Elastomeric respirators are safer and more sustainable alternatives to disposable N95 masks during the coronavirus outbreak.


Journal

International journal of emergency medicine
ISSN: 1865-1372
Titre abrégé: Int J Emerg Med
Pays: England
ID NLM: 101469435

Informations de publication

Date de publication:
20 Jul 2020
Historique:
received: 27 04 2020
accepted: 23 06 2020
entrez: 22 7 2020
pubmed: 22 7 2020
medline: 22 7 2020
Statut: epublish

Résumé

In this paper, the authors review the safety and practicality of elastomeric respirators for protecting themselves and others from the novel coronavirus or COVID-19. They also describe the safe donning and doffing procedures for this protective gear. Due to the shortage of personal protective equipment (PPE), the CDC has recommended ways to conserve disposable N95 masks, including re-use and extended use, and reserving N95 masks for aerosol-generating procedures. However, these were never made to be re-used. Although the modes of transmission of COVID-19 are not fully understood, based on what we know about severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), droplets and aerosolized droplets contribute to the spread of this virus. More evidence from Wuhan, China, has demonstrated that COVID-19 viral particles are aerosolized and found in higher concentrations in rooms where PPE is being removed. Thus, it is best for all healthcare providers to have full aerosol protection. Given the shortage of PPE for aerosols, it is logical to utilize reusable elastomeric respirators with filter efficiency of 95% or higher. A single elastomeric respirator may replace hundreds to thousands of new disposable N95 masks.

Sections du résumé

BACKGROUND BACKGROUND
In this paper, the authors review the safety and practicality of elastomeric respirators for protecting themselves and others from the novel coronavirus or COVID-19. They also describe the safe donning and doffing procedures for this protective gear.
MAIN TEXT METHODS
Due to the shortage of personal protective equipment (PPE), the CDC has recommended ways to conserve disposable N95 masks, including re-use and extended use, and reserving N95 masks for aerosol-generating procedures. However, these were never made to be re-used. Although the modes of transmission of COVID-19 are not fully understood, based on what we know about severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), droplets and aerosolized droplets contribute to the spread of this virus. More evidence from Wuhan, China, has demonstrated that COVID-19 viral particles are aerosolized and found in higher concentrations in rooms where PPE is being removed. Thus, it is best for all healthcare providers to have full aerosol protection.
CONCLUSION CONCLUSIONS
Given the shortage of PPE for aerosols, it is logical to utilize reusable elastomeric respirators with filter efficiency of 95% or higher. A single elastomeric respirator may replace hundreds to thousands of new disposable N95 masks.

Identifiants

pubmed: 32689926
doi: 10.1186/s12245-020-00296-8
pii: 10.1186/s12245-020-00296-8
pmc: PMC7369563
doi:

Types de publication

Journal Article

Langues

eng

Pagination

39

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Auteurs

James Chiang (J)

HCA Healthcare University of Central Florida Emergency Medicine Residency Program of Greater Orlando, Kissimmee, Florida, USA.

Andrew Hanna (A)

HCA Healthcare University of Central Florida Emergency Medicine Residency Program of Greater Orlando, Kissimmee, Florida, USA.

David Lebowitz (D)

HCA Healthcare University of Central Florida Emergency Medicine Residency Program of Greater Orlando, Kissimmee, Florida, USA.
Envision Physician Services, Clearwater, Florida, USA.

Latha Ganti (L)

HCA Healthcare University of Central Florida Emergency Medicine Residency Program of Greater Orlando, Kissimmee, Florida, USA. lathagantimd@gmail.com.
Envision Physician Services, Clearwater, Florida, USA. lathagantimd@gmail.com.

Classifications MeSH