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Impact of Clinician Personal Protective Equipment on Medical Device Use During Public Health Emergency: A Review

Published online by Cambridge University Press:  09 August 2019

Hanniebey D. Wiyor ,
James C. Coburn  and
Karen L. Siegel Open the ORCID record for Karen L. Siegel [Opens in a new window]
Hanniebey D. Wiyor*
Affiliation:
Office of Device Evaluation, Center for Device and Radiological Health, U.S. Food and Drug Administration, Maryland
James C. Coburn
Affiliation:
Office of Device Evaluation, Center for Device and Radiological Health, U.S. Food and Drug Administration, Maryland Human-Device Interaction Lab, Division of Biomedical Physics, Office of Science and Engineering Laboratories, Center for Device and Radiological Health, U.S. Food and Drug Administration, Maryland
Karen L. Siegel
Affiliation:
Office of Research and Development, Department of Veterans Affairs, WashingtonDC
*
Correspondence and reprint requests to LT Hanniebey D. Wiyor, PhD, United States Food and Drug Administration, White Oak Campus, 10903 New Hampshire Avenue, CDRH Building 66, Room 2563, Silver Spring, MD 20993 (e-mail: hanniebey.wiyor@fda.hhs.gov).
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Abstract

The aim of this systematic review is to evaluate the impact of personal protective equipment (PPE) on medical device use during public health emergency responses. We conducted a systematic literature search of peer-reviewed journals in PubMed, Web of Science, and EBSCO databases. Twenty-nine of 92 articles published between 1984 and 2015 met the inclusion criteria for the review. Although many medical device use impacts were reported, they predominantly fell into 3 categories: airway management, drug administration, and diagnostics and monitoring. Chemical, biological, radiological, and nuclear (CBRN)-PPE increased completion times for emergency clinical procedures by as much as 130% and first attempt failure rates by 35% (anesthetist) versus 55% (non-anesthetist). Effects of CBRN-PPE use depend on device, CBRN-PPE level, and clinician experience and training. Continuous clinical training of responders in CBRN-PPE and device modifications can improve safety and effectiveness of medical device use during public health emergency response.

Keywords

medical deviceemergency responsepublic healthpersonal protective equipmentCBRN
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 2 , April 2020 , pp. 273 - 283
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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