Asunto(s)
Personal de Salud , Maniquíes , Cuerpo Médico de Hospitales , Personal de Enfermería en Hospital , Exposición Profesional/prevención & control , Equipo de Protección Personal , Aerosoles , Anciano , Betacoronavirus , COVID-19 , Niño , Infecciones por Coronavirus/prevención & control , Tos/virología , Servicio de Urgencia en Hospital , Fluorescencia , Humanos , Intubación Intratraqueal , Israel , Pandemias/prevención & control , Neumonía Viral/prevención & control , Ropa de Protección , Respiración Artificial/efectos adversos , Respiración Artificial/métodos , Síndrome de Dificultad Respiratoria/terapia , SARS-CoV-2 , PielRESUMEN
STATEMENT: Shortage of personal protective equipment (PPE) for frontline healthcare workers managing the current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is a major, global challenge. In this pilot study, we describe a simulation-based method for evaluating the suitability and acceptability of an alternative biological isolation garment (BIG, a gown or a suit) for clinical use by emergency department (ED) personnel. Using a high-fidelity simulator, participants provided airway management according to the SARS-CoV-2 protocol. A nonvisible fluorescent marker was used as a surrogate marker of contamination. We assessed ultraviolet light visualization of the fluorescent marker after doffing and satisfaction with donning, use during simulation, and doffing. We found that after doffing, markers were not visualized on any of the participants and that the median satisfaction scores of the alternative and standard BIG (sBIG) were 4 [interquartile range (IQR) = 1-5] and 4 (IQR = 2-4), respectively. The results suggest the suitability and acceptability of the alternative BIG (aBIG) for use by ED personnel.