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10.7861/clinmed.2020-0258

http://scihub22266oqcxt.onion/10.7861/clinmed.2020-0258
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32620591!7539717!32620591
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suck abstract from ncbi


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pmid32620591      Clin+Med+(Lond) 2020 ; 20 (5): e154-e159
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  • Should chest compressions be considered an aerosol-generating procedure? A literature review in response to recent guidelines on personal protective equipment for patients with suspected COVID-19 #MMPMID32620591
  • Brown E; Chan LM
  • Clin Med (Lond) 2020[Sep]; 20 (5): e154-e159 PMID32620591show ga
  • There is disagreement between international guidelines on the level of personal protective equipment (PPE) required for chest compressions for patients with suspected COVID-19. This discrepancy centres on whether they are considered to be an aerosol-generating procedure (AGP), thus requiring airborne protection to prevent transmission to healthcare workers (HCWs). The need to don higher-level PPE has to be weighed against the resulting delay to emergency treatment.We performed a literature search on this topic which found eight relevant studies. All were observational with low patient numbers and multiple confounding factors, but describe cases of acute respiratory infection transmission during chest compressions. One systematic review concluded that chest compressions were not an AGP. Two simulated studies (released as preprints) potentially demonstrate aerosol generation. Given that there is evidence for infection transmission during chest compressions, we conclude that a precautionary approach with appropriate PPE is necessary to protect HCW from contracting a potentially fatal infection.
  • |Aerosols/adverse effects[MESH]
  • |COVID-19[MESH]
  • |Cardiopulmonary Resuscitation/*adverse effects[MESH]
  • |Coronavirus Infections/epidemiology/*prevention & control[MESH]
  • |Cross Infection/*prevention & control[MESH]
  • |Disease Outbreaks/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Health Personnel/statistics & numerical data[MESH]
  • |Hospitalization/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Male[MESH]
  • |Occupational Health[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Patient Safety[MESH]
  • |Personal Protective Equipment/*statistics & numerical data[MESH]
  • |Pneumonia, Viral/epidemiology/*prevention & control[MESH]
  • |Practice Guidelines as Topic/*standards[MESH]


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