Let’s start by saying that I am not an expert. But, specific guidance from the CDC for managing these patients is available, but I feel like the dispersal of this information is critical to front line EMS providers.
Important Links
- Global Cases
- Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease (COVID-19)
- Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings
- Indirect Virus Transmission in Cluster of COVID-19 Cases, Wenzhou, China, 2020
- Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points (PSAPs) for COVID-19 in the United States
- List N: Disinfectants for Use Against SARS-CoV-2
- Safe use of Hamilton Medical ventilators on patients with highly infectious diseases
Viral Filters/Airway Management
Viral Filter on BVM
Filters on Inhalation and Exhalation Port of Ventilator
Filter After Flow-Sensor
Update: Hamilton does not specifically recommend a viral filter between the flow sensor and the patient:
- For passive humidification, use a bacteria HME/HMEF filter between the proximal flow sensor and the patient to protect the airway against contamination. Be aware of changes in anatomical dead space and airway resistance.
- Contamination of the flow sensor tube connectors is avoided due to permanent rinse flow through the flow sensor tubing towards the patient
Non-Vented BiPAP/CPAP Mask Without “Flap”
Donning and Doffing PPE
Now for the podcast!