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  1. Compliance with recommendations for universal precautions among prehospital providers.

    Article, Communication - En anglais

    Society for Academic Emergency Medicine. Annual meeting. Washington DC USA, 1994/05.

    Study objective 

    To evaluate the compliance of emergency medical responders with local employer and Centers for Disease Control and Prevention recommendations for disposal of sharps and use of personal protective equipment in the prehospital environment.

    Design 

    Prospective, single-blinded observational study of 297 ambulance runs conducted for 3 months.

    Setting 

    A metropolitan emergency medical service system.

    Participants 

    Sixty-nine emergency medical technicians and paramedics.

    Interventions 

    None.

    Results 

    Observers recorded the handling of sharps and the use of personal protective equipment in four situations : IV line placement, endotracheal intubation, large-wound management, and body fluid hazard.

    Emergency medical workers properly handled sharps in 24 of 65 situations (37%). They were usually compliant with glove use during the observed procedures.

    However, compliance with the use of other personal protective equipment was poor.

    Conclusion 

    Sharps were often improperly handled.

    Most workers complied with recommendations for the use of gloves but often underused goggles, masks, and gowns.

    Although education and restructuring of the environment and equipment may improve compliance, strong consideration should be given to developing standardized and more practical recommendations for the prehospital environment.

    Mots-clés Pascal : Personnel sanitaire, SAMU, Période préhospitalière, Protection individuelle, Recommandation, Equipement protection sécurité, Accident travail, Etats Unis, Amérique du Nord, Amérique, Médecine travail

    Mots-clés Pascal anglais : Health staff, Emergency medical care unit, Prehospital period, Individual safety equipment, Recommendation, Protection safety equipment, Occupational accident, United States, North America, America, Occupational medicine

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0273119

    Code Inist : 002B27B14C. Création : 01/03/1996.