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Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks. Randy Wax, MD, FRCPC (Critical Care) Laurie Mazurik, MD, FRCPC (Emergency Medicine) Vagia Tsiaousidis Campbell, RRCP Prepared on behalf of the Greater Toronto Area

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using the stryker t4 personal protection system for high risk procedures during sars outbreaks

Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks

Randy Wax, MD, FRCPC (Critical Care)

Laurie Mazurik, MD, FRCPC (Emergency Medicine)

Vagia Tsiaousidis Campbell, RRCP

Prepared on behalf of the Greater Toronto Area

Critical Care/Emergency Medicine Advisory Group

indications for personal protection systems during sars outbreak
Indications for personal protection systems during SARS outbreak

Patient

  • Known or suspected SARS
  • Respiratory failure of unknown etiology when SARS cannot be ruled out

Procedure

  • Intubation
  • Extubation
  • Bronchoscopy
stryker t4 personal protection system
Stryker T4 Personal Protection System
  • Stryker T4 was designed for orthopedic surgeons performing total joint replacements to protect patient from contamination by surgical team
  • This system provides total body droplet protection from the patient
stryker t4 personal protection system4
Stryker T4 Personal Protection System
  • Use of this system is consistent with the “Directives to All Ontario Acute Care Hospitals for High-risk Procedures in Critical Care Areas During a SARS Outbreak” (Directive 03-06, May 1/2003)
before putting stryker suit on
Before putting Stryker suit on

Surgical cap

Secure goggles with elastic strap or tape glasses

N95/N100 mask (new if time permits)

One pair gloves

Gown

Surgical scrubs

Note: don’t wear fabric shoes

get helmet
Get helmet

Note: these helmets should be stored and covered in plastic (not as shown here).

if intubating confirm with etco2
If intubating, confirm with EtCO2

Remember, you can’t use a stethoscope!!!

repeat with other hand44
Repeat with other hand

Use free hand under gown to pull 2nd glove off

begin turning toga inside out
Begin turning toga inside out

Remember the inside surface of the toga is clean.

Wrap clean inside around contaminated exterior when removing toga.

Don’t touch the outer surface of the toga once the outer gloves are removed.

stop rolling at length
Stop rolling at ¾ length

Avoid touching dirty bottom of toga