About: Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Procedures by Prehospital Providers

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About: Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Procedures by Prehospital Providers Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Procedures by Prehospital Providers
Creator	Sharma, Gaurav Siegel, David Nash, Mark Chen, Jia-Yuh Debski, Julie Donoghue, Aaron Gosnell, Leigh Kochman, Adam Kou, Maybelle Krug, Steven Ku, Lawrence Semião, Meghan Stacks, Helen
Source	Medline; PMC
abstract	BACKGROUND: Personal protective equipment (PPE) is worn by prehospital providers (PHPs) for protection from hazardous exposures. Evidence regarding the ability of PHPs to perform resuscitation procedures has been described in adult but not pediatric models. This study examined the effects of PPE on the ability of PHPs to perform resuscitation procedures on pediatric patients. METHODS: This prospective study was conducted at a US simulation center. Paramedics wore normal attire at the baseline session and donned full Level B PPE for the second session. During each session, they performed timed sets of psychomotor tasks simulating clinical care of a critically ill pediatric patient. The difference in time to completion between baseline and PPE sessions per task was examined using Wilcoxon signed-rank tests. RESULTS: A total of 50 paramedics completed both sessions. Median times for task completion at the PPE sessions increased significantly from baseline for several procedures: tracheal intubation (+4.5 s; P = 0.01), automated external defibrillator (AED) placement (+9.5 s; P = 0.01), intraosseous line insertion (+7 s; P < 0.0001), tourniquet (+8.5 s; P < 0.0001), intramuscular injection (+21-23 s, P < 0.0001), and pulse oximetry (+4 s; P < 0.0001). There was no significant increase in completion time for bag-mask ventilation or autoinjector use. CONCLUSIONS: PPE did not have a significant impact on PHPs performing critical tasks while caring for a pediatric patient with a highly infectious or chemical exposure. This information may guide PHPs faced with the situation of resuscitating children while wearing Level B PPE.
has issue date	2020-05-11(xsd:dateTime)
bibo:doi	10.1017/dmp.2020.128
bibo:pmid	32389152
has license	no-cc
sha1sum (hex)	30dece6583758d5936ab4697f79747095ccf9d6d
schema:url	https://doi.org/10.1017/dmp.2020.128
resource representing a document's title	Impact of Personal Protective Equipment on the Performance of Emergency Pediatric Procedures by Prehospital Providers
has PubMed Central identifier	PMC7385319
has PubMed identifier	32389152
schema:publication	Disaster medicine and public health preparedness
resource representing a document's body	covid:30dece6583758d5936ab4697f79747095ccf9d6d#body_text
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