Assessment of Alternative Personal Protective Equipment by Emergency Department Personnel During the SARS-CoV-2 Pandemic

Shavit, Danielle; Feldman, Oren; Hussein, Khetam; Meir, Michal; Miller, Asaf; Gutgold, Amichai; Idelman, Ravit; Kvatinsky, Noa; Cohen, Daniel M.; Shavit, Itai

doi:10.1097/sih.0000000000000508

Cited by 4 publications

(4 citation statements)

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“…The study characteristics are presented in the Table 1. Most of the studies on simulation-based training were developed in response to SARS-CoV-2 (n = 117, 79.1%) 6–8,16–128 . Eighteen were motivated by Ebola outbreaks (12.2%), 129–146 7 by influenza (4.7%), 147–153 3 by MERS (2%), 154–156 and 3 by pandemics in general (2%) 157–159 …”

Section: Resultsmentioning

confidence: 99%

Health Care Simulation as a Training Tool for Epidemic Management

et al. 2023

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Summary StatementThe objective of this research was to identify and review studies that have evaluated the impact of simulation-based training on health care professionals during epidemics.All studies in health care simulation-based training published during the last 5 epidemics with a global impact (SARS-CoV, H1N1, MERS, Ebola, SARS-CoV-2; through July 2021) were selected from a systematic search of PUBMED, EMBASE, and key journals.The search strategy identified 274 studies; 148 met the inclusion criteria and were included. Most of the studies were developed in response to SARS-CoV-2 infection (n = 117, 79.1%), used a descriptive approach (n = 54, 36.5%), and were used to train technical skills (n = 82, 55.4%).This review demonstrates a growing interest in publications related to health care simulation and epidemics. Most of the literature is marked by limited study designs and outcome measurements, although there is a trend toward the use of more refined methodologies in the most recent publications. Further research should seek the best evidence-based instructional strategies to design training programs in preparation for future outbreaks.

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Section: Resultsmentioning

confidence: 99%

Health Care Simulation as a Training Tool for Epidemic Management

et al. 2023

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“…Masks prevent seeing people's faces. Its mandatory use has had a negative impact on communication, empathy and closeness, more pronounced in some subgroups such as children [15], the elderly, patients with impaired speech, mental health disorders or cognitive impairment, and patients who do not speak Spanish as their first language or with hearing loss [16][17][18]. Smiles and facial stimuli are not seen, and are necessary for the relationship with patients.…”

Section: Disadvantages Of Maintaining the Obligatory Nature Of Its Usementioning

confidence: 99%

Advantages and disadvantages of maintaining the mandatory use of masks in health centers and nursing homes in Spain. How and when is it justified to maintain it?

Martínez‐Sellés¹,

Sánchez²,

Guillén³

et al. 2023

Rev Esp Quimioter

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We address the advantages and disadvantages of maintaining the mandatory use of masks in health centers and nursing homes in the current epidemiological situation in Spain and after the declaration of the World Health Organization on May 5, 2023 of the end of COVID-19 as public health emergency. We advocate for prudence and flexibility, respecting the individual decision to wear a mask and emphasizing the need for its use when symptoms suggestive of a respiratory infection appear, in situations of special vulnerability (such as immunosuppression), or when caring for patients with those infections. At present, given the observed low risk of severe COVID-19 and the low transmission of other respiratory infections, we believe that it is disproportionate to maintain the mandatory use of masks in a general way in health centers and nursing homes. However, this could change depending on the results of epidemiological surveillance and it would be necessary to reconsider returning to the obligation in periods with a high incidence of respiratory infections.

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“…During the pandemic, novel solutions to visualize viral spread have used either airborne particle measurements or fluorescent particles such as GloGerm (Moab, UT) under blacklight [8][9][10][11]. However, the airborne particle measurements are not optimal in a room with substantial human movement such as during a resuscitation.…”

Section: Introductionmentioning

confidence: 99%

Development of a Mannequin for Simulation-Based Trials Involving Respiratory Viral Spread During Respiratory Arrest and Cardiopulmonary Arrest Scenarios

Luu¹,

Chan²,

Langga³

et al. 2021

Cureus

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During the coronavirus disease 2019 (COVID-19) pandemic, mannequin models have been developed to mimic viral spread using fluorescent particles. These models use contraptions such as a spray gun or an exploding latex balloon to emanate a sudden acceleration of particles, simulating a "cough" reflex. No models have been developed to mimic passive aerosolization of viral particles during a cardiopulmonary arrest simulation. Our novel approach to aerosolization of simulated viral spread allows for a continuous flow of particles, which allows us to maintain components of high-fidelity team-based simulations. Our simulated model emanated GloGerm (Moab, UT) from the respiratory tract using a continuous nebulization chamber. Uniquely, the construction of our apparatus allowed for the ability to perform full, simulated cardiopulmonary resuscitation scenarios (such as chest compressions, bag-mask ventilation, and endotracheal intubation) on a high-fidelity mannequin while visualizing potential contamination spread at the conclusion of the simulation.Positive feedback from users included the ability to visualize particulate contamination after cardiopulmonary resuscitations in the context of personal protective equipment usage and roles in resuscitation (i.e. physician, respiratory therapist, nurse). Negative criticism towards the simulation included the lack of certain high-fidelity feedback markers of the mannequin (auscultating breath sounds and checking pulses) due to the construction of the particle aerosolization mechanism.

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Assessment of Alternative Personal Protective Equipment by Emergency Department Personnel During the SARS-CoV-2 Pandemic

Cited by 4 publications

References 0 publications

Health Care Simulation as a Training Tool for Epidemic Management

Health Care Simulation as a Training Tool for Epidemic Management

Advantages and disadvantages of maintaining the mandatory use of masks in health centers and nursing homes in Spain. How and when is it justified to maintain it?

Development of a Mannequin for Simulation-Based Trials Involving Respiratory Viral Spread During Respiratory Arrest and Cardiopulmonary Arrest Scenarios

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