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1 Rightwingconspirator  Oct 17, 2014 10:11:49pm

How risky is getting out of the ppe after handling/examining an ebola victim?

2 psddluva4evah  Oct 18, 2014 2:19:39am

ok, so with the caveat that my experience is within the medical lab, but, there is usually, a hospital protocol which utilizes a buddy system. For the laboratory purposes, this means that there is a “clean” tech and a “dirty” tech.

the buddy system is supposed to work where one helps the other when it comes to taking off PPE and also the buddy tech is supposed to be paying attention as the “dirty” tech manipulates the specimen…i.e. they are supposed to be eye balling you and making sure that u aren’t scratching, rubbing head or mopping sweat.

PPE for manipulation of Possible Ebola patient specimen is more extensive and due to the virility of the EVD and having to be protected from any of the possibly contaminated fluid getting onto you skin. So without some sort of buddy system it is definitely harder to do alone, but it can be done obviously extremely carefully and meticulously.

3 FemNaziBitch  Oct 18, 2014 7:41:12am

What a good idea! Thanks for sharing psddluva!!!

4 Charles Johnson  Oct 18, 2014 11:34:11am

Do you have an opinion on whether Dallas Presbyterian Hospital handled their Ebola cases properly? They’ve come in for a lot of criticism in the past couple of days.

5 otoc  Oct 18, 2014 1:08:21pm

Thanks for your contribution. Has anyone done a viral airborne mutation statistical study (comparing “evolution” of viruses including or excluding Ebola) that places odds of Ebola going airborne?

The greatest backer of the “Ebola Airborne Threat”, a researcher who seems to have the ears of Fox News and also seems to ignore later corrections in the monkey/pig transmission story, only says greater than zero from what I see.

There’s a large scale that says my chances of getting hit by a meterorite are more likely than Ebola mutating and surviving to replicate.

6 psddluva4evah  Oct 19, 2014 12:33:44am

re: #4 Charles Johnson

I think that Presby Dallas deserves all the criticism they are getting. The Ebola “crisis” had been in the news for weeks, if not a month, particularly when the 3 people were brought over to US for treatment, before Mr Duncan’s first visit. In fact I do recall my hospital sending out a blurb about it.

There is a culture in the private hospitals that aren’t really seen in public hospitals in regards to the indigent population and lack of insurance. Even now with the ACA in place, these private hospitals mostly serve the already insured and in places like Texas where the haven’t expanded the Medicaid rolls you still have people who are without proper insurance. Mr Duncan as I understand it did not have insurance and couldn’t use ACA anyway because he was still a Liberian national, I don’t believe he had US citizenship.

Presby Dallas completely dropped the ball and started this whole mess when they decided to send Mr Duncan home with 103 fever and some antibiotics, even after I believe the electronic chart says he told the ER that he recently travelled from West Africa. This was their first mistake.

Their next mistake was in not providing. appropriate PPE (Personal protection equipment) to the nurses who were taking care of Mr Duncan until 2 days after he was admitted the 2nd time. From what I read from the nurses union, they not only broke basic protocol of using appropriate PPE, but they also didn’t use proper protocol for disposing of infectious bio waste or of handling infectious samples. A friend told me that the actually used the tube system, a pressurized transport system (exactly like what bank drive thru use) that transport specimens to and from the lab, to transport Mr Duncan’s samples to the lab! Thats a definite no no, extremely infectious specimen such as those should be hand delivered to and from the lab.

Let’s not even get into the non-quarantine of staff or at least instructing staff to not travel for the 21 day screening time.

All that to say that yes, Presby Dallas really F’ed up.

7 nines09  Oct 19, 2014 9:16:16am

re: #6 psddluva4evah

Just think about that for a minute. Mr. Duncan was sent home because he was not insured. So why is that not being screamed from the rooftops? Not insured. Send him home. Patient 0 goes home. If the situation was of a disease more easily spread, and it spread like wildfire, it would have been because he was not insured. Well, I guess they saved a few bucks, huh?

8 wrenchwitch  Oct 20, 2014 9:23:06am

re: #6 psddluva4evah

Mr Duncan as I understand it did not have insurance and couldn’t use ACA anyway because he was still a Liberian national, I don’t believe he had US citizenship.

This is a huge gap in the ACA. Not covering immigrants is a weakness in the public health system, as well as an inhuman policy.

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