Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review
| Autor: | Hanniebey D. Wiyor, Karen Lohmann Siegel, James C. Coburn |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Medical device business.industry Public health medicine.medical_treatment Public Health Environmental and Occupational Health Drug administration 030208 emergency & critical care medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Emergency response Equipment and Supplies Radiological weapon medicine Humans Airway management 030212 general & internal medicine Medical emergency Public Health business Personal protective equipment Personal Protective Equipment Systematic search |
| Zdroj: | Disaster medicine and public health preparedness. 14(2) |
| ISSN: | 1938-744X |
| Popis: | The aim of this systematic review is to evaluate the impact of personal protective equipment (PPE) on medical device use during public health emergency responses. We conducted a systematic literature search of peer-reviewed journals in PubMed, Web of Science, and EBSCO databases. Twenty-nine of 92 articles published between 1984 and 2015 met the inclusion criteria for the review. Although many medical device use impacts were reported, they predominantly fell into 3 categories: airway management, drug administration, and diagnostics and monitoring. Chemical, biological, radiological, and nuclear (CBRN)-PPE increased completion times for emergency clinical procedures by as much as 130% and first attempt failure rates by 35% (anesthetist) versus 55% (non-anesthetist). Effects of CBRN-PPE use depend on device, CBRN-PPE level, and clinician experience and training. Continuous clinical training of responders in CBRN-PPE and device modifications can improve safety and effectiveness of medical device use during public health emergency response. |
| Databáze: | OpenAIRE |
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