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2020 ; 12
(3
): e7433
Nephropedia Template TP
gab.com Text
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English Wikipedia
Maintenance of Skill Proficiency for Emergency Skills With and Without Adjuncts
Despite the Use of Level C Personal Protective Equipment
#MMPMID32351813
Sule H
; Kulkarni M
; Sugalski G
; Murano T
Cureus
2020[Mar]; 12
(3
): e7433
PMID32351813
show ga
Objective To determine the impact of Level C personal protective equipment (PPE)
on the time to perform intravenous (IV) cannulation and endotracheal intubation,
both with and without the use of adjuncts. Methods This prospective, case-control
study of emergency medicine resident physicians was designed to assess the time
taken by each subject to perform endotracheal intubation using both direct
laryngoscopy (DL) and video laryngoscopy (VL), as well as peripheral IV
cannulation both with and without ultrasound guidance and with and without PPE.
Results While median times were higher using VL as compared to DL, there was
no significant difference between intubation with either DL or VL in subjects
with and without Level C PPE. Similarly, no significant difference in time was
found for intravenous cannulation in the PPE and no-PPE groups, both with and
without ultrasound guidance. Conclusions Existing skill proficiency was
maintained despite wearing PPE and there was no advantage with the addition of
adjuncts such as video-assisted laryngoscopy and ultrasound-guided intravenous
cannulation. A safe and cost-effective strategy might be to conduct basic,
just-in-time PPE training to enhance familiarity with donning, doffing, and
mobility, and couple this with the use of personnel who have maximal proficiency
in the relevant emergency skill, instead of more expensive, continuous,
skills-focused PPE training.