Pediatric emergency medicine trisk 4564 4564
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FIGURE 132.6 The pediatric emergency care provider is garbed in appropriate level C
personal protective equipment.
OSHA provides a list of suggested PPE for healthcare workers to use in the
warm zone. Most authorities believe that adequate protection for ED staff is
afforded by Level C PPE, which consists of a nonencapsulated chemically
resistant body suit, gloves, and boots, with a full-face air-purifying mask
containing a cartridge with both an organic-vapor filter for chemical gases and
vapors and a HEPA filter to trap aerosols of biologic and chemical agents ( Fig.
132.6 ). Such PPE is much less cumbersome to work in than level A or B outfits
(which use self-contained breathing apparatus) and is much less expensive.
Finally, current guidelines from the Environmental Protection Agency (EPA) and
from The Joint Commission stress that a plan for disposal of contaminated waste
needs to be put into place by hospitals as part of their preparation for an event.
CLINICAL ASSESSMENT AND MANAGEMENT
Specific Agents
Nerve Agents
CLINICAL PEARLS AND PITFALLS
