Performance of resuscitation skills by paramedic personnel in chemical protective suits

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Russell D MacDonaldAdam Dubrowski

Abstract

Determine whether wearing a chemical protective suit increases time to successful completion of four resuscitation skills. This prospective experimental study examined the ability of civilian paramedic personnel to complete four resuscitative skills (electrical defibrillation, administration of epinephrine subcutaneously, intravenous cannulation, and tracheal intubation) carried out using standard methods on mannequins under two test conditions (wearing the protective suit and not wearing the suit). Primary outcome was time to successful completion of each skill. Sixteen paramedics were enrolled and completed each skill under two test conditions. Paramedics took longer to complete administration of epinephrine (87 vs. 60 seconds; p < 0.01) and intravenous cannulation (220 vs. 158 seconds; p < 0.01) tasks when wearing a protective suit. Wearing the suit did not impair electrical defibrillation (57 vs. 46 seconds) or tracheal intubation (79 vs 69 seconds). Chemical protective suit use increased time to successful completion of resuscitation skills where fine motor skills are required, namely administration of epinephrine subcutaneously and intravenous cannulation, but did not increase time to successful completion of resuscitatio...Continue Reading

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Citations

Apr 1, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anna AbelssonLillemor Lindwall
Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christopher SteinCraig Vincent-Lambert
Sep 10, 2010·The American Journal of Emergency Medicine·Stephen W BorronDonald J Gordon
Nov 26, 2009·The American Journal of Emergency Medicine·Stephen W BorronInkyung Jung
Aug 10, 2019·Disaster Medicine and Public Health Preparedness·Hanniebey D WiyorKaren L Siegel
Jan 26, 2010·Journal of the Royal Army Medical Corps·S A Bland
Oct 20, 2017·Journal of Intensive Care·Stephen M VindigniDavid J Carlbom
Oct 2, 2007·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·William E NorthingtonDavid Hostler

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