scholarly journals Features of the Use of Personal Protective Equipment in the Foci of a New Coronavirus Infection

2021 ◽  
Vol 19 (6) ◽  
pp. 4-7
Author(s):  
A. A. Kuzin ◽  
A. P. Yumanov ◽  
A. A. Degtyarev ◽  
G. G. Eremin
Keyword(s):  
General Practitioner ◽  
Personal Protective Equipment ◽  
Clinical Manifestations ◽  
Medical Professionals ◽  
Protective Equipment ◽  
Nurse Anesthetist ◽  
Field Hospital ◽  
Emergency Medical ◽  
Coronavirus Infection ◽  
Medical Teams

Relevance. In the context of the new SARS-CoV-2 coronavirus pandemic, the range of use of personal protective equipment (hereinafter referred to as PPE) is becoming increasingly broad, from emergency and emergency medical teams that go to patients with suspected COVID-19, to specialized covid hospitals. Aim. Identification of features in the operation of PPE in a strict anti-epidemic regime and development of recommendations on the use of PPE to improve the efficiency of medical professionals. Materials and methods. In the period from April to May 2020 in the field hospital of the Association of Alpine shooters at the exhibition centre, FIERA DI BERGAMO Italian Republic (hereinafter - the hospital), 8 medical and nursing teams, each of them included the doctors-epidemiologist, anesthesiologist-resuscitation, general practitioner, and nurse anesthetist (total number 32 professionals) conducted relevant sanitary-antiepidemic (preventive) and treatment-and-prophylactic interventions among patients with clinical manifestations of COVID-19. Conclusion. As a result of using a whole range of disposable PPE of various modifications, the features and disadvantages of their operation in the field were established. The main recommendations for using PPE when working with patients infected with SARS-CoV-2 are formulated.

Rational use of personal protective equipment in medical organizations in an unfavorable epidemiological situation ...

2020 ◽  
Author(s):  
Natal'ya Berezina ◽  
Mihail Cherkashin ◽  
Nikita Berezin
Keyword(s):  
Health Care ◽  
Personal Protective Equipment ◽  
Training Manual ◽  
Medical Professionals ◽  
Protective Equipment ◽  
Rational Use ◽  
Coronavirus Infection ◽  
Epidemiological Situation

The training manual discusses the organization of the use of personal protective equipment in the context of a new coronavirus infection (SARS-CoV-2) pandemic. It is intended for health care organizers, doctors of all specialties, and other medical professionals who provide care to patients with suspected or confirmed coronavirus infection.

The incidence of COVID-19 medical workers. The issues of biosafety and occupational risk factors

2021 ◽  
Vol 20 (2) ◽  
pp. 4-11
Author(s):  
T. A. Platonova ◽  
A. A. Golubkova ◽  
A. V. Tutelyan ◽  
S. S. Smirnova
Keyword(s):  
Risk Factors ◽  
Personal Protective Equipment ◽  
Work Experience ◽  
Health Workers ◽  
Clinical Manifestations ◽  
Occupational Risk ◽  
Protective Equipment ◽  
Online Questionnaire ◽  
Occupational Risk Factors ◽  
Coronavirus Infection

Relevance. During the pandemic of the new coronavirus infection (COVID-19), one of the most vulnerable and actively involved in the epidemic process categories of the population were medical workers. The study of the incidence of COVID-19 among medical workers, risk factors for infection and safety measures is an important area of research in modern conditions. The aim of the study is to assess the prevalence of COVID-19 among employees of medical organizations and occupational risk factors for infection in order to develop proposals for corrective measures. Materials and methods. To study the incidence of COVID-19 among employees of medical organizations, an anonymous online questionnaire developed by the authors was used, which was posted on the Google platform and distributed during the first wave of the pandemic among employees of medical organizations in several regions of the Russian Federation through corporate e-mail or specialized online resources adapted for health workers. The survey involved 1,872 medical workers of different genders, ages, positions and work experience. Results and discussion. Among the survey participants, 161 employees have already had a new coronavirus infection. In the majority (64.0%) of them, the disease occurred in the form of acute respiratory infection, in 28.6% - interstitial pneumonia, in 7.4% only the fact of isolation of the SARSCoV-2 antigen without clinical manifestations of infection was documented. The most affected contingents were secondary and junior medical personnel, mainly hospital staff. The likelihood of infection in the workplace was increased by factors such as providing care to patients with confirmed COVID-19, participating in procedures related to aerosol generation, working with biomaterials of patients with COVID-19, contact with surfaces in the environment of a COVID-19 patient, ignorance of infectious safety issues due to lack of instruction before admission to work. When assessing the efficiency of personal protective equipment (PPE) when they are used in the process, it was found that the highest value for the prevention of infection COVID-19 had a PPE for face protection, respiratory and eye, and hand hygiene. At the same time, many employees are faced with the problem of an insufficient number of protective equipment in the workplace. When assessing the availability of SARS-CoV-2 testing to employees, it was found that only 77.4% of survey participants had the opportunity to be tested for coronavirus infection in a timely manner. Conclusion. Thus, for more effective protection of employees of medical organizations, it is necessary to have a sufficient number of personal protective equipment, especially for the face, respiratory organs and vision, the availability of hygienic hand treatment during work, regular instruction on infectious safety, using interactive forms of training, and the organization of screening examinations of previously unvaccinated and unvaccinated employees.

scholarly journals COVID-19 pandemic challenges for dermatology

2020 ◽  
Vol 1 (1) ◽  
pp. 14-17
Author(s):  
Evgenia Dvoryankova ◽  
Keyword(s):  
Medical Care ◽  
Personal Protective Equipment ◽  
Medical Community ◽  
Protective Equipment ◽  
Occupational Dermatitis ◽  
Medical Assistance ◽  
Coronavirus Infection ◽  
Quality Medical Care

COVID-19 pandemic posed a number of new formidable challenges to medical community. Dermatologists have not only to detect, define and reverse the new coronavirus infection cutaneus manifestations, but also to provide medical assistance to colleagues with occupational dermatitis due to personal protective equipment use. Moreover, it is necessary to provide quality medical care to patients with acute and chronic dermatosis given the limitations of present pandemic situation.

scholarly journals Tatalaksana Anestesi pada Operasi Obstetri dengan Covid-19

2020 ◽  
Vol 3 (1) ◽  
pp. 35-46
Author(s):  
Isngadi Isngadi ◽  
Rafidya Indah Septica ◽  
Susilo Chandra
Keyword(s):  
General Anesthesia ◽  
Regional Anesthesia ◽  
Personal Protective Equipment ◽  
Health Workers ◽  
Clinical Manifestations ◽  
Protective Equipment ◽  
Anesthesia Management ◽  
First Choice ◽  
High Incidence ◽  
Obstetric Surgery

Coronavirus Disease 2019 (COVID-19) merupakan masalah utama kesehatan dunia. Kasus COVID-19 terus meningkat secara ekponensial di berbagai belahan dunia. Wanita hamil juga mengalami peningkatan kejadian infeksi COVID-19. Manifestasi klinis COVID-19 bervariasi, dengan sebagian besar pasien memiliki gejala saluran pernapasan. Pasien terinfeksi covid-19 yang asimpomatis atau pasien yang terinfeksi sebelum munculnya manifestasi klinis mampu menularkan penyakit. Sehingga perlu dilakukan deteksi dini kepada semua maternal yang akan dilakukan tindakan operasi, terutama di daerah dengan kejadian inveksi COVID-19 yang tinggi. Tatalaksana anestesi pada operasi obstetri dengan COVID-19 harus memperhatikan beberapa hal dengan tujuan pengendalian infeksi untuk mencegah penularan COVID-19, kepada petugas kesehatan, anak yang baru dilahirkan serta orang lain lingkungan sekitar. Tenaga kesehatan yang terpapar COVID-19 berisiko terinfeksi apabila tidak menggunakan alat pelindung diri (APD) sesuai standar, sehingga penggunaan APD sesuai standart secara benar sangat penting,untuk mencegah tertularnya COVID-19 pada petugas. Tehnik anestesi yang menjadi pilihan utama untuk operasi obstetri dengan COVID-19, adalah dengan tehnik anestesi regional (epidural dan atau spinal), karena dengan tehnik tersebut mengindari timbulnya aerosol. Tehnik anestesi umum hanya digunakan apabila : gagal dengan tehnik anestesi regional, ada kontraindikasi dengan tehnik anestesi regional atau maternal mengalami desaturasi(saturasi <93%). Apabila menggunakan tehnik anestesi umum maka dalam pelaksanaanya harus dengan prinsip pencegahan terjadinya penyebaran infeksi. Anesthesia Management for obstetric surgery with COVID-19 infected Abstract The coronavirus disease 19 (COVID-19) is a global health problem. The number of cases of COVID-19 continue to rise exponentially in many parts of the world. Pregnant women have also increasing COVID-19 infection. The clinical manifestations of COVID-19 are varied, with most patients having respiratory symptom. The asymptomatic covid-19 infected patients or infected patients before clinical manifestations can transmit the disease. So early detection should be done for all mothers who will perform surgery, especially in areas with a high incidence of COVID-19 infection. Anesthesia management in obstetric surgery with COVID-19 must pay attention to several things with the aim of controlling infection to prevent transmission of COVID-19, for health workers, newborn babies and other people in the surrounding environment. Health workers who are exposed to COVID-19 are at risk of infection if they do not use personal protective equipment (PPE) according to the standard, so the use of PPE according to proper standards is very important, to prevent the transmission of COVID-19 to the officerExpected health workers, COVID-19, the risk of coverage, do not use personal protective equipment (PPE) according to standards, so the use of PPE according to the standard, is very important. The first choice of Anesthesia techniques for obstetric surgery in maternal COVID-19 infection are regional anesthesia techniques (epidural and or spinal), because with these techniques avoid the emergence of aerosols. General anesthesia techniques are only used if: fail with regional anesthesia techniques, there are contraindications to regional anesthesia or maternal desaturation (saturation <93). If using general anesthesia techniques, the prevention of infection is a major concern.

scholarly journals Blood biomarkers for assessing headaches in healthcare workers after wearing biological personal protective equipment in a COVID-19 field-hospital

2020 ◽  
Author(s):  
Francisco Martín-Rodríguez ◽  
Raquel M. Portillo Rubiales ◽  
Laura N. Fadrique Millán ◽  
Virginia Carbajosa Rodríguez ◽  
Ancor Sanz-García ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
De Novo ◽  
Blood Analysis ◽  
Protective Equipment ◽  
Blood Biomarkers ◽  
Field Hospital ◽  
Treatment Unit ◽  
Baseline Creatinine

Abstract The consequences of wearing biosafety equipment by healthcare professionals during their work and the prediction of such consequences need to be assessed. To analyze the role played by different blood biomarkers in predicting the appearance of headaches in healthcare workers wearing personal protective equipment (PPE) in a COVID-19 treatment unit, a Prospective cohort study of 38 healthcare workers from a convalescence unit of patients with COVID-19 in a field hospital was performed during April 2020. Blood analysis was carried out before the start of the 4 hours shift of the volunteers equipped with PPE. After decontamination, there were asked if they had suffered from headache, obtaining the binary outcome. This study included 38 participants with a median age of 29 years (25th-75th percentile: 26-44 years old), 73.7% female (28 cases). 44.7% (17 cases) had a headache after wearing PPE for 4 hours. The baseline creatinine value reflected a specific odds ratio in the regression model of 241.36 (95% CI: 2.50-23,295.43; p=0.019), and an AUC of 0.737 (95%CI: 0.57-0.90; p<0.01). Blood creatinine is a good candidate for predicting the appearance of a de novo headache in healthcare workers after wearing PPE for 4 hours in a COVID – 19 unit.

scholarly journals Use of personal protective equipment during infectious disease outbreak and nonoutbreak conditions: a survey of emergency medical technicians

CJEM ◽  
2009 ◽  
Vol 11 (01) ◽  
pp. 44-56 ◽  
Author(s):  
Laura M. Visentin ◽  
Susan J. Bondy ◽  
Brian Schwartz ◽  
Laurie J. Morrison
Keyword(s):  
Airway Management ◽  
Personal Protective Equipment ◽  
Intermediate Frequency ◽  
Emergency Medical Technicians ◽  
Protective Equipment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mandatory Training ◽  
Emergency Medical ◽  
Open Face

ABSTRACTObjective:We sought to assess the knowledge of, use of and barriers to the use of personal protective equipment for airway management among emergency medical technicians (EMTs) during and since the 2003 Canadian outbreak of Severe Acute Respiratory Syndrome (SARS).Methods:Using a cross-sectional survey, EMTs in Toronto, Ont., were surveyed 1 year after the SARS outbreak during mandatory training on the use of personal protective equipment in airway management during the outbreak and just before taking the survey. Practices that were addressed reflected government directives on the use of this equipment. Main outcome measures included the frequency of personal protective equipment use and, as applicable, why particular items were not always used.Results:The response rate was 67.3% (n= 230). During the SARS outbreak, an N95-type particulate respirator was reported to bealwaysused by 91.5% of respondents. Conversely, 72.9% of the respondents reported that theyneverused the open face hood. Equipment availability and vision impairment were often cited as impediments to personal protective equipment use. In nonoutbreak conditions, only the antimicrobial airway filter was most often reported to bealwaysused (52.0%), while other items were used at an intermediate frequency. The most common reason for notalwaysdonning equipment was that paramedics deemed it unnecessary for the situation.Conclusion:Personal protective equipment is not consistently employed as per medical directives. Reasons given for nonuse included nonavailability, judgment of nonnecessity or technical difficulties. There are important public health implications of noncompliance.

Features of reflection in the accounting of agricultural universities of expenses related to the implementation of measures to prevent the spread of a new coronavirus infection

2021 ◽  
pp. 50-58
Author(s):  
E. Y. Dorokhova ◽  
T. I. Logvinova
Keyword(s):  
Personal Protective Equipment ◽  
Economic Life ◽  
Educational Institutions ◽  
Protective Equipment ◽  
State Support ◽  
Coronavirus Infection ◽  
Restrictive Measures

The article explores the features and problems of accounting for the facts of the economic life of agricultural universities associated with the implementation and reimbursement of expenses for the acquisition of personal protective equipment during a pandemic. There are three possible options for accounting for targeted budget funds and expenses, depending on the conditions and timing of their implementation. Schemes of accounting records have been developed to reflect the costs associated with the implementation of restrictive measures and the prevention of cases of new coronavirus infection, and their reimbursement from the budget within the framework of state support for agricultural educational institutions.

scholarly journals Review of recommendations for emergency medical teams during the SARS-CoV-2 epidemic

2020 ◽  
Vol 7 (4) ◽  
pp. 313-318
Author(s):  
Przemysław Kożan ◽  
Daniel Ślęzak ◽  
Rafał Szczepański ◽  
Marlena Robakowska ◽  
Piotr Robakowski ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Emergency Services ◽  
National Level ◽  
Case Definition ◽  
Protective Equipment ◽  
Emergency Medical ◽  
Management Schemes ◽  
Medical Teams ◽  
New Procedures

The aim of this work was to present the recommendations for emergency medical teams in Poland during the SARSCoV-2 epidemic. During the epidemic of the new coronavirus, health care system in the world faced the need to deal with the effects of the virus. The medical staff’s behavior has been adapted to the new reality in order to help patient best and prevent the staff from becoming infected. The result of these activities was the creation of new procedures and recommendations. Due to the huge role of pre-hospital care, it has become necessary to create procedures at the national level so that the way of dealing with an infected patient is the same. With the growing knowledge of the virus, the case definition has changed and the Ministry of Health has updated its recommendations. Emergency medical teams and air emergency services have adapted to the changes imposed by the Minister of Health. The global problem of the SARS-CoV-2 is still a challenge for healthcare systems in Poland and worldwide. It will be necessary to update previously developed guidelines and management schemes, with particular emphasis on emergency medical services. The priority is to secure a sufficient amount of personal protective equipment, disinfectants and to create such procedures that will protect the system during the next crisis. It is important that healthcare professionals adopt a universal set of guidelines that they should follow to minimize SARS-CoV-2 infection.

Sign in / Sign up

Export Citation Format

Share Document