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Respiratory Protection During Simulated Emergency Pediatric Life Support: A Randomized, Controlled, Crossover Study

Published online by Cambridge University Press:  23 October 2012

Jan Schumacher ,
Stuart A. Gray ,
Sophie Michel ,
Roger Alcock  and
Andrea Brinker
Jan Schumacher*
Affiliation:
King's College, London, United Kingdom
Stuart A. Gray
Affiliation:
London Ambulance Service NHS Trust, London, United Kingdom
Sophie Michel
Affiliation:
University of Luebeck, Luebeck, Germany
Roger Alcock
Affiliation:
Stirling Royal Infirmary, Stirling, United Kingdom
Andrea Brinker
Affiliation:
St Thomas' Hospital, London, United Kingdom
*
Correspondence: Jan Schumacher, PhD GKT School of Medicine King's College London, St Thomas' Campus Department of Anaesthetics Lambeth Palace Rd London SE1 7EH UK E-mail [email protected]
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Abstract

Introduction

Emergency pediatric life support (EPLS) of children infected with transmissible respiratory diseases requires adequate respiratory protection for medical first responders. Conventional air-purifying respirators (APR) and modern loose-fitting powered air-purifying respirator-hoods (PAPR-hood) may have a different impact during pediatric resuscitation and therefore require evaluation.

Objective

This study investigated the influence of APRs and PAPR-hoods during simulated pediatric cardiopulmonary resuscitation.

Methods

Study design was a randomized, controlled, crossover study. Sixteen paramedics carried out a standardized EPLS scenario inside an ambulance, either unprotected (control) or wearing a conventional APR or a PAPR-hood. Treatment times and wearer comfort were determined and compared.

Results

All paramedics completed the treatment objectives of the study arms without adverse events. Study subjects reported that communication, dexterity and mobility were significantly better in the APR group, whereas the heat-build-up was significantly less in the PAPR-hood group. Treatment times compared to the control group did not significantly differ for the APR group but did with the PAPR-hood group (261±12 seconds for the controls, 275±9 seconds for the conventional APR and 286±13 seconds for the PAPR-hood group, P < .05.

Conclusions

APRs showed a trend to better treatment times compared to PAPR-hoods during simulated pediatric cardiopulmonary resuscitation. Study participants rated mobility, ease of communication and dexterity with the tight-fitting APR system significantly better compared to the loose-fitting PAPR-hood.

SchumacherJ, GraySA, MichelS, AlcockR, BrinkerA. Respiratory Protection During Simulated Emergency Pediatric Life Support: A Randomized, Controlled, Crossover Study. Prehosp Disaster Med. 2013;28(1):1-6.

Keywords

APRbiological warfaredeliberate releaseEPLSmedical simulationpandemic fluPAPRpediatric resuscitationrespiratory protectionSARS
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 1 , February 2013 , pp. 33 - 38
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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