Reusability of Facemasks During an Influenza Pandemic
Reusability of Facemasks During an Influenza Pandemic

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2006-08-24

Total Pages: 106

ISBN-13: 0309101824

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Any strategy to cope with an influenza pandemic must be based on the knowledge and tools that are available at the time an epidemic may occur. In the near term, when we lack an adequate supply of vaccine and antiviral medication, strategies that rely on social distancing and physical barriers will be relatively more prominent as means to prevent spread of disease. The use of respirators and facemasks is one key part of a larger strategy to establish barriers and increase distance between infected and uninfected individuals. Respirators and facemasks may have a role in both clinical care and community settings. Reusability of Facemasks During an Influenza Pandemic: Facing the Flu answers a specific question about the role of respirators and facemasks to reduce the spread of flu: Can respirators and facemasks that are designed to be disposable be reused safely and effectively? The committee-assisted by outstanding staff-worked intensively to review the pertinent literature; consult with manufacturers, researchers, and medical specialists; and apply their expert judgment. This report offers findings and recommendations based on the evidence, pointing to actions that are appropriate now and to lines of research that can better inform future decisions.

Improvised Medicine: Providing Care in Extreme Environments
Improvised Medicine: Providing Care in Extreme Environments

Author: Kenneth V. Iserson

Publisher: McGraw Hill Professional

Published: 2012-04-05

Total Pages: 593

ISBN-13: 0071770011

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Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable—or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in seconds Perform digital-oral and blind-nasotracheal intubations Make plaster bandages for splints/casts Give open-drop ether, ketamine drips, and halothane Use subcutaneous/intraperitoneal rehydration/transfusion Make ORS and standard nutrition formulas Clean, disinfect, and sterilize equipment for reuse Warm blood units in seconds inexpensively Take/view stereoscopic x-rays with standard equipment Quickly and easily stop postpartum hemorrhage Fashion surgical equipment from common items Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel

Reusable Elastomeric Respirators in Health Care
Reusable Elastomeric Respirators in Health Care

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2019-04-15

Total Pages: 227

ISBN-13: 0309485150

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Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care workers across the wide range of settings in which they work and the jobs that they perform. Keeping health care workers healthy is an ethical commitment both in terms of addressing the occupational risks faced by health care workers and of providing for the continuity of patient care and services needed to maintain the health of individuals and communities. During a public health emergency, challenges will arise concerning the availability of respiratory protective devices (i.e., respirators). Reusable respirators (specifically, reusable half-facepiece elastomeric respirators) are the standard respiratory protection device used in many industries, and they provide an option for use in health care that has to date not been fully explored. The durability and reusability of elastomeric respirators make them desirable for stockpiling for emergencies, where the need for large volumes of respirators can be anticipated. However, they are used infrequently in health care. Reusable Elastomeric Respirators in Health Care explores the potential for the use of elastomeric respirators in the U.S. health care system with a focus on the economic, policy, and implementation challenges and opportunities. This report examines the practicability of elastomeric use in health care on a routine basis and during an influenza pandemic or other large aerosol-transmissible outbreak, when demand for respiratory protective devices by U.S. health care personnel may be larger than domestic supplies. The report also addresses the issues regarding emergency stockpile management of elastomeric respiratory protective devices.

Ventilator-Induced Lung Injury
Ventilator-Induced Lung Injury

Author: Didier Dreyfuss

Publisher: CRC Press

Published: 2006-03-21

Total Pages: 776

ISBN-13: 1420019260

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This reference surveys current best practices in the prevention and management of ventilator-induced lung injury (VILI) and spans the many pathways and mechanisms of VILI including cell injury and repair, the modulation of alveolar-capillary barrier properties, and lung and systemic inflammatory consequences of injurous mechanical ventilation. Cons

Core Topics in Airway Management
Core Topics in Airway Management

Author: Ian Calder

Publisher: Cambridge University Press

Published: 2005-01-06

Total Pages: 230

ISBN-13: 9781139443043

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This book provides an easy-to-read introduction to this important topic that will be of value to a wide spectrum of healthcare professionals including anaesthetists, intensivists, ODPs, theatre and recovery nurses. Concise but comprehensive chapters from experts in the field cover everything from basic anatomy, physiology and applied physics, through the various methods of maintaining the airway under anaesthesia (supraglottic devices, tracheal intubation, tubes/cuffs, endobronchial and double-lumen tubes) to the problem airway (obstruction by infection, tumour or a foreign body, ENT and maxillo-facial surgery, aspiration, obstetrics, trauma, cervical spine disease, intensive care, the 'lost' airway, extubation and recovery), the paediatric airway, disinfection and cleaning of equipment and finally morbidity, mortality and medico-legal issues. 'Real' clinical scenarios, with patient management questions and model answers, are included throughout, to bring to life some of the key problems encountered in day-to-day practice and enhance the book's utility as a teaching and self-learning tool.

Acute and Critical Care in Adult Nursing
Acute and Critical Care in Adult Nursing

Author: Desiree Tait

Publisher: Learning Matters

Published: 2015-12-26

Total Pages: 321

ISBN-13: 147392751X

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This book helps adult nursing students to competently manage care of critically and acutely ill patients, and to recognize and deal with the early signs of deterioration. The book takes a practical real-life approach to care, with each chapter focusing on patients with specific problems, then interweaving the knowledge and skills needed to care for that patient. New to this edition: · two new chapters focusing on the renal system and endocrine system · updates to include the latest evidence and guidelines from NICE · refreshed activities and scenarios reflecting current nursing practice.

Crisis Standards of Care
Crisis Standards of Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2013-10-27

Total Pages: 217

ISBN-13: 0309285526

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Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Emerging Applications of 3D Printing During CoVID 19 Pandemic
Emerging Applications of 3D Printing During CoVID 19 Pandemic

Author: Kamalpreet Sandhu

Publisher: Springer Nature

Published: 2021-07-29

Total Pages: 208

ISBN-13: 9813367032

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This book presents various practical breakthroughs of 3D printing (3DP) technologies in developing different types of tool and gadgets to be used against COVID-19 pandemic. It presents multidisciplinary aspects of 3DP technology in social, medical, administration, and scientific areas. This book presents state-of-the-art applications of 3DP technology in the development of PPE, ventilators, respiratory equipments, and customized drugs. It provides a comprehensive collection of the technical notes, research designs, literature prospective, and clinical applications of 3DP technologies to effectively deal with the COVID-19 pandemic. This book will be beneficial for the medical professionals, pharmacists, manufacturing enterprises, and young scholars in understanding the real potential of 3DP technologies in aiding humans-based activities against the COVID-19 crisis. Having interdisciplinary applications in applied science, this book will also be useful for wide range of academicians, research scholars and industry stakeholders.

Rapid Expert Consultations on the COVID-19 Pandemic
Rapid Expert Consultations on the COVID-19 Pandemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-05-30

Total Pages: 81

ISBN-13: 0309676908

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In response to a request from the Office of Science and Technology Policy and the Office of the Assistant Secretary for Preparedness and Response, the National Academies of Sciences, Engineering, and Medicine convened a standing committee of experts to help inform the federal government on critical science and policy issues related to emerging infectious diseases and other 21st century health threats. This set of Rapid Expert Consultations are the first of their kind and represent the best evidence available to the Committee at the time each publication was released. The science on these issues is continually evolving, and the scientific consensus the Committee reaches on these topics will likely evolve with it. The standing committee includes members with expertise in emerging infectious diseases, public health, public health preparedness and response, biological sciences, clinical care and crisis standards of care, risk communication, and regulatory issues.

Ethical and Legal Considerations in Mitigating Pandemic Disease
Ethical and Legal Considerations in Mitigating Pandemic Disease

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2007-07-08

Total Pages: 250

ISBN-13: 0309107695

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In recent public workshops and working group meetings, the Forum on Microbial Threats of the Institute of Medicine (IOM) has examined a variety of infectious disease outbreaks with pandemic potential, including those caused by influenza (IOM, 2005) and severe acute respiratory syndrome (SARS) (IOM, 2004). Particular attention has been paid to the potential pandemic threat posed by the H5N1 strain of avian influenza, which is now endemic in many Southeast Asian bird populations. Since 2003, the H5N1 subtype of avian influenza has caused 185 confirmed human deaths in 11 countries, including some cases of viral transmission from human to human (WHO, 2007). But as worrisome as these developments are, at least they are caused by known pathogens. The next pandemic could well be caused by the emergence of a microbe that is still unknown, much as happened in the 1980s with the emergence of the human immunodeficiency virus (HIV) and in 2003 with the appearance of the SARS coronavirus. Previous Forum meetings on pandemic disease have discussed the scientific and logistical challenges associated with pandemic disease recognition, identification, and response. Participants in these earlier meetings also recognized the difficulty of implementing disease control strategies effectively. Ethical and Legal Considerations in Mitigating Pandemic Disease: Workshop Summary as a factual summary of what occurred at the workshop.