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Related Experiment Video

Updated: Jun 15, 2025

Executing Complexity-Increasing Queries in Relational MySQL and NoSQL MongoDB and EXist Size-Growing ISO/EN 13606 Standardized EHR Databases

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Experiences when using different EHMR models: Implications for different designs and meeting user expectations.

Emily J Haas¹, Mihili Edirisooriya², Rohan Fernando¹

¹National Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Pittsburgh, PA.

American Journal of Infection Control

|August 27, 2024

Summary

New elastomeric half-mask respirators (EHMRs) without exhalation valves (EVs) or with EV filters (EVFs) cause more discomfort than traditional EHMRs with EVs. This highlights the need for careful respirator selection in healthcare settings.

Keywords:

Elastomeric half-mask respirator Exhalation valve Health care Respiratory protection User experiences

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Area of Science:

Occupational Health
Respiratory Protection
Medical Device Evaluation

Background:

New elastomeric half-mask respirators (EHMRs) without exhalation valves (EVs) or with exhalation valve filters (EVFs) are increasingly used in healthcare for worker protection and source control.
Physical comfort of these novel EHMR models compared to traditional EHMRs with EVs has not been previously assessed.

Purpose of the Study:

To compare the physical comfort and adverse experiences of healthcare personnel wearing EHMRs with EVs versus EHMRs without EVs or with EVFs.

Main Methods:

A study involving 1,962 healthcare and emergency medical service personnel was conducted.
Two cohorts were assessed: Cohort 1 (n=1,080) wore EHMRs with EVs, and Cohort 2 (n=882) wore EHMRs without EVs or with EVFs.
Self-reported adverse experiences were collected and analyzed using Fisher exact test.

Main Results:

Cohort 1 reported significantly more communication challenges and discomfort after 1 hour of use.
Cohort 2 reported significantly more difficulty breathing, moisture buildup, discomfort within 1 hour, and feeling uncomfortably warm.

Conclusions:

Discomfort is common among EHMR users, particularly with models lacking EVs or having EVFs.
As EHMR technology advances, increased use in various settings is anticipated.
Organizations require guidance on selecting appropriate EHMR models based on specific needs and user experiences.