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BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
GRADY EMS BIOSAFETY TRANSPORT TEAM
TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Alexander P. Isakov, MD, MPHAssociate Professor
Section Of Prehospital and Disaster MedicineDepartment of Emergency MedicineEmory University School of Medicine
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Objectives
20 minute whirlwind tour of the Grady EMS Biosafety Transport Team• Training• Equipment• Concept of Operations
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Biosafety in the news
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BiosafetyDevelopment and implementation of: administrative policieswork practicesenvironment designsafety equipment to prevent transmission of biological agents to workers, other persons and the environment
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Atlanta CDC Quarantine Station3,782,527 arriving international travelers
466 international flights per week
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Unique Attributes• Education and Training• Modified concept of operations
NotificationTeam configurationModified clinical guidelinesDestination guidelines
• Preventive medicineVaccine and post-exposure prophylaxisSurveillance program
Education and TrainingPathogens
• Route of transmission
• Infection control
• Immunization, prophylaxis
• Post-exposure prophylaxis
• Treatment
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Slide courtesy of Centers for Disease Control and Prevention
Hand Hygiene Adherence in Hospitals
1. Gould D, J Hosp Infect 1994;28:15-30. 2. Larson E, J Hosp Infect 1995;30:88-106. 3. Slaughter S, Ann Intern Med 1996;3:360-365. 4. Watanakunakorn C, Infect Control Hosp Epidemiol 1998;19:858-860. 5. Pittet D, Lancet 2000:356;1307-1312.
Year of Study Adherence Rate Hospital Area1994 (1) 29% General and ICU1995 (2) 41% General1996 (3) 41% ICU1998 (4) 30% General2000 (5) 48% General
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
We do better at home, right?
Hospital wide hand hygiene• Before patient contact 38% (n=495)• After patient contact 48% (n=479)
Emergency Department• Before patient contact 6% (n=99)• After patient contact 18% (n=110)
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Education and TrainingProcedures
• Vehicle preparation
• Special Equipment
• Donning and doffing
• Mission recovery
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Education and TrainingProcedures
• Vehicle preparation
• Special Equipment
• Donning and doffing
• Mission recovery
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Education and TrainingProcedures
• Vehicle preparation
• Special Equipment
• Donning and doffing
• Mission recovery
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Education and TrainingProcedures
• Vehicle preparation
• Special Equipment
• Donning and doffing
• Mission recovery
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Education and TrainingProcedures
• Vehicle preparation
• Special Equipment
• Donning and doffing
• Mission recovery
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Modified Concept of Operations
• Notification
• Team configuration
• Modified clinical protocols
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Modified Concept of Operations
• Notification
• Team configuration
• Modified clinical protocols
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Modified Concept of Operations
• Notification
• Team configuration
• Modified clinical protocols
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Destination Guidelines•
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Destination Guidelines
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Preventive Medicine
• Vaccine• PEP• Surveillance
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Preventive Medicine
• Vaccine• PEP• Surveillance
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
Special thanks
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
BIOSAFETY TRANSPORT: TRANSPORT OF PATIENTS WITH SERIOUS COMMUNICABLE DISEASE
Emory University Section of Prehospital and Disaster Medicine 2008
Emory University Section of Prehospitaland Disaster Medicine, Department of
Emergency Medicine
