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Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
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Area of Science:

  • Emergency Medicine
  • Medical Device Effectiveness

Background:

  • Personal protection equipment (PPE) is crucial for patient safety but may impact clinical procedures.
  • Understanding the effects of PPE on airway management is essential for optimizing patient care.

Purpose of the Study:

  • To evaluate the impact of basic personal protection equipment (PPE) on endotracheal intubation.
  • To compare intubation times, success rates, and perceived difficulty with and without PPE in a cadaver model.

Main Methods:

  • A prospective crossover study design was employed with emergency medicine residents.
  • Intubation performance was assessed in two conditions: standard uniform and with full PPE.
  • Key metrics included intubation time, success rate, and perceived difficulty.

Main Results:

  • Mean intubation times were similar between standard uniform (18.85s) and PPE (19.29s) groups.
  • Intubation success rates were significantly higher in the standard uniform group (83%) compared to the PPE group (72%).
  • Perceived difficulty was significantly higher when using PPE (3.38) versus standard uniform.

Conclusions:

  • While PPE does not significantly prolong intubation time, it is associated with lower success rates.
  • Increased perceived difficulty with PPE during intubation warrants further investigation.
  • Optimizing PPE use may be necessary to maintain high success rates in emergency airway management.