Articles: personal-protective-equipment.
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Letter Randomized Controlled Trial Comparative Study
Comparison of two chest compression techniques when using CBRN-PPE: a randomized crossover manikin trial.
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Randomized Controlled Trial
Chest Compression With Personal Protective Equipment During Cardiopulmonary Resuscitation: A Randomized Crossover Simulation Study.
Following a chemical, biological, radiation, and nuclear incident, prompt cardiopulmonary resuscitation (CPR) procedure is essential for patients who suffer cardiac arrest. But CPR when wearing personal protection equipment (PPE) before decontamination becomes a challenge for healthcare workers (HCW). Although previous studies have assessed the impact of PPE on airway management, there is little research available regarding the quality of chest compression (CC) when wearing PPE. ⋯ With the use of PPE, a significant decrease of the percentage of effective compressions (41.3 ± 17.1% with PPE vs 67.5 ± 15.6% without PPE, P < 0.001) and the percentage of adequate compressions (67.7 ± 18.9% with PPE vs 80.7 ± 15.5% without PPE, P < 0.001) were observed. Furthermore, the increases in heart rate, mean arterial pressure, and subjective fatigue score values were more obvious with the use of PPE (all P < 0.01). We found significant deterioration of CC performance in HCW with the use of a level-C PPE, which may be a disadvantage for enhancing survival of cardiac arrest.
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Prehosp Disaster Med · Jun 2015
Randomized Controlled TrialIntubation Efficiency and Perceived Ease of Use of Video Laryngoscopy vs Direct Laryngoscopy While Wearing HazMat PPE: A Preliminary High-fidelity Mannequin Study.
Management of contaminated patients in the decontamination corridor requires the use of hazardous material (HazMat) personal protective equipment (PPE). Previous studies have demonstrated that HazMat PPE may increase the difficulty of airway management. This study compared the efficiency of video laryngoscopy (VL) with traditional direct laryngoscopy (DL) during endotracheal intubation (ETI) while wearing HazMat PPE. ⋯ The time to successful ETI was not significantly different between VL and DL. Video laryngoscopy had a greater perceived ease of use, but DL was perceived to be more feasible for use in actual HazMat situations. These findings suggest that both DL and VL are reasonable modalities for use in HazMat situations, and the choice of modality could be based on the clinical situation and provider experience.
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Randomized Controlled Trial
Using interactive computer simulation for teaching the proper use of personal protective equipment.
The use of personal protective equipment is one of the basic infection control precautions in health care. The effectiveness of personal protective equipment is highly dependent on adequate staff training. In this project, a computer simulation program, as a supplement to conventional training approaches, was developed to facilitate the learning of the proper use of personal protective equipment. ⋯ Fifty healthcare workers were randomly assigned into two groups: one received conventional personal protective equipment training only (control group), whereas the other also received the same conventional training but followed by using the developed simulation program for self-learning (experimental group). Their performance was assessed by personal protective equipment donning and doffing evaluation before and after the training. The results showed that the computer simulation program is able to improve the healthcare workers' understanding and competence in using personal protective equipment.