Re: Oil Based Mud- Skin Conditions

[Guest guest]

ODBM (Oil Base Drilling Mud) can indeed cause a contact / allergic dermatitis.

The company that you are with that are using it should have the relevant MSDS

sheet which will outline any / all precautions that should be taken while in

use. They should also have carried out a suitable and sufficient COSHH

assessment on the use onboard.

Mainly the drilling crew are mostly exposed to it.

A good skin care regiem is best, plenty of barrier cream under appropriate PPE,

changing coveralls and gloves once soaked with the fluids in question to prevent

long term hard contact against skin.

Once symptoms have developed (at 1st, red, stinging rashes usually around neck /

cuff areas) then plenty moisturiser cream (E45, Vaseline intensive care etc).

Full adherence to above COSHH and PPE issues and a warning for the future re

sensitisation.

A good presentation on skin care and handwashing can go a long way.

Quick tip, I give the lads short lengths of tubigrip for wrists to catch the

fluid that always finds a way between gloves and coveralls. On the advice this

is laundered at the same time as coveralls and changed once known to be wet.

I have skin care persentation somewhere, drop a mail offline and I can send on.

Kev.

safety_mate <safety_mate@...> wrote:

Hi there,

Being new to this industry I am still a bit intrigued about certain

things.

One is Oil Based Mud.

Aftre looking through the MSDS and doing a search on the HSE website I

cannot find anything on the medical treatment of it.

I was of the impression it should be treated as a contact irritant

dermatitis.

Anyone out there able to give me a run down of what the standard

treatment for this kind of thing is?

Mick

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The Remote Medics Team

[Guest guest]

I can only speak from personal experience to such exposures. Generally in this

setting, I operate in a rather simple manner and have found that your basic

Allergic Reaction/Anaphylaxis protocols serve well:

Diphenhydramine 25-50 IM (although, I have been told that SQ/SC works even

better)

..3-.5 mg Epi 1:1 SQ/SC

Albuterol PRN

125mg methylprednisolone IV (or IM in a pinch, no pun).

Supportive care and 10cc Nacl per, of course if need be.

I speak from experience (seeing as how I was my own patient), in that we operate

between the runways of a very large airstrip that has a nasty habit of

collecting all of the associated airstrip run-off in the copious amount of what

can be loosely describe as soil during the exquisite and picturesque winters in

this lovely, first-class, second-to-none paradise (note: Webster's defines the

preceding description as blatant sarcasm).

Hope these opinions assist you.

Mader

NREMT-P

USA Environmental

USACOE CEA Project

Baghdad Int'l Airport, Iraq

---------------------------------

for Good

Click here to donate to the Hurricane Katrina relief effort.

[Guest guest]

Mick,

The mud company should have some kind of training available and some even

have consultants to do the training on-site. But if not, there are several

suggestions regarding working around OBM/OBDM/OBDF. First and foremost is

prevention. Avoid skin contact if at all possible. If skin contact does

occur, the workers need to understand the need for rapid decontamination.

There appears to be varying levels of tolerance, with even a few moments

exposure is too much for some individuals. Some suggestions for protection

and prevention:

Barrier cream on all exposed or potentially exposed skin.

Impervious clothing. Slickers, fishskins, slickers, tyvec suits, etc

Hooded stuff is good.

Rubber gloves, Rubber boots

Duct tape (around cuffs and pant legs).

Use " boot baths " at all exits to the rig floor to avoid tracking the stuff

all over the rig.

Remove protective clothing outside the quarters.

Remove gloves before leaving rig floor to avoid handrail contamination.

Designate a laundry machine and wash contaminated clothing separate from

others.

Wash contaminated clothing twice.

If skin contamination occurs the affected worker should shed all clothing

ASAP and shower with something that cuts heavy oils. A good liquid dish

detergent is one solution. Afterwards, use moisturizing creams liberally. As

stupid as it may sound, ensure your people know they should don CLEAN

clothing (including the slicker suit) after the shower. For treatment if

dermatitis occurs use Dyphenhydramine, hydrocortisone, etc.....the same as

any contact dermatitis. Advise the affected person to take cool, not hot

showers. The patient should avoid working on the rig floor or anywhere

repeat contact is possible.

Regards,

Donn

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

D.E. (Donn) , LP, NREMT-P

~~ Ubi dubium ibi libertas ~~

Oil Based Mud- Skin Conditions

Hi there,

Being new to this industry I am still a bit intrigued about certain things.

One is Oil Based Mud.

Aftre looking through the MSDS and doing a search on the HSE website I

cannot find anything on the medical treatment of it.

I was of the impression it should be treated as a contact irritant

dermatitis.

Anyone out there able to give me a run down of what the standard treatment

for this kind of thing is?

Mick

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

[Guest guest]

Mick-

Excellent advice from the others, I have two small points to add:

1- Barrier cream- Make sure that the barrier cream being used is

designed for use with oil-based mud rather than synthetic-based mud.

2- Decontamination- It helps to have a good supply of oil/grease

cutting dish soap (Palmolive, Dawn, or the equivalent) in the

shower/change room, and try to encourage the crews to use it first

when they're cleaning up after mud exposure, even without signs of

irritation. A lot of the guys like to use the abrasive soaps (ie

Lava) right off the bat, thus grinding the OBM into the skin and

worsening their exposure.

Hope this helps.

Cheers,

> Hi there,

> Being new to this industry I am still a bit intrigued about

certain

> things.

> One is Oil Based Mud.

> Aftre looking through the MSDS and doing a search on the HSE

website I

> cannot find anything on the medical treatment of it.

> I was of the impression it should be treated as a contact irritant

> dermatitis.

> Anyone out there able to give me a run down of what the standard

> treatment for this kind of thing is?

>

> Mick

[Guest guest]

Hi Mick,

Oil-based mud is very economical in the oil industry. Unfortunately it

is rough on the people who use it.

In my experience as an Offshore Medic, the pressure areas are worse

affected. This includes the " rub " areas of the neck and wrists. Its

worth noting that the wearing of Tubigrip as wrist bands makes the

condition worse. Rash appears as an erythema and quickly progresses to

a folliculitis. At the erythema stage, some Hydrocortisone 1% cream

works well but when the rash infects, the treatment becomes more

involved. There are broad concerns in the industry that OBM is a

carcinogen. Maybe someone else will have an opinion on that.

Cheers

Buck

Medic

Ninian Southern

> Hi there,

> Being new to this industry I am still a bit intrigued about certain

> things.

> One is Oil Based Mud.

> Aftre looking through the MSDS and doing a search on the HSE website

I

> cannot find anything on the medical treatment of it.

> I was of the impression it should be treated as a contact irritant

> dermatitis.

> Anyone out there able to give me a run down of what the standard

> treatment for this kind of thing is?

>

> Mick

[Guest guest]

Gooday All

alot of controversy surrounds OBM and its side

effects....especially with long term use and having to

treat the effects of exposure..agree with Buck -

prevention of contact is best(as stated on

msds).....should be tons of barrier cream in changing

rooms...and like the idea of the tubigrip...document

each exposure case thoroughly.......if ends up

becoming systemic...it could go to court (if the

patient stays alive long enough to get to court!!)

Cheers

Baz G

--- <bxtaylor2@...> wrote:

> Hi Mick,

>

> Oil-based mud is very economical in the oil

> industry. Unfortunately it

> is rough on the people who use it.

>

> In my experience as an Offshore Medic, the pressure

> areas are worse

> affected. This includes the " rub " areas of the neck

> and wrists. Its

> worth noting that the wearing of Tubigrip as wrist

> bands makes the

> condition worse. Rash appears as an erythema and

> quickly progresses to

> a folliculitis. At the erythema stage, some

> Hydrocortisone 1% cream

> works well but when the rash infects, the treatment

> becomes more

> involved. There are broad concerns in the industry

> that OBM is a

> carcinogen. Maybe someone else will have an opinion

> on that.

>

> Cheers

>

> Buck

> Medic

> Ninian Southern

>

>

>

> > Hi there,

> > Being new to this industry I am still a bit

> intrigued about certain

> > things.

> > One is Oil Based Mud.

> > Aftre looking through the MSDS and doing a search

> on the HSE website

> I

> > cannot find anything on the medical treatment of

> it.

> > I was of the impression it should be treated as a

> contact irritant

> > dermatitis.

> > Anyone out there able to give me a run down of

> what the standard

> > treatment for this kind of thing is?

> >

> > Mick

>

>

>

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[Guest guest]

, drawing on your experienced and vast knowledge what is the

makeup, properties and uses of Oil Based Mud, and how is it used in

an airport setting.

> I can only speak from personal experience to such exposures.

Generally in this setting, I operate in a rather simple manner and

have found that your basic Allergic Reaction/Anaphylaxis protocols

serve well:

>

> Diphenhydramine 25-50 IM (although, I have been told that SQ/SC

works even better)

> .3-.5 mg Epi 1:1 SQ/SC

> Albuterol PRN

> 125mg methylprednisolone IV (or IM in a pinch, no pun).

> Supportive care and 10cc Nacl per, of course if need be.

>

> I speak from experience (seeing as how I was my own patient), in

that we operate between the runways of a very large airstrip that

has a nasty habit of collecting all of the associated airstrip run-

off in the copious amount of what can be loosely describe as soil

during the exquisite and picturesque winters in this lovely, first-

class, second-to-none paradise (note: Webster's defines the

preceding description as blatant sarcasm).

>

> Hope these opinions assist you.

>

>

>

> Mader

> NREMT-P

> USA Environmental

> USACOE CEA Project

> Baghdad Int'l Airport, Iraq

>

>

>

>

>

> ---------------------------------

> for Good

> Click here to donate to the Hurricane Katrina relief effort.

>

>

[Guest guest]

> , drawing on your experienced and vast knowledge what is the

> makeup, properties and uses of Oil Based Mud, and how is it used in

> an airport setting.

The contractor I work for is clearing the area between the two

airstrips. This area has been in use for quite a while without the

clean-up regulations that most of us are familiar with. As a result

of the infield being at a lower level than the tarmacs, several

decades worth of AVGAS, oil, and various fluids and lubricants has

washed into the infield. Since, as I figured you would know, oil and

gas do not evaporate, the result is a very large area of highly

contaminated mud and dirt. The consistancy of this area is very soggy

and is loaded with contaminants. While it cannot being classified as

oil-bearing strata, it's certainly oil based.