Using simulation for training and to change protocol during the outbreak of severe acute respiratory syndrome

Abrahamson, Simon D; Canzian, Sonya; Brunet, Fabrice

Once we discovered that the time to don the PPS in a team situation was at least 3 1/2 minutes, there was concern about the delay to defibrillation. After discussion with infection control and reviewing the available literature, we determined that there was no evidence that the person defibrillating needed to don a PPS. We therefore changed the protocol so that any physician on the ward could defibrillate, even if not part of the arrest team. This physician was required to wear routine protective SARS gear: an N95 respirator, goggles, a gown and two pairs of gloves. The N95 respirator is a face mask that filters 95% of particles greater than 0.3 µm in diameter. Respirator is the terminology used by the Centers for Disease Control and Prevention (USA) and the National Institute for Occupational Safety and Health. Healthcare worker dressed in T4 Stryker personal protection system (PPS) Healthcare worker dressed in T4 Stryker personal protection system (PPS). The PPS is worn over a disposable gown. In addition, goggles, an N95 respirator and two pairs of gloves are worn.