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Respiratory Hygiene in the Emergency Department

The emergency department (ED) is an essential component of the public health response plan for control of acute respiratory infectious threats. Effective respiratory hygiene in the ED is imperative to limit the spread of dangerous respiratory pathogens, including influenza, severe acute respiratory...

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Detalles Bibliográficos
Autores principales: Rothman, Richard E., Irvin, Charlene B., Moran, Gregory J., Sauer, Lauren, Bradshaw, Ylisabyth S., Fry, Robert B., Josephson, Elaine B., Ledyard, Holly K., Hirshon, Jon Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Emergency Physicians. Published by Mosby, Inc. 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115302/
https://www.ncbi.nlm.nih.gov/pubmed/17052558
http://dx.doi.org/10.1016/j.annemergmed.2006.05.018
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author Rothman, Richard E.
Irvin, Charlene B.
Moran, Gregory J.
Sauer, Lauren
Bradshaw, Ylisabyth S.
Fry, Robert B.
Josephson, Elaine B.
Ledyard, Holly K.
Hirshon, Jon Mark
author_facet Rothman, Richard E.
Irvin, Charlene B.
Moran, Gregory J.
Sauer, Lauren
Bradshaw, Ylisabyth S.
Fry, Robert B.
Josephson, Elaine B.
Ledyard, Holly K.
Hirshon, Jon Mark
author_sort Rothman, Richard E.
collection PubMed
description The emergency department (ED) is an essential component of the public health response plan for control of acute respiratory infectious threats. Effective respiratory hygiene in the ED is imperative to limit the spread of dangerous respiratory pathogens, including influenza, severe acute respiratory syndrome, avian influenza, and bioterrorism agents, particularly given that these agents may not be immediately identifiable. Sustaining effective respiratory control measures is especially challenging in the ED because of patient crowding, inadequate staffing and resources, and ever-increasing numbers of immunocompromised patients. Threat of contagion exists not only for ED patients but also for visitors, health care workers, and inpatient populations. Potential physical sites for respiratory disease transmission extend from out-of-hospital care, to triage, waiting room, ED treatment area, and the hospital at large. This article presents a summary of the most current information available in the literature about respiratory hygiene in the ED, including administrative, patient, and legal issues. Wherever possible, specific recommendations and references to practical information from the Centers for Disease Control and Prevention are provided. The “Administrative Issues” section describes coordination with public health departments, procedures for effective facility planning, and measures for health care worker protection (education, staffing optimization, and vaccination). The patient care section addresses the potentially infected ED patient, including emergency medical services concerns, triage planning, and patient transport. “Legal Issues” discusses the interplay between public safety and patient privacy. Emergency physicians play a critical role in early identification, treatment, and containment of potentially lethal respiratory pathogens. This brief synopsis should help clinicians and administrators understand, develop, and implement appropriate policies and procedures to address respiratory hygiene in the ED.
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spelling pubmed-71153022020-04-02 Respiratory Hygiene in the Emergency Department Rothman, Richard E. Irvin, Charlene B. Moran, Gregory J. Sauer, Lauren Bradshaw, Ylisabyth S. Fry, Robert B. Josephson, Elaine B. Ledyard, Holly K. Hirshon, Jon Mark Ann Emerg Med Infectious Disease/Concept The emergency department (ED) is an essential component of the public health response plan for control of acute respiratory infectious threats. Effective respiratory hygiene in the ED is imperative to limit the spread of dangerous respiratory pathogens, including influenza, severe acute respiratory syndrome, avian influenza, and bioterrorism agents, particularly given that these agents may not be immediately identifiable. Sustaining effective respiratory control measures is especially challenging in the ED because of patient crowding, inadequate staffing and resources, and ever-increasing numbers of immunocompromised patients. Threat of contagion exists not only for ED patients but also for visitors, health care workers, and inpatient populations. Potential physical sites for respiratory disease transmission extend from out-of-hospital care, to triage, waiting room, ED treatment area, and the hospital at large. This article presents a summary of the most current information available in the literature about respiratory hygiene in the ED, including administrative, patient, and legal issues. Wherever possible, specific recommendations and references to practical information from the Centers for Disease Control and Prevention are provided. The “Administrative Issues” section describes coordination with public health departments, procedures for effective facility planning, and measures for health care worker protection (education, staffing optimization, and vaccination). The patient care section addresses the potentially infected ED patient, including emergency medical services concerns, triage planning, and patient transport. “Legal Issues” discusses the interplay between public safety and patient privacy. Emergency physicians play a critical role in early identification, treatment, and containment of potentially lethal respiratory pathogens. This brief synopsis should help clinicians and administrators understand, develop, and implement appropriate policies and procedures to address respiratory hygiene in the ED. American College of Emergency Physicians. Published by Mosby, Inc. 2006-11 2006-08-23 /pmc/articles/PMC7115302/ /pubmed/17052558 http://dx.doi.org/10.1016/j.annemergmed.2006.05.018 Text en Copyright © 2006 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Infectious Disease/Concept
Rothman, Richard E.
Irvin, Charlene B.
Moran, Gregory J.
Sauer, Lauren
Bradshaw, Ylisabyth S.
Fry, Robert B.
Josephson, Elaine B.
Ledyard, Holly K.
Hirshon, Jon Mark
Respiratory Hygiene in the Emergency Department
title Respiratory Hygiene in the Emergency Department
title_full Respiratory Hygiene in the Emergency Department
title_fullStr Respiratory Hygiene in the Emergency Department
title_full_unstemmed Respiratory Hygiene in the Emergency Department
title_short Respiratory Hygiene in the Emergency Department
title_sort respiratory hygiene in the emergency department
topic Infectious Disease/Concept
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115302/
https://www.ncbi.nlm.nih.gov/pubmed/17052558
http://dx.doi.org/10.1016/j.annemergmed.2006.05.018
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