An assessment of radiation use, knowledge and concerns in trainee cardiologists in Ireland

2021 ◽  
pp. 20201348
Author(s):  
Lisa Brandon ◽  
David Keane
Keyword(s):  
Decision Making ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
X Ray ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
The Republic ◽  
Radiation Use ◽  
Cardiac Society ◽  
Correct Size

Objective To evaluate knowledge, routine use and concerns of trainee cardiologists in the Republic of Ireland regarding radiation use in the cardiac catheterization laboratory. Methods We handed out a Radiation Questionnaire to cardiology trainees in February 2020 at the Irish Cardiac Society “Spring Meeting”. The questionnaire assessed radiation protection use amongst trainees and tested knowledge of X-ray basics. Results Many trainees report inadequate access to properly sized lead protection, and infrequent dosimeter usage. Over one-third of trainees report musculoskeletal issues from wearing leads, the majority of whom use correct size lead <60% of the time. 33.3% report radiation concerns will affect their decision making regarding subspeciality training, but notably 83.3% of females and only 19% of males surveyed report this, showing this is a bigger issue for females in cardiology. Less than half of trainees feel adequately educated about radiation. Conclusion Our assessment show deficiencies in the provision and use of personal protective equipment to trainees, highlights extra radiation concerns of female cardiology trainees, and notes gaps in knowledge in radiation use. Advances in knowledge Our assessment highlights deficiencies in the education of cardiology trainees regarding ionizing radiation, and suggests this area needs to be improved upon.

scholarly journals Personal Protective Equipment and Donning and Doffing Techniques in the Cardiac Catheterization Laboratory During the COVID-19 Pandemic: Insights From an Internet Search for Protocols

2021 ◽  
Vol 8 ◽  
Author(s):  
Justin Haloot ◽  
Omar Sheikh ◽  
Fatima Dollar ◽  
Heta Javeri ◽  
Hendre Jeannetta Fichardt ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Medical Procedures ◽  
Internet Protocols ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Patient Deterioration ◽  
Temporal Priority ◽  
Internet Searches

Background: Due to the ongoing coronavirus disease 2019 (COVID-19) pandemic, a need for precise donning and doffing protocols for personal protective equipment (PPE) among healthcare infrastructures is paramount. Procedures involving the cardiac catheterization laboratory (CCL) are routinely non-aerosolizing but have the potential for rapid patient deterioration, creating the need for aerosolizing generating procedures. Multiple societal and governmental guidelines on the use of PPE during medical procedures are available on Internet websites; however, there is limited literature available in peer-reviewed formats in this context. This study aims to provide an overview of current PPE donning and doffing protocols specific to the catheterization laboratory.Methods: A series of internet searches regarding donning and doffing of PPE in the CCL including published articles and internet protocols were compiled and compared using Pubmed.gov, Google.com, www.twitter.com, and www.youtube.com.Results: Most institutions used N95 masks, shoe covers, at least one head covering, face shield or goggles, two pairs of gloves, and inner and outer gowns. Doffing variation was greater than donning. Doffing has the potential to contaminate the healthcare worker (HCW), and therefore, this step of PPE management requires further study. Common steps in temporal priority included cleaning of gloved hands, removal of outer (or only) gown, removal of outer gloves, repeat gloved hand cleaning, removal of facial PPE last, and a final non-gloved hand cleaning.Conclusions: This analysis provides a summary of commonly used practices that may be considered when designing CCL-specific PPE protocols. Analysis of consistent steps from the literature led the authors to formulate a suggested protocol for CCL HCWs when performing procedures on patients with confirmed or suspected/unknown COVID-19.

Importancia del uso adecuado del equipo de protección individual y la implementación de protocolos de seguridad perioperatorios durante la pandemia de COVID-19

2020 ◽  
Vol 63 (4) ◽  
pp. 49-59 ◽  
Author(s):  
Noé Pérez Carrillo ◽  
Carlos Emiliano García Córdova ◽  
Ana Paula Ruiz Funes Molina ◽  
Alberto Manuel Ángeles Castellanos ◽  
Mayra Estrada Serrano ◽  
...  
Keyword(s):  
Decision Making ◽  
Key Words ◽  
Operating Room ◽  
Personal Protective Equipment ◽  
Health Personnel ◽  
Surgical Patients ◽  
Protective Equipment ◽  
Use Of Resources

The current landscape represents an unprecedented challenge in managing surgical patients, decision-making and the use of resources such as protective equipment in the context of the COVID-19 pandemic. Therefore, the objective of this article is to provide guidelines for good conduct in the operating room, the use of personal protective equipment, suggestions for surgeries and the best approach in the context of this situation. The main objective of these recommendations is to mitigate the risk of contagion and to educate medical-surgical health personnel in how to deal with this pandemic. Key words: COVID-19; coronavirus: protective equipment; surgery; operating room; training; emergency

scholarly journals 478. Psychological Distress among Infectious Disease Physicians during the Response to the COVID-19 Outbreak in the Republic of Korea

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S305-S305
Author(s):  
Se Yoon Park ◽  
Bongyoung Kim ◽  
Dong Sik Jung ◽  
Sook In Jung ◽  
Won Sup Oh ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Psychological Distress ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Text Message ◽  
Disease Outbreaks ◽  
Maslach Burnout Inventory ◽  
Republic Of Korea ◽  
Protective Equipment ◽  
The Republic

Abstract Background This study aimed to investigate psychological distress among infectious disease (ID) physicians during the coronavirus disease (COVID-19) outbreak in the Republic of Korea. Methods Using an online-based survey link sent via text message and email, we conducted a survey from April 21 to 25, 2020, targeting all ID physicians currently working in ID (n = 265). The questionnaire was based on the Maslach Burnout Inventory-Human Services Survey and the Depression, Anxiety, and Stress Scales, and information was collected on factors protecting against psychological distress and difficulties in relation to COVID-19. Results Of 265 ID physicians, 115 (43.3%) responded, showing burnout (97, 90.4%), depression (20, 17.4%), anxiety (23, 20.0%), and stress (5, 4.3%). There were no differences in terms of distress between ID physicians who were directly involved in the care of patients with COVID-19 or not (Table 1). Greater than 50% of physicians valued their work and felt recognized by others, whereas &lt; 10% indicated that sufficient human and financial support and private time had been provided during the outbreak. The most challenging issues concerned a lack of human resources for COVID-19 treatment or infection control, a shortage of personal protective equipment or airborne infection isolation rooms, pressure for research, and lack of guidelines for COVID-19 management (Figure 1). Table 1. Figure 1. Difficulties in response to the COVID-19 outbreak. Abbreviations: COVID-19, coronavirus disease 19; HCWs, healthcare workers; ICPs, infection control practitioners; IRB, Institutional Review Board; PPE, personal protective equipment Conclusion During the COVID-19 outbreak in the ROK, most respondents reported psychological distress. Preparing strategies for infectious disease outbreaks that support ID physicians is essential. Disclosures All Authors: No reported disclosures

scholarly journals Association Between Personal Protective Equipment Use and Injury Occurrence Among the Republic of Korea Armed Forces

2017 ◽  
Vol 182 (7) ◽  
pp. e1900-e1907 ◽  
Author(s):  
Tae Kyung Kim ◽  
Byung-Chan Jeon ◽  
Eunkyoung Bae ◽  
Kyoung Ki Bae ◽  
Kyu-Tae Han ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Armed Forces ◽  
Republic Of Korea ◽  
Protective Equipment ◽  
Injury Occurrence ◽  
The Republic

scholarly journals Chest Exposure to X-Rays of Female Interventional Electrophysiologist

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Giaccardi M ◽  
◽  
Turreni F ◽  
Rossi F ◽  
Chechi T ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Personal Protective Equipment ◽  
Radiation Sensitivity ◽  
Case Mix ◽  
Protective Equipment ◽  
X Rays ◽  
X Ray ◽  
Stochastic Effect ◽  
Chest X Ray

Interventional Female Cardiologists (WIC) operating in high case mix laboratories are exposed to a significant chest X-Ray scattered dose from the patient. In this setting stochastic effect may be highly detrimental because of breast radiation sensitivity. Aim of this study is to measure and optimize WICs’ chest radiation exposure in a high case mix electrophysiology laboratory, in order to validate and implement the use of personal protective equipment and lead equivalent glass viewing window, and to evaluate chest X-Ray exposure behind the protective equipment.

scholarly journals Forecast predictions for the COVID-19 pandemic in Brazil by statistical modeling using the Weibull distribution for daily new cases and deaths

2020 ◽  
Author(s):  
Vitor Hugo Moreau
Keyword(s):  
Decision Making ◽  
Weibull Distribution ◽  
Statistical Modeling ◽  
Personal Protective Equipment ◽  
Educational Level ◽  
Protective Equipment ◽  
Preventive Strategies ◽  
Health Authorities ◽  
Total Death ◽  
The Mean

Abstract COVID-19 has killed more than 330.000 people worldwide and more than 21,000 Brazilians. Since there are no specific drugs or vaccines, the available tools against COVID-19 are preventive, such as the use of personal protective equipment, social distancing, lockdowns and mass testing. Such measures are hindered in Brazil due to a restrict budget, low educational level of the population and misleading attitudes from the federal authorities. Predictions for COVID-19 are of pivotal importance to subsidize and mobilize health authorities’ efforts in applying the necessary preventive strategies. The Weibull distribution was used to model the forecast prediction of COVID-19, in four scenarios, based on the curve of daily new deaths as a function of time. The date in which the number of daily new deaths will fall below the rate of 3 deaths per million, the mean level considered by some countries to relax stay-at-home measures, was estimated. If the daily new deaths curve was bended today (i. e. about 1,250 deaths per day), the predicted date would be on June 18th. Analysis of the lethality rate allowed the estimation of daily new cases and total death toll at the end of the outbreak. Our results suggest that each additional day that lasts to bend the daily new deaths curve can correspond to additional 3,718 deaths at the end of COVID-19 outbreak in Brazil (R2 = 0.9938). Predictions of the outbreak can be used to guide Brazilian health authorities in the decision making to properly fight COVID-19 pandemic.

Self-reported use of x-ray personal protective equipment by Saskatchewan veterinary workers

2019 ◽  
Vol 254 (3) ◽  
pp. 409-417 ◽  
Author(s):  
Monique N. Mayer ◽  
Niels K. Koehncke ◽  
Amir C. Taherian ◽  
Cheryl L. Waldner
Keyword(s):  
Personal Protective Equipment ◽  
Protective Equipment ◽  
X Ray

INVESTIGATION OF MATERIALS OF A PROTECTIVE KIT AGAINST ESPECIALLY DANGEROUS INFECTIONS OF TYPE I-IV FOR THE TRANSMISSION OF ATOMOSPHERIC AEROSOLS AND DUST ON A PARTICLE ANALYZER AND BY MICROSCOPY

2021 ◽  
pp. 70-78
Author(s):  
А. МЫНБАЙ ◽  
У.С. КЕМЕЛЬБЕКОВ ◽  
А.Т. ОЛЖАБАЙ
Keyword(s):  
Personal Protective Equipment ◽  
Preventive Measures ◽  
Research Work ◽  
Particle Analysis ◽  
Protective Equipment ◽  
Customs Union ◽  
Type I ◽  
Optimal Method ◽  
Hazardous Chemical ◽  
The Republic

Настоящая исследовательская работа посвящена разработке оптимального метода для определения микробной проницаемости через материалы (тканые и нетканые) средств индивидуальной защиты на основе определения проницаемости аэрозольных частиц атмосферного воздуха методами микроскопии и анализа частиц для соответствие установленным требованиям ГОСТ 12.4.258-2014 (EN 14605:2005) и EN 14126:2003., ТР ТС 019/2011 О безопасности средств индивидуальной защиты утвержден Решением Комиссии Таможенного союза № 878 от 9 декабря 2011 г., а также санитарных правил № 131 от 25 февраля 2015 года «Санитарноэпидемиологические требования к организации и проведению санитарнопротивоэпидемических (профилактических) мероприятий по предупреждению инфекционных заболеваний (чума, холера)» утвержден приказом Министра национальной экономики Республики Казахстан, и № 684 от 8 сентября 2017 года «Санитарноэпидемиологические требования к лабораториям, использующим потенциально опасные химические и биологические вещества» Утвержден приказом Министра здравоохранения Республики Казахстан. This research work is devoted to the development of an optimal method for determining microbial permeability through materials (woven and nonwoven) of personal protective equipment based on the det ermination of the permeability of atmospheric air aerosol particles by microscopy and particle analysis methods for compliance with the established requirements of GOST 12.4.2582014 ( EN 14605: 2005) and EN14126: 2003., TR CU 019/2011 On the safety of personal protective equipment approved by the Decision of the Commission of the Customs Union No. 878 dated December 9, 2011, as well as sanitary regulations No. 131 dated February 25, 2015 “Sanitary and epidemiological requirements for the organization and implementation of sanitary antiepidemic (preventive) measures to prevent infectious diseases (plague, cholera) "approved by order of the Minister of National Economy of the Republic of Kazakhstan, and No. 684 of September 8, 2017" Sanitary and epidemiological requirements for laboratories using potentially hazardous chemical and biological substances "Approved by order Minister of Health of the Republic of Kazakhstan.

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