University of Nebraska College of Medicine, Department of Emergency Medicine, Omaha, Nebraska.
University of Nebraska College of Medicine, Department of Internal Medicine, Omaha, Nebraska.
West J Emerg Med. 2020 Jun 29;21(4):790-794. doi: 10.5811/westjem.2020.6.47834.
Emergency physicians are on the front lines of treating patients with highly infectious respiratory diseases. Personal protective equipment is one defense against contamination from droplet and aerosol secretions. Intubation is a procedure that greatly can increase provider's risk of exposure. Utilization of an intubation box has been discussed and recommended on social media platforms. There has been scant literature demonstrating the effectiveness of such devices. This study aimed to determine degree of droplet contamination to the intubator utilizing a novel barrier enclosure with a fluorescent simulated respiratory contagion. This model confirmed both added protection to the providers preforming intubation, and reduction of spread of the droplets when such a device is applied to patient care.
急诊医师站在治疗具有高度传染性呼吸道疾病患者的第一线。个人防护设备是防止飞沫和气溶胶分泌物污染的一种防御措施。插管是一种极大地增加提供者暴露风险的程序。在社交媒体平台上已经讨论并推荐了使用插管箱。但是,很少有文献证明此类设备的有效性。本研究旨在利用荧光模拟呼吸传染病的新型屏障外壳来确定对插管者的飞沫污染程度。该模型证实了该设备在为患者提供护理时,不仅为进行插管的医护人员提供了额外的保护,而且减少了飞沫的传播。