Respiratory protection during high‐fidelity simulated resuscitation of casualties contaminated with chemical warfare agents
Summary Emergency room personnel are threatened by secondary poisoning when treating victims affected by chemical warfare agents. Therefore, resuscitation skills practised with respiratory protection equipment in place require evaluation. We investigated the influence of wearing air‐purifying respir...
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| Veröffentlicht in: | Anaesthesia 2008-06, Vol.63 (6), p.593-598 |
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| creator | Schumacher, J. Runte, J. Brinker, A. Prior, K. Heringlake, M. Eichler, W. |
| description | Summary
Emergency room personnel are threatened by secondary poisoning when treating victims affected by chemical warfare agents. Therefore, resuscitation skills practised with respiratory protection equipment in place require evaluation. We investigated the influence of wearing air‐purifying respirators on the simulated resuscitation of chemical warfare agent casualties. We studied 22 anaesthetic trainees in a simulated resuscitation scenario requiring five set tasks, either unprotected, wearing a binocular visor respirator or a panoramic visor respirator in a randomised, crossover study. Treatment times did not differ between the three groups, with mean (SD) times to complete the tasks being 122 (8) s without a mask, 126 (7) s when wearing the panoramic visor mask and 129 (8) s when wearing the binocular respirator mask. All anaesthetists preferred the panoramic visor in terms of visual orientation but 88% of them rated the binocular mask as being more comfortable. Modern respirators have a negligible effect on simulated resuscitation scenarios for victims affected by chemical warfare agents. Panoramic visor respirators allow better visual orientation for anaesthetists during simulated resuscitation. |
| doi_str_mv | 10.1111/j.1365-2044.2008.05450.x |
| format | Article |
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Emergency room personnel are threatened by secondary poisoning when treating victims affected by chemical warfare agents. Therefore, resuscitation skills practised with respiratory protection equipment in place require evaluation. We investigated the influence of wearing air‐purifying respirators on the simulated resuscitation of chemical warfare agent casualties. We studied 22 anaesthetic trainees in a simulated resuscitation scenario requiring five set tasks, either unprotected, wearing a binocular visor respirator or a panoramic visor respirator in a randomised, crossover study. Treatment times did not differ between the three groups, with mean (SD) times to complete the tasks being 122 (8) s without a mask, 126 (7) s when wearing the panoramic visor mask and 129 (8) s when wearing the binocular respirator mask. All anaesthetists preferred the panoramic visor in terms of visual orientation but 88% of them rated the binocular mask as being more comfortable. Modern respirators have a negligible effect on simulated resuscitation scenarios for victims affected by chemical warfare agents. Panoramic visor respirators allow better visual orientation for anaesthetists during simulated resuscitation.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.2008.05450.x</identifier><identifier>PMID: 18279486</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesiology ; Anesthesiology - instrumentation ; Anesthesiology - standards ; Attitude of Health Personnel ; Biological & chemical weapons ; Biological and medical sciences ; Chemical Warfare Agents - poisoning ; Clinical Competence ; Cross-Over Studies ; Emergency Service, Hospital - standards ; Equipment Design ; Germany ; Humans ; Manikins ; Medical equipment ; Medical personnel ; Medical sciences ; Occupational Exposure - prevention & control ; Poisoning ; Respiratory Protective Devices ; Respiratory system ; Resuscitation - standards</subject><ispartof>Anaesthesia, 2008-06, Vol.63 (6), p.593-598</ispartof><rights>2008 The Authors. Journal compilation © 2008 The Association of Anaesthetists of Great Britain and Ireland</rights><rights>2008 INIST-CNRS</rights><rights>2008 The Association of Anaesthetists of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4250-4d1bd3c1ac25557034d2f68f5aa86f4608d17bc311c415eddee7b8ea93e1f96a3</citedby><cites>FETCH-LOGICAL-c4250-4d1bd3c1ac25557034d2f68f5aa86f4608d17bc311c415eddee7b8ea93e1f96a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2044.2008.05450.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2044.2008.05450.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,1432,27923,27924,45573,45574,46408,46832</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20439592$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18279486$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schumacher, J.</creatorcontrib><creatorcontrib>Runte, J.</creatorcontrib><creatorcontrib>Brinker, A.</creatorcontrib><creatorcontrib>Prior, K.</creatorcontrib><creatorcontrib>Heringlake, M.</creatorcontrib><creatorcontrib>Eichler, W.</creatorcontrib><title>Respiratory protection during high‐fidelity simulated resuscitation of casualties contaminated with chemical warfare agents</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
Emergency room personnel are threatened by secondary poisoning when treating victims affected by chemical warfare agents. Therefore, resuscitation skills practised with respiratory protection equipment in place require evaluation. We investigated the influence of wearing air‐purifying respirators on the simulated resuscitation of chemical warfare agent casualties. We studied 22 anaesthetic trainees in a simulated resuscitation scenario requiring five set tasks, either unprotected, wearing a binocular visor respirator or a panoramic visor respirator in a randomised, crossover study. Treatment times did not differ between the three groups, with mean (SD) times to complete the tasks being 122 (8) s without a mask, 126 (7) s when wearing the panoramic visor mask and 129 (8) s when wearing the binocular respirator mask. All anaesthetists preferred the panoramic visor in terms of visual orientation but 88% of them rated the binocular mask as being more comfortable. Modern respirators have a negligible effect on simulated resuscitation scenarios for victims affected by chemical warfare agents. Panoramic visor respirators allow better visual orientation for anaesthetists during simulated resuscitation.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesiology</subject><subject>Anesthesiology - instrumentation</subject><subject>Anesthesiology - standards</subject><subject>Attitude of Health Personnel</subject><subject>Biological & chemical weapons</subject><subject>Biological and medical sciences</subject><subject>Chemical Warfare Agents - poisoning</subject><subject>Clinical Competence</subject><subject>Cross-Over Studies</subject><subject>Emergency Service, Hospital - standards</subject><subject>Equipment Design</subject><subject>Germany</subject><subject>Humans</subject><subject>Manikins</subject><subject>Medical equipment</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Occupational Exposure - prevention & control</subject><subject>Poisoning</subject><subject>Respiratory Protective Devices</subject><subject>Respiratory system</subject><subject>Resuscitation - standards</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkN2KEzEUx4Mobl19BQmClx2TSTKTuRHKsn7AoiB6HU6TkzZlPmqSoduLBR_BZ_RJnGnLemtuTiC_8z85P0IoZwWfzrtdwUWlliWTsigZ0wVTUrHi_glZPD48JQvGmFiWkjVX5EVKO8Z4qbl-Tq64LutG6mpBHr5h2ocIeYhHuo9DRpvD0FM3xtBv6DZstn9-_fbBYRvykabQjS1kdDRiGpMNGU744KmFNEKbAyZqhz5DF_oTeAh5S-0Wu2ChpQeIHiJS2GCf00vyzEOb8NWlXpMfH26_33xa3n39-Plmdbe0slRsKR1fO2E52FIpVTMhXekr7RWArrysmHa8XlvBuZVcoXOI9VojNAK5byoQ1-TNOXfa8OeIKZvdMMZ-Gml4UwvNOFMTpM-QjUNKEb3Zx9BBPBrOzKzd7Mxs18x2zazdnLSb-6n19SV_XHfo_jVePE_A2wsAadLgI_Q2pEduShSNasqJe3_mDqHF439_wKy-rG7nq_gL5omieA</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Schumacher, J.</creator><creator>Runte, J.</creator><creator>Brinker, A.</creator><creator>Prior, K.</creator><creator>Heringlake, M.</creator><creator>Eichler, W.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>200806</creationdate><title>Respiratory protection during high‐fidelity simulated resuscitation of casualties contaminated with chemical warfare agents</title><author>Schumacher, J. ; Runte, J. ; Brinker, A. ; Prior, K. ; Heringlake, M. ; Eichler, W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4250-4d1bd3c1ac25557034d2f68f5aa86f4608d17bc311c415eddee7b8ea93e1f96a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesiology</topic><topic>Anesthesiology - instrumentation</topic><topic>Anesthesiology - standards</topic><topic>Attitude of Health Personnel</topic><topic>Biological & chemical weapons</topic><topic>Biological and medical sciences</topic><topic>Chemical Warfare Agents - poisoning</topic><topic>Clinical Competence</topic><topic>Cross-Over Studies</topic><topic>Emergency Service, Hospital - standards</topic><topic>Equipment Design</topic><topic>Germany</topic><topic>Humans</topic><topic>Manikins</topic><topic>Medical equipment</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Occupational Exposure - prevention & control</topic><topic>Poisoning</topic><topic>Respiratory Protective Devices</topic><topic>Respiratory system</topic><topic>Resuscitation - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schumacher, J.</creatorcontrib><creatorcontrib>Runte, J.</creatorcontrib><creatorcontrib>Brinker, A.</creatorcontrib><creatorcontrib>Prior, K.</creatorcontrib><creatorcontrib>Heringlake, M.</creatorcontrib><creatorcontrib>Eichler, W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schumacher, J.</au><au>Runte, J.</au><au>Brinker, A.</au><au>Prior, K.</au><au>Heringlake, M.</au><au>Eichler, W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Respiratory protection during high‐fidelity simulated resuscitation of casualties contaminated with chemical warfare agents</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2008-06</date><risdate>2008</risdate><volume>63</volume><issue>6</issue><spage>593</spage><epage>598</epage><pages>593-598</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary
Emergency room personnel are threatened by secondary poisoning when treating victims affected by chemical warfare agents. Therefore, resuscitation skills practised with respiratory protection equipment in place require evaluation. We investigated the influence of wearing air‐purifying respirators on the simulated resuscitation of chemical warfare agent casualties. We studied 22 anaesthetic trainees in a simulated resuscitation scenario requiring five set tasks, either unprotected, wearing a binocular visor respirator or a panoramic visor respirator in a randomised, crossover study. Treatment times did not differ between the three groups, with mean (SD) times to complete the tasks being 122 (8) s without a mask, 126 (7) s when wearing the panoramic visor mask and 129 (8) s when wearing the binocular respirator mask. All anaesthetists preferred the panoramic visor in terms of visual orientation but 88% of them rated the binocular mask as being more comfortable. Modern respirators have a negligible effect on simulated resuscitation scenarios for victims affected by chemical warfare agents. Panoramic visor respirators allow better visual orientation for anaesthetists during simulated resuscitation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18279486</pmid><doi>10.1111/j.1365-2044.2008.05450.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesiology Anesthesiology - instrumentation Anesthesiology - standards Attitude of Health Personnel Biological & chemical weapons Biological and medical sciences Chemical Warfare Agents - poisoning Clinical Competence Cross-Over Studies Emergency Service, Hospital - standards Equipment Design Germany Humans Manikins Medical equipment Medical personnel Medical sciences Occupational Exposure - prevention & control Poisoning Respiratory Protective Devices Respiratory system Resuscitation - standards |
| title | Respiratory protection during high‐fidelity simulated resuscitation of casualties contaminated with chemical warfare agents |
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