance to recover in between sessions.” Unlike x‑rays, however, the proton beam increases its energy output to a peak value at the end of its path to the tu‑ mor. The length of this path into the body is determined by the energy to which the beam has been accelerated. The energy peak acts like a sharp scalpel at the precise location where it’s needed. The procedure used in Munich is even more sophisti‑ cated. It scans the tumor three‑dimension‑ 26 EN_24-27_Strahlentherapie.indd 26 ally at a precision of greater than one mil‑ limeter. “With this procedure, we scan the tumor line‑for‑line with the beam, which can be switched on or off within just 250 microseconds,” explains Dr. Martin Hill‑ brand, a Medical Physicist at the Munich center. Currently, the field covered by one such scan measures 25 x 25 centime‑ ters, but this value will be increasing in the near future. Since the scanning pro‑ cess is three‑dimensional, each scan can be seen as a single slice, with each suc‑ cessive slice covering a different area at a different penetration depth. This enables the volume irradiated to conform very pre‑ cisely to the three‑dimensional form of the tumor, without causing any great damage to the surrounding healthy tissue. smaller than a champagne bubble The proton beam is generated in a super‑ conducting particle accelerator whose equipment and technology take up four floors at the RPTC. “We extract the pro‑ tons from hydrogen gas, accelerate them to 60 percent of the speed of light, and send them to one of the five therapy rooms through vacuum pipes,” Eckermann ex‑ plains. “The amount of hydrogen gas required to carry out the treatment is smaller than a single champagne bubble.” The proton beam has a maximum energy of 250 megaelectron volts (MeV) [by com‑ parison, the fission products created when an atomic nucleus is split have a kinetic energy value of approximately 200 MeV]. A downstream module reduces this energy output to the value required for the pene‑ tration depth called for by the therapy plan, which can be as much as 38 centimeters. Four of the therapy rooms situated behind walls made of special concrete several meters thick are designed to en‑ sure that the gantry (which has its own nozzle for delivering the proton beams) can be rotated 360 degrees around the patient. The sides of the gantry contain digital x‑ray screens that monitor the po‑ sition of the patient on the contoured couch. The fifth treatment room has a fixed‑beam therapy station for treatment of eye and head regions. “This combina‑ tion of a cyclotron and five therapy rooms enables us to make good use of the radi‑ ation source’s capacity without generat‑ ing any time pressure,” says Eckermann. In his capacity as an anesthesiologist, Eckermann is also responsible for ensuring that target tumors in organs which move with respiration don’t change position dur‑ ing irradiation: “We’re dealing with dis‑ tances of millimeters here, and sudden breaths can cause some organs to shift by as much as 1.5 centimeters.” His department also handles pediatric anesthesia. “We use the Fabius Tiro anesthesia workstation from Dräger,” Eckermann explains. “The system has been verified to function per‑ fectly in therapy rooms where strong elec‑ tromagnetic fields are generated thanks to focusing and auxiliary magnets that guide the proton beams.” Eckermann has per‑ formed anesthesia on more than 1,300 patients in the two years since the RPTC went into operation – and there hasn’t been a single complication. When it comes to therapy planning, doctors and physicists cooperate closely. It starts with informative and confidence‑ building discussions with patients. The dRägeR Review 103 | octobeR 2011 01.09.11 14:01 R A D I AT I O N T HE R A P Y Tumor 1 ANE S T HE S I A BRAGG PEAK Absorbed dose X-rays (linear accelerator 15 MV) Protons 190 MeV kinetic energy = 25 cm penetration depth BEAM DIRECTION actual planning is done with the help of a very high-resolution computer tomograph unit. In exceptional cases, a 1.5-tesla MRT is used as well. Sometimes it’s also necessary as well to carry out a positron-emission tomography (PET) procedure in order to ensure more detailed planning. The examinations produce 3D images of impressive resolution which the radiology team can use to guide the proton beam. GRAPHIC: PICFOUR; SOURCE: RPTC Fewer side effects Depending on the diagnosis and the patient’s condition, the treatment is conducted over an average of 18 sessions. “The patient usually needs to set aside a little more than 30 minutes for each session, including preparation,” says Herbst, “but the completely painless irradiation process only takes around 60 seconds.” That’s half the number of sessions required for x-ray treatments. What’s more, side effects such as severe diarrhea, nausea, vomiting, and loss of saliva and appetite virtually never occur. Patients can even work between treatment sessions, and there’s generally no need for post-treatment rehabilitation. Despite the benefits it offers, proton therapy in Europe is still in its infancy, unlike the situation in the U.S. In Europe, proton radiation treatment currently costs three times more than an x-ray procedure. “Nevertheless, focusing solely on costs is one-sided and ignores many factors, including side effects, life expectancy, and subsequent complications,” says Herbst. The latter can be very problematic – especially for children: x-rays can permanently damage their organs, which are still developing and therefore are particularly DRÄGER REVIEW 103 | OCTOBER 2011 EN_24-27_Strahlentherapie.indd 27 0 0 10 20 30 40 Penetration (cm) Local dose profile of proton penetration of the body. This graph shows that unlike x-rays, protons release the highest energy dose when they reach the end of their path. The Bragg peak: At the right spot Radiation therapy leverages the ionizing effect of energy-rich particle beams: Charged particles such as protons release energy as they follow their path through body tissue. This energy removes electrons from tissue molecules, producing ions that damage the cells’ genetic information – their DNA. As the energy of the protons diminishes along their path, the amount of energy they release per unit of distance increases. This “braking effect” is particularly strong at the end, where it takes a virtually exponential form known as the “Bragg peak.” The sharpness of this peak depends on keeping the proton beam focused with very high precision along its entire path through the tissue. The Bragg peak was discovered in 1903 by William Henry Bragg, a British physicist. In 1915, Bragg – together with his son Lawrence – was awarded the Nobel Prize for Physics for work with x-rays. sensitive. Another benefit is that the scalpel-like proton beam shape used to treat certain types of brain and eye tumors minimizes the risk of impairing important functions of the body and the brain. Thus it should come as no surprise that the Rinecker Proton Therapy Center is attracting a lot of patients from all over Europe. Furthermore, it seems to be the case that a higher life expectancy, as well as greater affluence, increase the risk of getting cancer. This will intensify efforts to develop new strategies for fighting cancer. Physical considerations alone might very well enhance the role to be played by proton beams in Europe in the future. But today, the Munich center stands alone in helping patients benefit from its cuttingedge technology: “With a proton beam system, it takes about four to five years from the initial planning stages to use of the system on the first patients,” says Herbst, who knows this from his own experience. Nils Schiffhauer Further information online, including: An interview with Dr. Morten Eckermann, who discusses his experiences with the new therapy technique. www.draeger.com/103/proton 27 01.09.11 14:01 The Director Within PhOtOgraPhY: get t Y imageS “Sweet sleep! Like the purest happiness, thou comest most willingly,” wrote goethe. “thou dost loosen the knots of earnest thoughts, dost mingle all images of joy and of sorrow.” Dreaming is soothing to the soul, a caress from the subconscious. For intensive care patients, it can be quite the opposite. Yet even here, sleep is a chance to come to terms with physical trauma and the body’s vulnerability. Dreams reassemble fragments of reality. This can be either beneficial or burdensome. 28 EN_28-31_Traum.indd 28 Dräger review 103 | OctOber 2011 01.09.11 14:02 D re a m rese a rch S leep deemed her condition too critical to return her straight back to reality once the anesthetic had worn off. According to one study, 37 percent of patients who lose consciousness following an accident or some other trauma enter an oneiroid state. For long-term ventilated patients, that figure is well over 90 percent. Typical dreams in this state involve being pursued or riding through an endless tunnel on a motorbike. Doctors can mutate into captains or butchers, and patients even tell of having witnessed relatives being shot. Meanwhile, those very same family members sit by their bedside and hope and pray that their loved ones will not only awaken – indeed, physiologically speaking, most of them are already awake – but also arrive back in reality. T he sound of waves, a babble of voices, barked commands. Metallic clattering, the smell of diesel. It is the 21st day at sea, the last before landfall. Angelika Däne is lying immobile in her bed on Ward 19 of the University Hospital in Münster. Her eyes are fixed upon the ceiling as the boat runs into harbor and slowly returns her to reality. In the three weeks since her heart transplant, she has been a prisoner of her dreams, captive in a kind of twilight world. The oneiroid state is what scientists call the dreamlike, hallucinatory condition in which patients involuntarily substitute an imaginary world for the reality of their life-threatening illness. “I was absolutely sure I was on a boat. The captain and the crew were there, I could feel the engines throbbing, and we were in heavy seas. It wasn’t clear at all whether we were ever going to get off,” explains the 53-year-old. Although her body had already won the physical battle against multiple organ failure, her mind still Dräger review 103 | OctOber 2011 EN_28-31_Traum.indd 29 Three years later, Angelika Däne is sitting in the fourth row of the Pumpenhaus Theater in Münster, watching actors recreate the dreamlike experiences of hearttransplant patients in intensive care. The play, titled SOMNIA, is being staged by the drama group Theater Operation. The low hum of medical equipment is punctuated by the rhythmic sound of a ventilator from Dräger inflating and deflating a balloon: whoosh, thump; whoosh, thump. Four actors dressed in hospital smocks, their legs bare, suffer hallucinations, wait in vain for a diagnosis, and exercise their muscles grown flabby from being in bed too long. Perched on narrow gurneys specially constructed for Theater Operation PhOtOgraPhy: achim hehN physician and dramatist Tuğsal Moğul: Showing what often gets forgotten in the intensive care unit. Stage dreams the stage, they are each attended to in turn by Sister Agnieszka. Tuğsal Moğul, the director of the play, is in his element. As an intensive care physician who has also completed drama training, he is an expert in every sense. “My aim was to focus on what often gets forgotten in the intensive care unit: the mental wellbeing of patients,” explains the 42-yearold. “In the day-to-day hospital routine, everyone concentrates on vital parameters and pain control. But there’s little time to pay attention to what patients are actually going through or what they believe they are going through.” It is a world far removed from logical thought and rational considerations, in which patients attempt to come to terms with life in intensive care. In a condition known as brief reactive psychosis, they experience semiconsciousness or twilight states and suffer from hallucinations or delusions. To understand the oneiroid state, we need to take a closer look at the phenomenon of dreaming. Dreams are part of the normal rhythms > tuğsal moğul was born in beckum, germany, the son of turkish immigrants, in 1969. after medical studies and further training to become an anesthesiologist, he studied acting at hanover’s University of music, Drama and media. since then, he has played various roles in theaters in germany, while also continuing to work as a physician in intensive care medicine. the drama group theater Operation, which was founded in 2007, enables him to combine both interests. Following his debut work halbstarke halbgötter, which looks at the work of doctors in the operating room, sOmNia focuses on the fate of patients in intensive care. 29 01.09.11 14:02 Dreams provide a direct route to the unconscious – which can help to solve problems > of sleep and serve to ramp down consciousness. This in fact is the difference between an oneiroid state and normal dreaming. In the former, consciousness is not inactive and still calls the shots. “Strictly speaking, in today’s scientific terminology a dream state is anything in which the unconscious plays a greater role than the conscious mind,” explains Klausbernd Vollmar, psychologist, dream researcher, and author. Jürgen Zulley, Professor of Biological Psychology at the Regensburg University and District Hospital’s Center of Sleep Medicine, describes sleep as “interior renovation” and a “highly active state of rest” in which there is a substantial reduction of contact with the outside world, including reactions to stimuli. “The mind lowers the blinds, but there’s a lot of stuff happening inside,” says Zulley. As he explains, the organism and the brain remain active in sleep while the experiences of the day are processed and stored. Dreams help us process experience and problems. According to Vollmar, dreams interrupt sleep every one and a half hours or so. In the EU, people sleep on average 7.5 hours and therefore dream around five times a night. “Dreams have a learning function. Things that haven’t worked out during the day get deleted, and other things that we haven’t consciously registered are processed and then linked to other experiences,” Vollmar explains. Night after night, this personal therapist drops by, free of charge, and helps us review the things we haven’t noticed during the 30 EN_28-31_Traum.indd 30 day. This enables us to focus on problem areas and deal with them creatively. “Intellectual people involved in creative work need a lot more sleep than those doing manual labor,” says Vollmar. And they get their inspiration and capacity for thought from dreams. As he explains, people who are short of sleep are only able to function in conventional spheres and lack the capacity to make inventive associations. In this case, “the mind falls back on what it knows.” Conducting internal repairs Dreams are especially useful when they can be recalled. In fact, a process of renewal also takes place even if they remain unnoticed. But in order to extract the full creative potential from dreams, it helps to develop strategies that aid their recall. “A dream you can’t remember is like an unread book. It has a certain effect, but you don’t get the full benefit from it,” says Vollmar, who relates that Albert Einstein, in common with many other scientists, wrote down all his dreams. When it comes to solving problems, according to Vollmar, dreams are the easiest way to get in touch with the unconscious. “Where id was, there ego shall be,” wrote Sigmund Freud, one of the first great sleep researchers and interpreters of dreams in the 1920s. By this, he meant the process by which the unconscious becomes conscious – something particularly important for people plagued by nightmares. “Nightmares are the sledgehammers of the soul,” says Vollmar. “Not every dream needs detailed interpreting, but nightmares definitely do.” This, he says, is a big opportunity to find out things about yourself and to heal your own mind. In the case of comatose dreams, a distinction is made between two kinds: those in which there is no clear perception of the outside world (which, Vollmar explains, are similar to normal nightly dreaming and can be compared to a feverish dream), and those which “are almost always related to a therapeutic process.” In this case, “the dream is staged by an inner director, but not the unconscious.” Its aim is to achieve a measure of balance in this extreme existential situation and to release the flow of energy once again. Just like many nightly dreams, those experienced in an oneiroid state also have a therapeutic purpose, but one that is directed at the physical rather than the spiritual level. “Dreams of this kind often involve scenes of pursuit in which patients try to escape. In the case of physical suffering, there is often a need to transcend the body.” This explains why the experiences commonly reported by intensive care patients include dreams of flying, of water, and also of dying and release. In each case, patients are processing a combination of their experiences together with outside stimuli such as the noises made by people and equipment in the room. Patients in an oneiroid state inhabit a kind of fictional reality and are never in any doubt that their experiences might not be real. This can be problematic if a feeling of helplessness prompts a particularly violent reaction. One of the most disturbing stories that director Tuğsal Dräger review 103 | OctOber 2011 01.09.11 14:02 D re a m rese a rch S leep Moğul heard while researching for his play concerned a man who was convinced that people were trying to kill him. Using his fingernails, he literally scratched the word “MORD” (German for “murder”) in the skin of his chest, so as to leave a clue for the coroner. Days in transit: For doctors and nurses, the capacity to empathize is limited when they are unable to perceive or picture the dreamlike states of intensive care patients. PhOtOgraPhy: ralf emmerich The mind knows many escapes Dreams can produce monsters: patients in an oneiroid state may be transported to a different world that is entirely imaginary but appears utterly real. Dräger review 103 | OctOber 2011 EN_28-31_Traum.indd 31 “Dreams, whatever their type, always focus on the problem at hand,” Vollmar recapitulates. “How can we best understand the situation? What needs changing?” These are the questions that the patient needs to address after reawakening and arriving back in the real world. According to Vollmar, it is crucial to deal with such issues. If this is not done, the patients may always be haunted later by the thought that they were comatose while their body almost failed and their mind went AWOL. “It’s a time for asking questions and for finding answers,” asserts Vollmar. Otherwise, there is a danger that the images the patient experienced while comatose could return. For Angelika Däne, being involved in the production of Moğul’s play, for which she and other patients played a consultative role, was in itself a form of therapy. It was an opportunity to take an in-depth look at the play and her own experiences during her “21 days in transit,” as she calls them. “The psyche does things you can’t categorize,” she says. “I’ve often asked myself just how a person, a body, can put up with all it does.” The mind – the director in the wings – knows many escape routes. Fortunately, however, it usually opts for the front door. Isabell Spilker 31 01.09.11 14:02 D-111132-2011 D-111131-2011 D-111130-2011 EN_32-35_RentalRobot.indd 32 Freedom of choice: The right device is selected at the touch screen, and the corresponding door of the blue steel cabinet opens automatically. Ready for use: Once taken out, the equipment can be used immediately. 01.09.11 14:04 Re n ta l Ro bot Mo bile g a s d e t ec to r s o pen sesame it’s secure, always available, and meets individual needs: a blue steel locker organizes the distribution and return of gas detector devices and other equipMent for Maintenance and repair work at Sabic Polyolefine gmbH. S afety doesn’t have off-hours or take holidays. If urgent maintenance and repair work is called for, the necessary equipment has to be available around the clock to protect workers. In the petrochemical industry, such equipment includes mobile gas detectors , which are constantly needed for health and safety purposes at the workplace. Since the spring of 2011, the SABIC Polyolefine GmbH site in Gelsenkirchen, Germany, has been using a Dräger Rental Robot to ensure that there are always enough gas detectors available. “That greatly increased the availability of the devices,” sums up Rainer Knodel, Head of Quality Assurance (QA) at the SABIC site. At the Gelsenkirchen plant, polymerization systems are used to turn gaseous ethylene and propylene into complex plastics that are optimized for specific applications with additives. The products of SABIC include polyethylene and polypropylene, which are supplied to secondary industries as granulates. In total, the plant manufactures about one million tons of granulates per year. ex-ox distribution station The polymerization systems tower into the sky, the dominant landmarks of the plant grounds. A comparatively inconspicuous side passage leads to a plain, white-painted room where the Rental Robot is located. A sign that reads “ExOx Distribution Station” points the way to the robot. And the pragmatic name is really very appropriate. From the outside, after all, the system bears no resemblance DRägeR Review 103 | octobeR 2011 EN_32-35_RentalRobot.indd 33 to the androids of science-fiction movies or the robots currently used in automotive production. Instead, the Rental Robot looks like a large blue steel locker with a large number of doors. Glass panels reveal the contents of each compartment. At SABIC in Gelsenkirchen, there are 78 of them of different sizes. “This locker system, with its massive look and feel, actually contains an elaborate system we developed in recent years and first tested a year and a half ago at a large oil company,” says Christian Cox, Portfolio Manager for Shutdown and Rental Management at Dräger. But all this sophistication is mostly invisible to the users. That’s because, in everyday working conditions, equipment can be obtained from the system very quickly. The process is demonstrated by Ulrich Koch, a chemical laboratory tech- nician at SABIC and one of the system administrators of the Rental Robot. He holds his ID against the reader, uses the touch screen of the terminal to select a Dräger X-am 5000, and instantly a door opens with a soft click. The gas detector is standing by in its charging station in the compartment. “The Rental Robot quickly proved its worth in everyday use,” says Cox. “At the beginning, we visited the plant once a week, but now it’s less and less often because of the high reliability of the system.” In the future, the DrägerService technicians will ideally go to SABIC only once every three months and replace the rental equipment with a set of newly calibrated gas detectors. The full package that the customer ordered from Dräger also includes a rapid response service in the event of tech- > shutdown: downtime for safety germany requires refineries and similar installations to pass a technical inspection every five years. the key requirements are specified in the Pressure equipment Directive (14th equipment and Product Safety act), the Federal imission Protection law (act on the Prevention of Harmful effects on the environment caused by air Pollution, noise, vibration, and Similar Phenomena), and the Major accidents ordinance (12th Federal imission Protection ordinance). these inspections and acceptance tests are carried out during planned downtimes, also known as “shutdowns” or “turnarounds.” During this period, production comes to a halt. without such breaks, production runs continuously 365 days per year in many petrochemical facilities. During these shutdowns, workers perform cleaning, maintenance, repair, and remodeling or reconstruction. as a result of all this, the number of workers in the plant increases sharply, mainly due to an influx of external workers. Supplying them with equipment is the job of Dräger Shutdown and Rental Management (SRM). 33 01.09.11 14:04 D-111135-2011 D-111134-2011 D-111133-2011 Scanning and inspecting: Devices are checked into the system when they are returned and (in the example shown above) a bar code is read by the scanner. In the future, RFID chips will perform this function. Before use, the devices are tested. To this end, SABIC keeps on hand a supply of canisters with the necessary gas mixture. > nical problems. If a device malfunctions, there is a pool of replacements kept in reserve in the Rental Robot to prevent work interruptions. In the future, Dräger will be able to learn about any malfunctions by constantly exchanging data with the Rental Robot in Gelsenkirchen. That means service technicians will always be able to act in time to ensure that enough detection devices are on hand in the rental station. Rental: Only after identification It took only a few seconds for Koch to rent an X-am 5000, but a complex routine played out in the background while he did so. First, the computer registers the identity of the SABIC employee, which is read from the employee ID card via RFID technology (radio frequency identification). SABIC attaches great importance to this process of using passive RFID chips in employee IDs, because unlike bar codes, the RFID components still operate effectively when they get dirty. In the future, therefore, all rental equipment will also be equipped with an RFID chip, replacing the bar codes currently used. Next, the software checks whether the employee is authorized to rent out the equipment. If the answer is positive, the system selects a fully charged device from its stock and opens the corresponding door. After a performance test, which is carried out by the employee in the room where the Rental Robot has been set up, the measuring instrument can be used right away. 34 EN_32-35_RentalRobot.indd 34 “Only those who’ve had proper environmental, health, and safety instruction can take equipment from the Rental Robot,” says Heiner Eikler, Laboratory Director in the Quality Assurance department at SABIC. “The training course includes instruction in operating the Rental Robot itself as well as teaching users how to test the gas detectors at the permanent testing stations in the Rental Robot room.” The gases used for the tests are piped to the station from large steel canisters outside. In the first six weeks after the Rental Robot was put into service, approximately 300 SABIC employees were trained in small groups. The workers who are supplied on a temporary basis by partner companies are also regularly trained to use the system. Eikler designed the course with assistance from the technical departments and created the training documents. The instruction program, which was developed ac- “Only those who have received specific training can remove equipment from the Rental Robot.” cording to environmental, health, and safety guidelines, also includes some historical background information. For example, employees learn that in the early days of gas detection, canaries were used to warn of dangerous substances and low levels of oxygen. Not only does the software check whether a person has had the latest appropriate training, the system also knows which devices in the Rental Robot can be accessed by an internal or external worker. In addition to gas detectors (a few dozen Dräger X-am 5000s and 7000s are currently used), the equipment also includes electronic measurement and control devices. “Any particular type of device can only be taken out if the worker has the right authorization,” sums up Rainer Knodel. The transition phase meant a good deal of effort for all those involved, says Quality Assurance Director Knodel – both for his department and the employees who had to pass their training. But after only a few weeks, he says, it was apparent that workers were responding well to the Rental Robot. One contributing factor was the central location of the rental room in the production area. In contrast to the procedure in place before, which required employees to visit the Quality Assurance lab for equipment, the use of the Rental Robot now means less walking. Payment per use Even after the Rental Robot was put into service, the lab still retained responsibility for the gas detection equipment. The Dräger review 103 | OctOber 2011 01.09.11 14:04 D-111135-2011 Re n ta l Ro bot Mo bile g a s d e t ec to r s DRägeR Review 103 | octobeR 2011 EN_32-35_RentalRobot.indd 35 The gas detector is returned to the system after the task for which it was needed has been completed. At the Gelsenkirchen SABIC plant, the equipment is used in a variety of situations: protecting workers when the machines in use aren’t explosion-proof, performing jobs in close quarters (confined- space entry, or CSE), and work in shafts. Once the device is back in its compartment, the Rental Robot charges it up again and keeps it ready for the next job. The states of the individual devices are indicated by LED lamps in the compartments, which either flash red or are continually illuminated. Peter thomas PHotogRaPHy: Sabic Polyolefine gmbH system itself operates autonomously, and the four administrators are responsible for managing the rental permissions and giving instruction to employees. That includes the annual environmental, health and safety instruction, and the printing of smart cards that provide access to the Rental Robot. In May 2011, the average number of rentals per day was about 20, and the trend is upward. “We’ve broken new ground with the Rental Robot,” says lab director Eikler, and that spirit is reflected in the vigorous planning phase at SABIC, which lasted roughly a year. Dräger supplied the Rental Robot as a turnkey technical component after a lead time of slightly less than two months. The customer is billed for the operation of the system based on the number of rentals. This business model, in which Dräger supplies both the rental station and the gas detectors, is called “pay per use.” It represents “a complete package of services for the customer,” says business consultant Cox. He sees great potential for the Rental Robot, especially in long-term projects like the one in Gelsenkirchen. When there is a planned shutdown, however, and several hundred external workers are suddenly deployed at a company’s worksite, the focus will continue to be on the classic Dräger Rental Shop for distributing work-safety equipment. But when a shutdown of this sort takes place, a Rental Robot can still play an important role in keeping the workers supplied during the evening hours or on the weekend, Cox says. Plastic granulates are produced here for further processing: a view of the production facilities of sabic Polyolefine gmbH. sabic Polyolefine gmbH Sabic Polyolefine gmbH is a subsidiary of Saudi basic industries corporation, a large international producer of chemicals, plastics, metals, and fertilizers. the company was founded in 1976 and its headquarters are located in Riyadh, Saudi arabia. Sabic Polyolefine currently supplies more than 300 plastics-processing companies in germanspeaking countries with a large variety of plastic granulates. the latter are used to create products such as films, containers, and pipes, as well as components for the automotive industry. 35 01.09.11 14:04 Fir e Fig h t in g N e w Z e al aN d D anger on the Stove Fires have many causes – in new ZealanD too. The country’s national fire department is called out to battle blazes around 70,000 times each year. dramatic Fire Service campaigns repeatedly warn the public of the dangers that lurk on the stove – but the threat of fire exists in other places as well. I t’s nighttime at Lake Tekapo when the loud and ear-piercing sound of an old-style siren suddenly fills the darkness. A vacationer sits up in his bed at an isolated cabin on the lake. Is the world coming to an end? (probably not, because there would also be trumpets!) Is the dam overflowing? (the water didn’t look too high last night…) A nuclear catastrophe? (highly unlikely: New Zealand has no nuclear power plants or nuclear weapons.) There’s no outbreak of panic, which means local residents aren’t overly alarmed. The vacationer lays down and goes back to sleep. He will find out the next morning what happened... Although the members of the local volunteer fire departments have radio receivers, they’re still summoned by sirens in emergencies. As it turns out, a serious accident was the cause of the noise the night before. Firefighters rush to their trucks around 70,000 times each year in New Zealand – and not just to battle blazes. A total of 18,000 fires triggered alarms in 2009; 20,000 incidents alone were classified as “diverse,” which can mean anything from helping a woman in labor, getting a cat down from a tree, or rescuing people and animals in floods. The New Zealand Fire Service also went into action to attend to 4,000 car accidents in 2009 and provided medical assistance in 5,000 cases. Last but not least, the red fire trucks had to deal with 22,000 false alarms. It takes only a few minutes for the firefighters to leave the station after an alarm is sounded. They race to their trucks, quickly put on their heavy jackets, boots, and gloves, and climb aboard. green island: with 15,000 kilometers of coastline, new Zealand is never far from the sea. EN_36-41_NeuseelandFeuerwehr.indd 36 01.09.11 14:05 R ep o R t PhotograPhy: Mara SoMMer F i reF i g h t i n g i n ne w Z e a l a n d Always ready for action: the New Zealand Fire Service. Their breathing apparatus, placed in each seat, awaits them there. Much of the equipment in the trucks bears the Dräger logo – things like protection suits, thermal imaging cameras, and, above all, breathing apparatus. When they race out of the station, they might also pass an alarming billboard that says: “Don’t Let the Neighbors Kill Your Kids.” The billboard series is one of several dramatic Fire Service campaigns that aims to make people more aware of the dangers posed by the kitchen stove. The billboard shows a pleasant looking married couple who have evidently been working in their garden and are now ringing a neighbor’s doorbell. Underneath is the phrase: “Don’t Let the Neighbors Kill Your Kids.” The message is that unattended stoves is the number one cause of home fires in New Zealand. “Please Don’t Forget to Turn Your Stove off Before You Go to the Door,” is another phrase that’s used. People remember messages like that. “The ‘Don’t Drink and Drive’ campaign has gotten into everyone’s head,” says Rob McMahon, National Plant and Equipment Manager for the New Zealand Fire Service. But the “Don’t Drink and Fry” campaign will sensitize the “Kiwis,” as New Zealanders refer to themselves, to something new. The fact is that “drinking and frying” often causes terrible blazes: People come home from a pub hungry, for example, and put something on the stove – but then fall asleep. If they’re lucky, they’ve responded to one of the postcards the fire department dropped into their letter box a few months earlier. These postcards advertise the fact that the agency is willing to run a fire safety check of each house free of charge. If the resident accepted this offer, a firefighter would have paid him or her a visit, checked the emergency exits, quickly drawn up an evacuation plan, and installed a smoke detector on the ceiling. The New Zealand Fire Service has succeeded in reducing the number of fatalities in home fires by 50 percent over the last few years. prefabricated buildings: the risk of an earthquake in Wellington Preventive work is becoming more and more important for the fire department, according to McMahon, who has an office in a glass skyscraper in Wellington. McMahon has never himself worked as a fireman. “I’m not a firefighter,” he says. “I run outside when something’s burning; they run inside.” McMahon, an athletic type from the UK, leans back and > 37 EN_36-41_NeuseelandFeuerwehr.indd 37 01.09.11 14:05 After an earthquake: “Once things move into cleanup phase, we’re no longer responsible.” > relaxes in his chair. His office in the Fire Service’s headquarters has a view of the New Zealand capital, its extensive bay, and the hills that surround it, which the city is slowly encroaching upon. “The Terrace” is the office’s address – and the street is in fact a kind of terrace created by earthquakes. The Pacific Plate pushes under the Australian Plate in the region around the capital, which puts Wellington at a high risk for quakes. “There’s an active fault line right down here,” says McMahon as he points out the window. Christchurch, on the other hand, used to be considered relatively safe – until February 22, 2011, when a severe quake rocked the city on New Zealand’s southern island. Many historical downtown buildings collapsed and 172 people died. Rescue teams were flown in to Christchurch from all over the country, but they never stayed longer than three days. “When things move into the cleanup phase, we’re no longer responsible,” says McMahon. The main job for the Urban Search and Rescue Teams (USAR) is to bring in dogs and thermal cameras to search for survivors, cutting tools for rescues, and materials for stabilizing buildings. McMahon is from England, where “nothing shakes.” That’s why he was “completely shocked” when he experienced his first quake in New Zealand. “But as bizarre as it sounds, you get used to them – or at least the minor ones,” he says. Still, the 6.3 earthquake that hit Christchurch unnerved many. Up until that one, New Zealanders had taken the shaking in stride, McMahon reports: “When something rumbled, people would 38 EN_36-41_NeuseelandFeuerwehr.indd 38 say: ‘oops, that was a good one.’“ McMahon’s New Zealander wife believes the “little quakes relieve the tension in the Earth’s crust.” This may not be scientifically proven, but people here have their own ideas, and that’s how they live with the quakes. McMahon used to work as a manager for the London underground and at Heathrow airport. Now he’s responsible for equipment at the New Zealand Fire Service. Many Dräger products – like thermal cameras, gas-proof protection suits, and splash-protective overalls – were already in use before the largest order ever placed with Dräger was recently completed. This involved the procurement of breathing apparatus units, which used to be obtained from several different manufacturers. Seven manufacturers submitted tenders after the Fire Service decided to completely replace its equipment – but Dräger landed the order. The firefighters were very happy about that, according to McMahon: “They simply love the new stuff because they know it really helps protect them.” It was a major order: “We’re a small country,” says McMahon, but adds that New Zealand is also one of the few nations with a national fire department. That’s not the case in Germany, the United States, or any other Western country. “That means when we buy something, we generally buy large quantities,” he explains. An advantage of the new breathing apparatus, according to one fireman from Wellington, is that it collects all key data and sends it to the operations unit, which therefore gets a better overview of the situation. The apparatus is also equipped with the Bodyguard 1000 “motionlessness alert system” that sounds an alarm when the person wearing it is in danger. The masks fit much better as well: “They’re more ergonomic, comfortable, and lighter due to the lower weight of the carbon compressed air tank.” Participants in the Sky Tower Challenge also like that attribute. The Challenge is a competition in which firefighters run up the 51 floors of the Sky Tower in Auckland. They do this in their full firefighting dress, carrying 25 kilograms of additional equipment and wearing their breathing apparatus with its compressed air tank. Last year’s winner, Erin Gray from the voluntary fire brigade in Queentown, said she had to walk rapidly up the stairs, rather than running: “I weigh only around twice as much as the equipment.” Gray nonetheless made it up the 1,103 stairs in only 13 minutes and 28 seconds. Voluntary and full-time firefighters New Zealand has around 1,800 professional firefighters and approximately 7,500 volunteers. Still, fewer and fewer people are volunteering for the demanding job. Auckland used to be surrounded by independent villages that were home to farmers, electricians, bakers etc., and almost all of them were also volunteer firefighters. As the years went by, the villages turned into suburbs. The people worked in the city, so there was practically no one to man the fire stations during the day. “In the old days, a son would join the same department his father had served in before him,” says McMahon. “These > Dräger review 103 | OctOber 2011 01.09.11 14:05 N e w Z e a l a Nd F ir e Fig h t in g Signs inform motorists of the risk of bush fires on a daily basis. PhOtOgraPhy: Mara SOMMer Wellington: the new Zealand Fire Service is r un from a skyscraper, similar to this one. rob McMahon, national Plant and equipment Manager for the new Zealand Fire Service. dräger review 103 | OctOber 2011 EN_36-41_NeuseelandFeuerwehr.indd 39 e verything in its place: rob McMahon (left) and fireman ian Allen check the equipment together. Better safe than sorry. 39 01.09.11 14:05 New Zealand’s sensitive animal kingdom requires special protection Ready for the next assignment: New Zealand Fire Service firefighter Ian Allen in full kit. PhOtOgraPhy: Mara SOMMer The worst situations are those that involve children, according to John Arthur from Paraparaumu. Enough air left? John Arthur checks his compressed air apparatus, which always has to be completely reliable. 40 EN_36-41_NeuseelandFeuerwehr.indd 40 Arriving safely: The breathing apparatus in the fire engine is ready placed in the seat. Dräger review 103 | OctOber 2011 01.09.11 14:06 N e w Z e a l a Nd F ir e Fig h t in g > days, someone will work for a company for two years and then move away for another job. In short, the members of this mobile generation are not really that likely to volunteer for a long-term stint with the fire department.” Today’s jobs are also more demanding. “No boss is going to like it if a person just ups and leaves the office or factory to rush to something that might turn out to be a false alarm,” McMahon explains. Fragile old buildings John Arthur, Station Officer, supports the volunteer fire brigade in Paraparaumu with his team. He recalls an assignment he once had in nearby Wellington. The old 4 and 5 story brick commercial buildings in the centre of Wellington back in the 1980’s were not earthquake resistant. That’s why entire rows of buildings had to be torn down. “There was a suspicion that sometimes the demolition contractors set fire to the buildings as a quick way of getting rid of the buildings,” he adds. On one occasion, someone reported smelling smoke: “The biggest truck was already on its way to another place, so there were only three of us left. When we got out, I turned around and suddenly saw a five-story brick commercial building in flames.” Sometimes the only thing to do is limit the damage. “We try to at least save neighboring buildings.” The worst situations, says Arthur, are those that involve children. “Recently we had an alarm because a three-year-old girl was choking on a piece of toast,” the fireman recalls. “It’s a horrible thing to see a child suffering and struggling for breath.” dräger review 103 | OctOber 2011 EN_36-41_NeuseelandFeuerwehr.indd 41 Arthur was able to quickly save her, though: “That’s what we’re trained to do.” Sophisticated training and better equipment have made firefighting less dangerous than it used to be, says Arthur, who’s been a fireman for nearly 40 years. On the other hand, the job now harbors dangers where one would least expect it. For example, even the smallest shed can contain chemicals. The lovely wine region north of Auckland isn’t completely free of threats either: There’s herbicide spray in storehouses, ammunition, and gasoline for tractors. “When I go into a house or a hotel several stories high, I always take a look at the evacuation plan and emergency exits,” Arthur says. It’s in his blood after so many years as a fireman. Arthur recently visited the brand-new shopping mall in Paraparaumu – but he wasn’t there to buy anything. Instead, he went to the facility to make sure the emergency exists were clearly marked. Possum-free zone New Zealand’s sensitive animal kingdom requires special protection. There were no mammals in the country before humans brought in rats and possums. Birds like the kiwi and kakapo had no natural predators, which is why many species of birds have become extinct in New Zealand. To protect endangered bird species, several kokako, hihi, and other birds were flown to a small island that had been cleared of rodents beforehand. So, if a fire were to break out on Kapiti Island, it wouldn’t be enough to simply put out the blaze; firefighters would also have to make sure they didn’t bring any stowaway animals with them, otherwise all the efforts to preserve endangered bird species would have been in vain. That’s why all fire department equipment is stored in a way that keeps rats out. Protection suits hang on hooks and all materials are kept high up and inaccessible in rooms that also contain rat traps. Follow the Kiwis! So does McMahon sometimes get a little queasy when he looks out of his office and sees a landscape that’s been visibly impacted by earthquakes? He relates how New Zealand firefighters also helped out in Fukushima, Japan, after the earthquake there. “At least we don’t have any nuclear power plants here,” he points out. New Zealanders live under a volcano – or on an active geological fault line, which is why the country completely rejects nuclear power. The government doesn’t even allow nuclear powered ships to enter its harbors – and certainly not any ship carrying nuclear weapons. New Zealand’s building codes are considered the most stringent in the world, and the country’s new buildings are much safer than the historic ones that collapsed in Christchurch. A severe quake in Wellington would undoubtedly once again bring out the fire brigades, with their pagers and sirens, from all over the country. New Zealanders learn in school exactly what they need to do in the event of an earthquake – but the many tourists who visit the country would be less prepared. McMahon therefore has a piece of advice for them: “Follow the Kiwis; they know what they’re doing.” Barbara Schaefer 41 01.09.11 14:06 In sIg h t Prod u c t Ion s afety under the hood Death by fire? that’s often what the headlines imply, but the reality is much more sobering. More people die from smoke and fumes than from the fire itself. For 30 years, the Parat c fire escape hood has been providing protection against these toxic gases and the danger they pose to life and limb. tailor-made: the visor is sewn into the fire escape hood. 42 EN_42-45_Schulterblick_ParatC.indd 42 Dräger review 103 | OctOber 2011 01.09.11 14:09 S D-111122-2011 Protection against toxic gases… Some of Figur’s co-workers still clearly remember the development of this escape hood, including production engineer Willi Meß. “In the late 1970s there was a series of hotel fires in the state of Schleswig-Holstein,” Meß recalls. “Many people died; they suffocated in the smoke.” Of course, hotel fires aren’t just a German phenomenon. They can happen anywhere. On June 23, 2000, a fire in Australia killed 18 young backpackers. And contrary to what people sometimes suggest, the biggest danger in these situations isn’t the actual flames. Approximately 85 percent of the victims lose consciousness in smokefilled stairwells, suffer the after-effects of smoke fumes, or die from insidious combustion gases like carbon monoxide. The fire escape hood provides protection against these gases, smoke fumes, and particulates for at least 15 minutes, which is almost always enough Dräger review 103 | OctOber 2011 EN_42-45_Schulterblick_ParatC.indd 43 children and adults. At the same time, the inner mask and neck collar have to form a seal – whether the hood is worn by a fashion model or a sumo wrestler. Keeping the promise that “one size fits all” requires carefully considered design and well-chosen materials. D-111123-2011 he looks up suddenly from her industrial sewing machine, taken a little by surprise. “How long does a needle like this last? A few weeks for sure!” answers Regina Rexin before turning back to the task of sewing a large plastic visor into a signal-red material, using high-strength aramid thread. “That’s just one of many steps that go into making our fire escape hood,” says team leader Christoph Figur. In the course of a year he is responsible for the production over 100,000 of these hoods, which offer efficient protection against fire and smoke fumes. D-111124-2011 Head of the hoods: Christoph Figur manages production. The Parat C: This hood protects against toxic fire-related gases for 15 minutes. time to reach safety via emergency exits and escape routes. It was the hotel fires, which happened right in Dräger’s backyard, so to speak, that lent the initial momentum for the development of the Parat C. But today the customers are mainly from industry, especially the (petro-) chemical, oil, and gas sectors, and the hood also provides added safety to fire departments, hospitals, and nursing homes. For a piece of life-saving equipment, a Parat C that is finished and ready for delivery looks surprisingly simple. But like any product that seems simple, the hood incorporates many ideas, technological developments, and manufacturing tricks. Willi Meß explains the continuous work on the fire escape hood by pointing out that “in a fire, people are naturally very nervous. So a hood they can easily put on gives the best chance of protection.” The requirements are many and diverse. The hood has to fit people who wear glasses, for example, and it must fit securely on …and even against jets of flame The best way to appreciate these two aspects is to trace the production of a hood: from the point at which the strips of synthetic material are cut to consignment of the finished product. The hood itself consists of a polysulfone (PES) fabric. This high-strength, chemical-resistant plastic is used in applications involving high mechanical and thermal stress, including aircraft production. PES also has good flame resistance and high melt viscosity, so it not only protects against flying sparks, but can also withstand an 850 °C jet of flame for several seconds. On the mask’s exterior the fabric is coated with bright orange PVC, which is highly visible even in smoky conditions. The visor consists of cellulose propionate – a crystal-clear, sturdy plastic that is used in high-temperature applications and can also absorb a certain amount of water. An anti-fogging agent is applied to both sides to prevent visibility problems resulting from condensing perspiration on the interior. The whole production department is staffed almost exclusively by women. “Manual labor accounts for a very big share of the work involved in making the hoods,” says Figur. The process of sewing in the visor can’t be reliably automat- > 43 01.09.11 14:09 In sIg h t Prod u c t Ion It’s important for the hood to also form a seal at the neck – on everyone, from collar size 37 to 50 > ed, not to mention the stitching together of the two sections of the hood into a three-dimensional shape. “That takes skillful craftsmanship!” Figur says. And the same applies to sewing in the neck collar, which consists of a wide strip of cotton fabric that is easy on the skin and absorbs perspiration. The collar fabric also includes elastomer threads, to ensure it stretches easily and provides a good fit for a very wide range of sizes. The 370-millimeter-long collar can be stretched to up to 980 millimeters. For the sake of comparison, 370 millimeters corresponds to a collar size of 37, and typical clothing sizes go up to collar size 50 (a neck circumference of 500 millimeters). “But the whole head also has to pass through it when the hood is put on, starting at the chin,” says Christoph Figur. “And then it has to form a good seal at the neck, for everyone.” The production itself is based on the principle of division of labor. Some of the work steps are highly specialized and require a relatively long training period. For time-consuming steps in the process, the individual workstations are duplicated to ensure a constant, demand-based flow of material according to an order point inventory system. The final steps are especially complex. First, the rubber sleeve is inserted. This acts as a half mask inside the hood and forms a seal around the mouth and nose – again for all users. This half mask, which automatically slides into the right position when the user pulls the hood on, holds the high-performance respiratory filter on 44 EN_42-45_Schulterblick_ParatC.indd 44 the hood’s exterior. “This is our combination CO-P2 filter for fire and smoke related gases,” explains Figur, referring to a protective filter against substances including carbon monoxide and particulate matter. The filter, which also protects against hydrogen sulfide, is fitted into the sleeve to form an airtight seal and secured to the mask with a metal clamp. “The clamp ensures a sealing surface of 360 degrees, and it’s attached with a pneumatic collet that applies a precisely measured force of 2,400 newtons,” says Figur. Clips sewn onto the hood are fastened to the two ends of the headband, which ensures a secure-fitting hood for all head sizes. hoods were once dried on clothes lines When the hood is stored, the filter is sealed tight against water vapor by means of plugs at the front and rear. The hood has a total service life of 12 years. The seal is attached in such a way that makes it easy to check, and it practically tears off by itself when the mask is unpacked. It’s no coincidence that this design resembles the automatic rip-cord used in parachuting, which also provides safety for people in tense situations. “In the past,” recalls Willi Meß, a pioneer in the development of the fire escape hood, “we dried the escape hoods on clothes lines in ovens at 80 °C, and then we sealed them in vapor barrier bags. But the current method with rubber sealing plugs extended the shelf life of a filter from three to six years.” And the fact that the filter can be pushed into the half mask like a telescope, requiring less space in storage, is another detail that originated in the early days of the Parat C. Finally, the exhalation valve is fitted into the side opening of the mask insert. This facilitates breathing and protects the filter from moisture, which would otherwise impair its effectiveness. “To insert the valve, one auxiliary method we use is to spread the opening across two mandrels. Because when you do that 500 times a day without tools, it takes a toll on the muscles, tendons, and joints,” explains Figur. Now the fire escape hood is practically finished. But its packaging – which differs according to its specific area of application – is also part of the production process, because this is where the “rip-cord” for breaking the filter seal is attached. In mid-2011 the Parat C had its 30th birthday. About a million of these hoods have been sold to date. On the outside the first models look almost identical to the contemporary versions, but new materials have been steadily making them lighter and somewhat safer. The production process has also been continuously improved, which helps to keep the Parat C affordable. “With this continuous product management,” says a confident Christoph Figur, “the fire escape hood will be helping to save lives and protect people’s health in many situations for the next 30 years to come.” nils schiffhauer Further information online, including: Product information www.draeger.com/103/paratc Dräger review 103 | OctOber 2011 01.09.11 14:09 D-111125-2011 D-111127-2011 D-111126-2011 Almost like at a textile company: The pre-cut pieces of bright red material for fire escape hoods are stacked up at the right. D-111129-2011 D-111128-2011 The filter, which represents the user’s link to the outside world, is carefully fitted and checked in these work steps. It takes strength to attach the filter to the hood and create an airtight seal. Machines (right) help the workers. Dräger review 103 | OctOber 2011 EN_42-45_Schulterblick_ParatC.indd 45 45 06.09.11 11:35 Drug test emerge n cy warD PhOtOgraPhy: Patrick Ohligschläger Left: the hospital in Nordhausen is a hub for patient care in germany’s Harz region. right: the Dräger Drugtest 5000 – hygienic, unobtrusive, and convenient. 46 EN_46-49_Notaufnahme.indd 46 the engineer in his element: rüdiger steinbrück is responsible for the medical devices at südharz Hospital. Dräger review 103 | OctOber 2011 01.09.11 14:10 HOSPi tA L Dr u g t e s t Admission test in Nordhausen in germany, Südharz Hospital Nordhausen serves as a medical care hub for people within a radius of about 50 kilometers. For some time now, the hospital has been performing a Drug test to check incoming patients who show any signs of substance abuse. this not only helps to minimize possible side effects of medications, it also allows a differential diagnosis – indicating when slurred speech is caused not by alcohol but by a neurological impairment, for instance. R üdiger Steinbrück oversees more than 10,0000 appliances, devices, and machines. That’s what is involved in being responsible for the medical equipment of a modern, maximum-care hospital (800 beds) – the technologies range from the smallest infusion pump to full medical ventilation systems to CT scanners. Steinbrück, a trained engineer, knows them all. With his six-member team, he keeps an eye on the condition of these vital instruments, all the time and always in situ. This is one of the strengths that sometimes distinguishes Südharz Hospital in the town of Nordhausen from other facilities of its size: It hasn’t outsourced its medical technicians. under one roof In Nordhausen, the skilled technical staff has remained under its own roof, as have the medical and nursing professionals. And their expertise is broad: If there is a snag somewhere, specialists are on the spot. They are very familiar with not just their electronic and mechanical “patients,” but also the peo- Dräger review 103 | OctOber 2011 EN_46-49_Notaufnahme.indd 47 ple in the wards. And that’s one of the best things that can happen in an innovative hospital. Without users who adopt new technologies and turn them into effective tools for themselves and their patients, even the best ideas can be problematic. The presence of on-site specialists also makes it easier for medical technology to find its place and become accepted in the wards. Südharz Hospital employs more than 1,800 men and women, which makes it the largest hospital in the northern part of the German state of Thuringia; over 26,000 inpatients are treated here every year. And Rüdiger Steinbrück has followed the entire development of the hospital into an ultra-modern, maximum-care facility. “I started out as a young engineer on January 15, 1980,” recalls Steinbrück. “At that time, the hospital was still just a shell. There were walls in place but nothing else. So right from the start I was smack in the middle of planning, construction supervision, and the development of the building, together with the architects and special planners.” The work progressed and several years later the former East Germany, the client for whom the hospital was being built, ceased to exist. It was one of the most dynamic periods in the history of the German healthcare system. But there was still time to integrate the technical standards of the reunified country into the planning – giving the hospital an edge in terms of modernity, because it was compatible with the new standards from the very beginning. This becomes clear to visitors when they see the modern emergency ward and the helicopter landing pad in front of the hospital. Südharz Hospital is an important healthcare hub for the former East German states. That’s partly due to geography, too. There are bigger medical centers in all four cardinal directions – Göttingen, Erfurt, Halle, and Magdeburg – but all of them are between 80 and over 100 kilometers away. So the staff in Nordhausen must be able to handle any medical needs within a radius of about 50 kilometers. That calls for a high level of performance on the part of the staff and the medical devices used. > 47 01.09.11 14:10 Less lab work, faster results, improved safety > One recent addition to the suite of medical equipment was the Dräger DrugTest 5000* – a compact, fully automated, miniature laboratory that is easy to use and can identify illegal drugs in minutes (see also: Dräger Review 102, pp. 32 ff.). This is exceedingly important, especially in the case of an emergency. In day-today police work, the technology has already proven its value. For some time now, DrugTest devices have been used on patrols along with the fast and lightweight Dräger AlcoTest breathalyzers used to identify drunk drivers. Thanks to these instruments, officers can immediately determine whether or not a driver is under the influence of drugs or alcohol. The devices also reduce the costs of laboratory work. An individually packaged sample collector is ready for every patient. Warning against side effects 48 EN_46-49_Notaufnahme.indd 48 Quick drug test: Only 0.28 milliliter of saliva is needed for the analysis. P hotograPhy: Patrick ohligSchläger Not only do these instruments sharpen the eyes of the law, they also provide deeper insights to healthcare professionals. And at Südharz Hospital, they help to improve patient safety. Rüdiger Steinbrück pushed for early adoption of the technology and introduced his colleagues to it. The DrugTest 5000 is officially approved for use in the healthcare sector in Europe. Unlike its purpose in law enforcement, the aim of drug testing in a hospital isn’t to check whether people who have suffered accidents or illness have broken the law. Instead, the doctor treating the patient must know immediately whether or not there may be side effects or interactions because of the presence of prohibited substances or controlled pharmaceutical products. Insert the sample, and in no time the printer documents the results. * For law enforcement purposes only in the U.S. 06.09.11 11:49 HOSPi tA L Dr u g t e s t Many medicines don’t have the effect expected of them if other drugs are present. The same is true for interactions between medicines and alcohol. In these cases, the strategy for emergency care often needs to be completely different. The physician also must act to provide emergency care in the event of a dangerous overdose of the drugs in question – and know what he or she is facing. Antitoxins are available even in the case of poisoning with the strongest opiates, such as heroin. And sometimes the patients themselves think someone may have slipped them a drug. Help can be provided in these cases, too. samples via pneumatic tube Angela Hoffmann, the head nurse in the emergency ward, uses the DrugTest regularly. She appreciates how it simplifies things and saves time. The traditional method of detecting illegal substances in the body of a patient is based first on a brief visual appraisal by an experienced diagnostician, and then on lab analyses of urine samples. “We are connected to the lab by means of a pneumatic tube system, so the samples get there quickly,” says Steinbrück. “But we expect to wait about half an hour before we get the results. And the fact that a lab test is relatively expensive is also an important consideration.” But the medical staff found one argument more convincing than perhaps all the others, says Nurse Hoffmann: “The problem with the laboratory test is getting the urine sample to begin with.” Many intoxicated patients have very little inclination to give the sample volun- Dräger review 103 | OctOber 2011 EN_46-49_Notaufnahme.indd 49 tarily – if they are responsive at all. In the past, the medical necessity of getting one anyway has routinely guaranteed very unpleasant incidents for the whole emergency team. Things are different with the automated DrugTest 5000. The process is hygienic, unobtrusive, and causes no embarrassment. The system detects drugs through saliva. A sample collector is used to gather it from the mucous membranes of the mouth in just minutes, and a color indicator shows when enough has been collected (0.28 milliliter). The test cassette, saliva sample, and cartridge are inserted into the analysis chamber of the instrument. And then the device demonstrates its high level of autonomy. There is nothing more to do, while internally the instrument searches for amphetamines, methamphetamine, opiates, cocaine, methadone, sedatives, and THC, the main active ingredient of hashish and marijuana. “Now,” says Nurse Hoffmann, “we’re ready to see where things stand with you.” The wireless mobile printer hums quietly and produces a results report: “COC – Negative. OPI – Negative. BENZO – Negative. THC – Negative. AMP – Negative. MAMP – Negative.” That signifies a full acquittal; no drugs at all were detected this morning. The ensuing sigh of relief is now exhaled right into the AlcoTest 6510 breathalyzer. It’s small and light, and it operates according to the classic “blowinto-this-please” principle. The AlcoTest 6510 also provides printed results, succinctly and accurately, in a form com- patible with medical records: “Zero percent blood alcohol.” In an actual emergency, the physician would now have fewer things to worry about. In the case of distinctive neurological symptoms, for example, the doctor now knows that he or he has to look for a disorder that isn’t being caused by drugs. This distinction is extremely important. Many impaired functions can be caused by poisoning or may indicate damage to the brain that must be investigated immediately with imaging procedures. The same is true for sudden dizziness and movement disorders, unusually slow or slurred speech, and many other conspicuous symptoms that could at first glance be attributed to alcohol or drug abuse. Verification is better The new technology for drug detection is not only practical; it makes a great deal of sense too, according to Nurse Hoffmann. And not just at Südharz Hospital, but also outside on the roads of the state of Thuringia, because those roads all too often lead unexpectedly into the emergency ward in Nordhausen. “It’s good that police are also checking drivers this way. We treat a lot of victims of traffic accidents, often for weeks at a time, many of them in intensive care,” says the head nurse. “And then we learn that the person who caused the accident was on drugs. Everyone should be aware: They can be checked for drug and alcohol use, and the notion that you won’t get caught just isn’t true anymore.” silke umbach 49 01.09.11 14:11 O u T LO Ok biO nic s Always a T he only thing that’s really big about Salvinia molesta – or “giant salvinia” as it’s known in English – is its harmful environmental impact. From its original habitat in the rain forests of South America, the aquatic fern was brought to Sri Lanka in the middle of the 20th century, where it reproduced explosively in the rice fields and ruined farmers’ harvests. The problem persisted until the 1980s, when the farmers released a species of weevil – Cyrtobagus salviniae – into the fields. The weevil ate the ferns – and the nightmare came to an end. But today, 30 years later, the plant is suddenly making itself useful. And scientists are even predicting it has a bright 50 EN_50-53_AusblickBionik.indd 50 future in climate protection. That’s because the fern can serve as a model for reducing the fuel consumption of ships worldwide by ten percent. That amounts to about 20 billion liters a year, or around one third of the amount of fuel burned by all the automobiles in Germany in a oneyear period. A fern that makes ships faster? The plant is taking on a new role thanks to its structure. The leaves of S. molesta range from round to oval in shape and usually have a fold along the central rib. On the upper surface of their floating leaves are papillae with four hairlike branches that stand erect to form an egg-shaped “cage.” These formations measure about one millimeter and look like an egg beater. The plants have remarkable characteristics: The stems are hydrophobic, but the cage-like structures are hydrophilic. While the stems keep the water below at a distance, the cages above encapsulate water. In this way they form a waterproof “roof” that prevents even the tiniest drops from seeping through. As a result, under water the fern encloses itself in a paper-thin but very strong “garment” of air, which remains intact even for months at a time. For shipbuilders, the “egg beaters” are opening up entirely new possibilities. Dräger review 103 | OctOber 2011 01.09.11 14:12 T Trunk Length Ahead what do elephants and aquatic ferns have in common? both offer best-practice solutions for technical challenges, making them the stars of today’s bionics reseArch, which recently was recognized for its bright future with a prestigious prize. The original (at left) and the copy: The artificial elephant trunk has such a light touch that it can even grasp raw eggs. It is hoped that the principle by which they function can be used in the development of ship hulls that will glide through the water enclosed in an envelope of air, thus greatly reducing friction and fuel consumption. “After scientists gained an understanding of the self-cleaning ability of a lotus leaf 20 years ago, the discovery of the Salvinia effect is one of the most important new findings in bionics,” reports Prof. Thomas Schimmel of the Karlsruhe Institute of Technology. Whether this aquatic fern will eventually become as important as the lotus remains to be seen. The lotus effect put bionics in the spotlight, and it has become a kind of figurehead of the field. When it Dräger review 103 | OctOber 2011 EN_50-53_AusblickBionik.indd 51 PhOtOgraPhy: FestO (large image); Nick hObgOOD a Detail of a cidaridae sea urchin, which uses its spines to wedge itself into reef crevices and thus protect its underside. was discovered, two factors simultaneously emerged in a stroke of good fortune: In the 1990s bionics research was still in its infancy, and it became possible to transfer the self-cleaning ability of nanostructured surfaces to many objects of everyday use. Examples include roof tiles, coatings, and paints for building facades – the water beaded up on the modified surfaces, like on the leaves of the lotus plant, and carried away all the dirt particles as it rolled off. The surfaces were left clean; that was clearly visible. There hasn’t been a comparably sensational bionic innovation since then. “Bionics is continually providing entirely new approaches and making very big contributions to sustain- > 51 01.09.11 14:12 O u t lOOk biO nic s A sea urchin as a model for lightweight, permeable, and strong safety helmets PhOtOgraPhy: get t y images, PrOf. wilhelm barthlOt t/Universität bOnn > ability – unlike with the lotus effect, however, that fact often isn’t readily apparent in the products,” says Dr. Rainer Erb in explaining the scant public awareness. An inexhaustible pool of ideas As Executive Director of the Bionics Competence Network (BIOKON), Erb is a key figure in the bionics sector whose talents include facilitation, communication, and knowledge management. Since it was founded in 2001, the non-profit association has served as a contact point for companies and organizations seeking suitable partners for bionics research. One of its main purposes is to bring together engineers and biologists. The S. molesta success story shows how important this can be. For this effort, three German institutes from different fields are collaborating: the Karlsruhe Institute of Technology’s Institute of Applied Physics, the Department of Fluid Mechanics at the University of Rostock, and the Nees-Institut für Biodiversität der Pflanzen (Nees Institute for Plant Biodiversity) in Bonn where the lotus effect was discovered. Scientists like Erb believe bionics has potential in several respects. First, nature’s innovation pool is inexhaustible and tried and tested beyond any doubt. There can’t be any best-practice solutions superior to those that have emerged as a result of millions of years of natural selection and mutation. Secondly, “Bionics make technology more accessible to young people,” says Erb, “and especially to young women – which could help to counteract the shortage of qualified professionals in technical occupations.” 52 EN_50-53_AusblickBionik.indd 52 this aquatic fern (above) is considered a pest in many places. But seen in detail (below), it reveals its ability to capture tiny air bubbles. Bionics has become a standard element in product development in many industries. In the automotive industry, trees are being used as models for the design of components to make them lighter. After all, trees only form additional biomass at points where forces have to be transmitted. That gives them a slender overall structure. And tire manufacturers have learned a lesson from panthers, which make the surface area of their paws larger when they want to decelerate from running at full speed. Today, tires are also able to change their geometry in response to certain situations. The wings of condors served aircraft as a model for the design of winglets, the end sections of wings that point upward, thus mitigating the effects of turbulence and saving jet fuel. Just a few years ago, only flora and fauna experts were familiar with examples like these. Bionics was a kind of playground for biologists and zoologists who publish fine books with color images of plants, but it hardly generated any interest among engineers working in product development. But why? Well, at the universities these departments were clearly separated for the most part. If prospective engineers and biologists had any contact at all, it was at university parties attended by an interdisciplinary crowd. Even the Association of German Engineers (VDI) discovered the topic fairly late in the game. This year, the VDI presented a draft of an ISO norm for differentiating between bionic and conventional development processes. So now it’s a lot easier to get started: “Bionics browsers” that are accessible by the public, like the one at the website asknature.org, make it possible for researchers to determine which phenomenon found in nature might provide a solution for a given technical problem. A similar approach is being used by the Fraunhofer-Institut für Arbeitswirtschaft und Organisation (IAO) with its BIOPS initiative. “BIOPS” stands for “biologyinspired problem-solving.” In safety technology, for example, the sea urchins of the Cidaridae family have a good chance of joining the ranks of the problem-solvers. Using its large, blunt spines, this aquatic creature can wedge itself into a reef and protect itself from predators that try to get at its underside, Dräger review 103 | OctOber 2011 01.09.11 14:12 The fire beetle (below) has infrared receptors (at right) that allow it to detect forest fires at great distances. PhOtOgraPhy: PrOf. Schmitz (fire beetle); NeeS iNStitute Of the uNiverSit y Of bONN, martiN mül A beetle that flies to forest fires Melanophila acuminata, otherwise known as the black fire beetle, and its sense organs are also drawing the attention of bionics experts. The insect is unusual because it can fly directly to forest fires – in order to find pine trees whose bast fibers have suffered fire damage. That’s the only setting where its larvae can develop to maturity. Bionics specialists from caesar (center of advanced european studies and research) in Bonn are currently developing a microchip that will make it possible to use this ability as the basis for an alarm system that would detect infrared radiation from a fire faster than ever before, and in minuscule amounts. One of today’s undisputed stars in bionics is the elephant, or more precisely its trunk. The animal’s extremity is a great example of the ingenious systems nature has created. The more than 40,000 individual muscle fibers in the trunk allow it to move precisely and freely in every direction. The trunk has relatively little mass, but it can lift heavy weights, including that of entire tree trunks. That’s why a team of German researchers from the company Festo AG in Esslingen and the Fraunhofer Institute for Manufacturing Dräger review 103 | OctOber 2011 EN_50-53_AusblickBionik.indd 53 Engineering and Automation (IPA) in Stuttgart have been using its principles in their “bionic handling assistant.” The assisting arm weighs less than two kilograms, has a range of movement of about one meter, and is designed to make teamwork by humans and machines efficient and safe – in industry, agriculture, and home nursing care. That’s not possible with conventional industrial robots. They do reliably perform many repetitive, difficult tasks. But anyone who approaches them too closely can suffer bodily harm because these robots are inflexible and lack sensitivity. The artificial version of the elephant’s trunk, however, can assist people without the risk of injuring them. Its finger movements are so gentle and sensitive that they can even handle raw eggs and soft tomatoes without breaking or bruising them. The bionic handling assistant is a pioneering development; that was confirmed in December 2010 when the President of the Federal Republic of Germany personally presented the “Deutscher Zukunftspreis” (German Future Prize) to the research team. The prize is presented annually by Germany’s president in recognition of important technological developments. In 1998 the lotus effect was a candidate for the prize, although it didn’t emerge as the winner. But now the bionic handling assistant has taken the lead and is ahead of the field “by a nose.” Or, you might say, by a trunk. Frank Grünberg Bionics at Dräger St154122008 which is less protected by the spines. The remarkable fact is that its strong covering of spines consists of brittle calcite (CaCO3), which conventional wisdom would deem unsuitable for strong components. But researchers, inspired by the sea urchin, are now searching for ways to design safety helmets that are lighter and more permeable than current models, but nevertheless are also stronger. Dräger is also turning to nature for models to use in the development of technical products. the protective housing of the lar 5000 diving apparatus, for example, was inspired by the shell of the sea turtle. lar stands for “lung automatic regeneration device.” the first version was launched on the market in the 1950s, and the product was most recently given a thorough upgrade in 2010. the lar 5000 is a closed circuit diving apparatus for military use. the exhaled breathing gas doesn’t escape; instead, it is processed and mixed with fresh oxygen, so no bubbles are released to reveal the diver’s position. the heart of the apparatus is made up of the lung demand valve, the exhalation bag, and the sodalime container, whose me chanisms are protected by a protective “shell.” the strength of the shell, which primarily consists of carbon fiberreinforced plastic, is boosted by four rails screwed onto its surface. the protective casing also features a streamlined teardrop shape for lower resistance in the water. 53 01.09.11 14:12 Serv ice HeadquarterS Dräger Medical GmbH Moislinger Allee 53–55 23558 Lübeck, Germany Tel +49 451 882-0 Fax +49 451 882 37 79 Dräger Safety AG & Co. KGaA Revalstraße 1 23560 Lübeck, Germany Tel +49 451 882-0 Fax +49 451 882 20 80 auStraLia Draeger Medical Australia Pty Ltd. Unit 97, 45 Gilby Road Mount Waverley, VIC, 3149 Tel 1800 800 327 (AU) Fax 1800 010 327 (AU) Tel 0800 559 186 (NZ) Fax 0800 559 185 (NZ) Draeger Safety Pacific Pty Ltd. Unit 99, 45 Gilby Road Mount Waverley, VIC, 3149 Tel 1800 67 77 87 (AU) Fax 1800 64 74 84 (AU) Tel 0800 372 437 (NZ) Fax 0800 733 133 (NZ) canada Draeger Médical Canada Inc. 120 East Beaver Creek Road Suite 104 Richmond Hill Ontario L4B 4V1 Tel +1 (905) 763-3702 Toll-free +1 866 343-2273 Fax +1 (905) 763-1890 Draeger Safety Canada Ltd. 7555 Danbro Crescent Mississauga, Ontario L5N 6P9 Tel +1 (905) 821-8988 Toll-free +1 877 372-4371 Fax +1 (905) 821-2565 Singapore Draeger Medical South East Asia Pte. Ltd. 25 International Business Park #04-20/21 German Centre Singapore 609930 Tel +65 63 08 94 00 Fax +65 63 08 94 35 Draeger Safety Asia Pte. Ltd. 67 Ayer Rajah Crescent #06-03 Singapore 139950 Tel +65 68 72 92 88 Fax +65 65 12 19 08 united KingdoM Draeger Medical UK Ltd. The Willows Mark Road Hemel Hempstead Hertfordshire HP2 7BW Tel +44 14 42 21 35 42 Fax +44 14 42 24 03 27 Draeger Safety UK Ltd. Blyth Riverside Business ParkBlyth, Northumberland NE24 4RG Tel +44 167 03 52-891 Fax +44 167 03 56-266 itaLy Draeger Medical Italia S.p.A. Via Galvani 720094 Corsico/Milano Tel +39 02 45 87 21 Fax +39 02 4 58 45 15 Dräger Safety Nederland B.V. Edisonstraat 53 2700 AH Zoetermeer Tel +31 793 44 46 66 Fax +31 793 44 47 90 Sweden Dräger Medical Sverige AB Ekbacksvägen 22 168 69 Bromma Tel +46 8 564 598 00 Fax +46 8 564 598 20 Dräger Safety Sverige AB Ögärdesvägen 19 D 433 30 Partille Tel +46 313 40 90 90 Fax +46 313 40 90 99 rep. oF SoutH aFrica Dräger Medical South Africa (Pty) Ltd. PO Box 4676 Rivonia, 2128 Tel +27 11 557 23 00 Fax +27 11 557 23 01 Dräger South Africa (Pty) Ltd. P.O.Box 68601 Bryanston 2021 Tel +27 114 65 99 59 Fax +27 114 65 69 53 Draeger Safety Italia S.p.A Via Longarone 35 20080 Zibido San Giacomo (MI) Tel +39 02 90 59 49 1 Fax +39 02 90 00 36 86 uSa Draeger Medical, Inc. 3135 Quarry Road Telford, PA 18969-1042 Tel +1 (215) 721-5400 Toll-free +1 800 437-2437 Fax +1 (215) 723-5935 netHerLandS Dräger Medical Netherlands B.V. Signaalrood 19 2718 SH Zoetermeer Tel +31 79 3464 800 Fax +31 79 3422 747 Draeger Safety, Inc. 101 Technology Drive Pittsburgh, PA 15275 Tel +1 (412) 787-8383 Toll-free +1 800 858-1737 Fax +1 (412) 787-2207 www.draeger.com Part-No.: 90 41 280 corporate HeadquarterS Drägerwerk AG & Co. KGaA Moislinger Allee 53–55 23558 Lübeck, Germany the articles in Dräger review provide information on products and their possible applications in general. they do not constitute any guarantee that a product has specific properties or is suitable for any specific purpose. All specialist personnel are required to make use exclusively of the skills they have acquired through their education and training and through practical experience. the views, opinions, and statements expressed by the persons named in the texts as well as by the external authors of the articles do not necessarily correspond to those of Drägerwerk Ag & co. KgaA. Such views, opinions, and statements are solely the opinions of the respective person. Not all of the products named in this magazine are available worldwide. equipment packages can vary from country to country. we reserve the right to make changes to products. the current information is available from your Dräger representative. © Drägerwerk Ag & co. KgaA, 2011. All rights reserved. this publication may not be reproduced, stored in a data system, or transmitted in any form or using any method whether electronic or mechanical, by means of photocopying, recording, or any other technique in whole or in part without the prior permission of Drägerwerk Ag & co. KgaA. Dräger Safety AG & Co. KGaA, Lübeck, is the manufacturer of the following products: TRT 7000 (p. 7), FPS 7000 (p. 7), FPS-COM-PLUS (p. 7), Dräger X-am 3000/5000/7000 (p. 18), Interlock XT (p. 23), Rental Robot (p. 33 ff.), Bodyguard 1000 (p. 38), Parat C (p. 42 ff.), Dräger Alcotest (p. 5, 48 f.), Dräger DrugTest 5000 (p. 46 ff.), LAR 5000 (p. 53), UCF 7000 (p. 56). The manufacturer of the automatic detector tube pump (Dräger X-act 5000; p. 6) is Draeger Safety, Inc., USA.Dräger Medical GmbH, Lübeck, is the manufacturer of the Fabius Tiro (p. 26). Dräger review 103 | OctOber 2011 3277 54 EN_54_Service.indd 54 01.09.11 14:13 HEFT_ Lost in the jungle of hazardous substances? Keep on the track to safety – with Dräger. When working with dangerous substances, you and your employees have to negotiate a multitude of different challenges. New applications, regulations and substance compositions demand reliable solutions. Let Dräger be your guide. With our track record and experience in on-the-job safety, Dräger is well equipped to satisfy your exacting requirements and bring you through the jungle safely. From personal protective clothing and innovative gas measuring technology, to respiratory protection equipment and service solutions that keep you on the right track, we‘ll work with you to find an optimal solution. 3277 FOR MORE INFORMATION: WWW.DRAEGER.COM/JUNGLE HEFT_PDF3277_Industrie_Anz_220x280_eng.indd 1 EN_54_Service.indd 55 30.08.11 20:23 01.09.11 14:13 Close - up t he rm al Im agI n g C ame r a 6 4 1 3 5 2 D-111136-2011 snapshots through the smoke Saving lives is the top priority whenever a fire department is on a call. When smoke and fumes obscure their view, the rescuers can turn to a thermal imaging camera such as the Dräger UCf 7000 – which can also be used in hazardous areas where there is a risk of explosion. It can be operated with one hand, “sees” in the infrared region at wavelengths between 7 and 14 micrometers, and shows its images as monochrome videos on its display, because false-color images are more difficult for inexperienced users to interpret. the camera’s protective window 1 and two-element wideangle lens are made of germanium. this material of the Dräger UCf 7000 is transparent to infrared light waves – unlike glass. the image falls on a camera core that was jointly developed by Jenoptik and Dräger and uses a bolometer detector. this infrared sensor records the heat radiation with a resolution of 160 x 120 pixels. the warmer the section of the image, the lower the resistance of the corresponding pixel of the silicon sensor. the camera electronics 56 EN_U4_CPS7900.indd 56 create a video at 50 frames per second with a sensitivity of 0.035 °C and a measurement range of -40 to +1,000 °C. the most recent two hours of recordings are stored and can be read out via the USb connector 2 – together with a spoken commentary which is recorded by the integrated microphone 3 . the push-button “snapshot function” enables users to take snapshots around corners at arm’s length and then to view them. the laser pointer 4 enables the user to point out to colleagues hot spots that may not be obvious to the naked eye. Its brightness is automatically controlled by a sensor 5 . the display, which is equipped with a sunshade 6 , displays all the information. Depending on the camera’s operating mode, areas which are hotter than 110 °C and/or 300 °C are shown in yellow, orange, and red. the operation and display conform to the latest north american standard (nfpa 1801:2010), which means that virtually any firefighter worldwide can reliably operate the unit – enabling them to take snapshots through the smoke. Drägerheft 388 | September 2011 01.09.11 14:14