Medical Glove Recommendations?

Started by Eclipse, October 14, 2014, 12:16:44 AM

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Eclipse

From the news stories, it would appear the hospital was somewhat lax in their protocols and training,
especially in regards to REMOVING contaminated gear.  I know for me, personally, removing gloves without
getting "ick" on your hands has always been a challenge.  Try it sometime with food-colored water or
vegetable oil and see if you come up clean.

There appears to be plenty of blame to go around, and of course we won't have the whole story until
the Frontline documentary next year, but seriously, you're a health care worker involved with a highly contagious,
highly visible disease and you decide it's a good idea to get on an airplane?  I mean Whisky Tango Foxtrot?

And some reports are saying the CDC was consulted and didn't object.

This is a textbook example of the kinds of things I harp on here about all the time - there are established
protocols, policies, regulations and checks and balances, but if you ignore them because you "know better"
badness happens.

In this case, from nearly end-to-end (based only on news reports) it would appear that the entire system,
including CBP broke down, coupled with a lack of common sense on the part of the infected people.


"That Others May Zoom"

Майор Хаткевич

Quote from: Eclipse on October 16, 2014, 02:55:41 PM
From the news stories, it would appear the hospital was somewhat lax in their protocols and training,
especially in regards to REMOVING contaminated gear.  I know for me, personally, removing gloves without
getting "ick" on your hands has always been a challenge.  Try it sometime with food-colored water or
vegetable oil and see if you come up clean.


Right. But then...again...EBOLA. I think I'd take my time and be extra careful, would like to have a UV shower plus a chemical shower. Thanks, High School, for making me read The Hot Zone.

LSThiker

#22
Quote from: Capt Hatkevich on October 16, 2014, 02:45:42 PM
I really hope they figure out HOW it was transmitted. Either there's a vector we don't know about that's semi-airborne, or some people are REALLY bad at realizing when they should be 10x more careful taking off ebola covered stuff.

There are no vectors that are airborne.  A vector is a method of transmission of an infectious disease through the use of another organism.  The most common is the arthropod (particularly tick and mosquito are the most common).  Current science demonstrates no known vectors for Ebola virus.  The fruit bat is thought to be the reservoir of the virus, however.  Ebola zaire (not reston as in Hot Zone) has never been shown to be airborne despite numerous studies and real world outbreaks.  It, however, is know to be passed through aerosolization.  This fact has made it a Tier I select agent.

I do not work at the Dallas Texas hospital so I do not know what the protocols are.  However, I do work with Risk Group 3 organisms (Ebola is RG4).  The end result will realistically be a failure on both the hospital and the employees.  Needless to say, the gear worn in a BSL4 and the gear worn in a hospital isolation unit are vastly different.  The isolation unit at UNMC uses a BSL3-Enhanced PPE while the BSL4 uses the "space suit".  The only medical facility which used a BSL4 engineering was the USAMRIID MCS (the slammer).  Unfortunately, this facility was closed in 2010.  It is my understanding that until now, there has never been talk of reopening a BSL4 medical containment facility and only using BSL3E facilities at places like Emroy and UNMC.

Quotewould like to have a UV shower

UV is actually a terrible method.  Although it was used in the past, and still is used in limited capacity, the effectiveness is marginal at best.  While manufacturers claim it can "disinfect" (not sterilize) 99.9999%, these are under the optimal conditions.  In real life situations, that number is much lower.  UV lights (not just normal UV lights) for this purpose are only good for 4-5 months and the object must be within 6 inches to effectively work.  If there is dust or other materials blocking the source and the target, then the effectiveness continues to decrease.  Furthermore, it must come into contact with all surfaces for a prolonged period of time (hours).     

PHall

Removing the protective gear is normally where the problems are.
When I used to have to do Checimal Weapons Defense class just about every person who got "comtaminated" was removing their protective gear when it happened.