maneuver is 35.75% less than into the elbow maneuver (p ¼ 0.15). Comparing the maximal plume area of the into the shirt maneuver to the into the mask maneuver overall participants were inconclusive with an average difference of 2.24% (p ¼ 0.66).Conclusions: Coughing into the shirt may better contain the respiratory plume than coughing into the elbow. Further evaluation is required to confirm the maneuver's efficacy; however, this method could be taught at discharge and prove to be beneficial in the emergency medicine setting given the number of respiratory patients who are seen in the emergency department.
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