Practicality of performing medical procedures in chemical protective ensembles

Emergency Medicine Australasia : EMA
Alan GarnerAnna Lee

Abstract

To determine whether certain life saving medical procedures can be successfully performed while wearing different levels of personal protective equipment (PPE), and whether these procedures can be performed in a clinically useful time frame. We assessed the capability of eight medical personnel to perform airway maintenance and antidote administration procedures on manikins, in all four described levels of PPE. The levels are: Level A--a fully encapsulated chemically resistant suit; Level B--a chemically resistant suit, gloves and boots with a full-faced positive pressure supplied air respirator; Level C--a chemically resistant splash suit, boots and gloves with an air-purifying positive or negative pressure respirator; Level D--a work uniform. Time in seconds to inflate the lungs of the manikin with bag-valve-mask, laryngeal mask airway (LMA) and endotracheal tube (ETT) were determined, as was the time to secure LMAs and ETTs with either tape or linen ties. Time to insert a cannula in a manikin was also determined. There was a significant difference in time taken to perform procedures in differing levels of personal protective equipment (F21,72 = 1.75, P = 0.04). Significant differences were found in: time to lung inflation us...Continue Reading

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Citations

Dec 3, 2014·The American Journal of Emergency Medicine·Nimrod OphirLuis Gaitini
Sep 10, 2010·The American Journal of Emergency Medicine·Stephen W BorronDonald J Gordon
Feb 6, 2007·The American Journal of Emergency Medicine·Kristi L KoenigCarl H Schultz
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Jul 20, 2016·The American Journal of Emergency Medicine·Nimrod OphirYossi Rosman
Aug 10, 2019·Disaster Medicine and Public Health Preparedness·Hanniebey D WiyorKaren L Siegel

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