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re: CDC head slammed for blaming nurse infected with Ebola

Posted on 10/14/14 at 9:17 am to
Posted by mmcgrath
Indianapolis
Member since Feb 2010
35497 posts
Posted on 10/14/14 at 9:17 am to
quote:

Just as you would "go with" an astrophysicist who says gravity on the Earth and Moon are the same. It's understandable on your part, but it doesn't make the answer any more right.
Not related at all, but "gravity" is the same in both places. The "effect of gravity" on a person would be different. But I am not sure what TDG quote you are referring to.
quote:

Observations made here regarding aerosolization in intubated vs nonintubated patients are not controversial. They aren't even debatable. I'd happily explain further when I've got more time, if you're interested.
The CDC says not to do it. If a medical professional thinks their rules are silly and goes ahead anyway, they shouldn't complain when they get Ebola and the CDC says they broke protocol.
quote:

The fact there is reference to OPEN suctioning at all in an ID setting is also interesting. I haven't seen open suctioning done in a US ICU setting under those circumstances in 15yrs.
They are giving a list of AGP's, as in things not to do in an ID setting.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
124400 posts
Posted on 10/14/14 at 9:32 am to
quote:

They are giving a list of AGP's, as in things not to do in an ID setting.
Except Intubation/Ventilation IS NOT AN AGP!
Intubation/Ventilation IS NOT AN AGP in non-ID settings.
Intubation/Ventilation IS NOT AN AGP in ID settings.
Intubation/Ventilation IS NOT AN AGP in any setting.

Intubation/Ventilation SEALS THE RESPIRATORY SYSTEM. It does not generate environmental aerosol. It ELIMINATES IT.

quote:

If a medical professional thinks their rules are silly
Silly? No.
Completely wrong as applied to intubation. Wrong to the extent they will be changed.
Bank it.
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