Influence of personal protective equipment on the performance of life-saving interventions by emergency medical service personnel
Open Access
- 20 August 2016
- journal article
- research article
- Published by SAGE Publications in SIMULATION
- Vol. 92 (10), 893-898
- https://doi.org/10.1177/0037549716662322
Abstract
Prompt live-saving interventions, such as cardiopulmonary resuscitation (CPR), intravenous cannulation (IVC), and endotracheal intubation (ETI), are important for severely injured victims of chemical, biological, radiological, and nuclear (CBRN) disasters. Interventions sometime have to be performed by emergency medical service (EMS) personnel with personal protective equipment (PPE) worn in warm zones. We designed a randomized crossover simulation aimed to compare the performance of life-saving interventions in repetitive simulation of single-rescuer resuscitation wearing level-C PPE in the warm zone of a CBRN disaster. The success rate and completion time of IVC and ETI according to the presence of PPE were compared. The quality of 4-minute single-rescuer CPR was measured and compared as well. We found that the performance level of life-saving interventions performed in a simulated setting of disaster decreased when performed by EMS personnel wearing level-C PPE. Further efforts of optimizing current PPE for EMS personnel based on this study are needed.Keywords
This publication has 21 references indexed in Scilit:
- Emergency tracheal intubation immediately following traumatic injuryJournal Of Trauma-Injury Infection and Critical Care, 2012
- Part 5: Adult Basic Life SupportCirculation, 2010
- Clinical care in the "Hot Zone"Emergency Medicine Journal, 2008
- Prehospital diagnosis of massive ethylene glycol poisoning and use of an early antidoteResuscitation, 2006
- Acute Cyanide Poisoning in Prehospital Care: New Challenges, New Tools for InterventionPrehospital and Disaster Medicine, 2006
- Secondary contamination in organophosphate poisoning: analysis of an incident.QJM: An International Journal of Medicine, 2004
- Management of respiratory failure in toxic disastersResuscitation, 1999
- Modifiable Factors Associated With Improved Cardiac Arrest Survival in a Multicenter Basic Life Support/Defibrillation System: OPALS Study Phase I ResultsAnnals of Emergency Medicine, 1999
- Factors Influencing Successful Intubation in the Prehospital SettingPrehospital and Disaster Medicine, 1995
- Prehospital cardiac arrest: The impact of witnessed collapse and bystander CPR in a metropolitan EMS system with short response timesAnnals of Emergency Medicine, 1990