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Exposure to a Surrogate Measure of Contamination From Simulated Patients by Emergency Department Personnel Wearing Personal Protective Equipment

Educational Objective
To understand how best to protect emergency physicians and nurses when treating COVID-19 patients
1 Credit CME

A major challenge with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is the effective protection of health care workers.1 Recommendations for the use of personal protective equipment to protect against SARS-CoV-2 exposure by health care workers were recently published by the World Health Organization and the US Centers for Disease Control and Prevention. For aerosol-generating procedures, N95 respirators, eye protection, isolation gowns, and gloves were recommended. Coveralls, boots with a cover, and hair coverings were not part of the recommended protective clothing.2,3

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Article Information

Corresponding Author: Itai Shavit, MD, POB 274, Kibbutz Maayan Tzvi 3080500, Israel (itai@pem-database.org).

Accepted for Publication: April 13, 2020.

Published Online: April 27, 2020. doi:10.1001/jama.2020.6633

Author Contributions: Dr Shavit had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Feldman and Meir contributed equally.

Concept and design: Feldman, Meir, I. Shavit.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Feldman, Meir, I. Shavit.

Critical revision of the manuscript for important intellectual content: Feldman, Meir, D. Shavit, Idelman.

Administrative, technical, or material support: Feldman, D. Shavit, Idelman, I. Shavit.

Supervision: Meir.

Conflict of Interest Disclosures: None reported.

References
1.
Adalja  AA , Toner  E , Inglesby  TV .  Priorities for the US health community responding to COVID-19.   JAMA. Published online March 3, 2020. doi:10.1001/jama.2020.3413 PubMedGoogle Scholar
2.
World Health Organization. Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19). Published February 27, 2020. Accessed March 21, 2020. https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf
3.
US Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. Accessed March 21, 2020. https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html
4.
Verbeek  JH , Rajamaki  B , Ijaz  S ,  et al.  Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.   Cochrane Database Syst Rev. 2019;7:CD011621. doi:10.1002/14651858.CD011621.pub3PubMedGoogle Scholar
5.
Lockhart  SL , Naidu  JJ , Badh  CS , Duggan  LV .  Simulation as a tool for assessing and evolving your current personal protective equipment: lessons learned during the coronavirus disease (COVID-19) pandemic.   Can J Anaesth. Published online March 27, 2020. doi:10.1007/s12630-020-01638-z PubMedGoogle Scholar
6.
Wax  RS , Christian  MD .  Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients.   Can J Anaesth. Published online February 12, 2020. doi:10.1007/s12630-020-01591-x PubMedGoogle Scholar
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