Apparatus and methods for integrated emergency wash systems. Various embodiments pertain to integrated shower and eyewash emergency wash systems, including those that are particularly space efficient. Other embodiments pertain to emergency shower nozzles that provide sprayed water in sheets, especially a cylindrical sheet that generally describes the perimeter of the shower spray area, providing the user a significantly quicker removal of contaminant material during a shower. Still further embodiments pertain to improved flushing systems, especially flushing systems adapted for the space efficient, low flow integrated systems described herein.