Personal Protective Equipment (PPE) gc fernando joel arudchelvam

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Joel Arudchelvam MBBS, MD, MRCS, FCSSL

What is PPE? Components of PPE Donning of PPE Advantages of PPE

Gesundheit & Medizin

Personal Protective Equipment
(PPE)
What is PPE?
Personal protective equipment (PPE) are protective clothing and other items
e.g gloves, face shields, goggles, facemasks, etc., designed to protect the
wearer from injury or the spread of infection
Components
of PPE
 N95 face Mask
 Goggles
 Face shield
 Overall / coverall
 Apron
 Head cover
 Gloves
 Shoe covers
 Boots
Donning of
PPE
 Ensure that all
component are
available
 Get an
assistant
 Perform hand
sanitization
 Wear an overall
or coverall
 Put the shoe &
covers
 Wear inner
gloves
 Wear face
mask
 Wear head
cover
 Wear face
Shield / goggles
 Wear the
plastic apron
 Wear outer
gloves
Advantages of PPE
 Protection of self
 Protection of others

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Jaffna Medical association Annual Scientific Sessions September, 2022 Professor C.Sivagnanasundaram memorial oration Introduction Vascular injuries are potentially life or limb threatening. Vascular trauma occurs in 1.6% of civilian injuries (1) and 6.8% to 10.8% in war related injuries (Afghanistan, Iraq and Lebanon war). In a study done at the National hospital of Sri Lanka Colombo (NHSL) out of 5802 trauma admissions there were 93 patients with vascular injuries (VI). Therefore the incidence of VI in civilian trauma is 1.6% (1). After the end of civil war in Sri Lanka in 2009 there is a reduction in the number of war related vascular injuries. But due to the increase in the number of Road Traffic Accidents (RTA), the number of vascular trauma also increased (i.e. from 1938 to 2013 road traffic injuries increased from 35.1 to 98.6 per 100 000 population in Sri Lanka). One of the reasons for this is the increased number two and three wheeled vehicles which are involved more with accidents (2). Trauma and vascular injuries often involve young males. They are the breadwinners of the family. In one study done at the Teaching Hospital Anuradhapura (THA) among patients presenting with popliteal arterial injuries, 18 (90%) were males with a mean age of 38.7 years (2). And in another study done at the same institution among patients with major lower limb arterial injuries, 22 (87.5%) were males and the mean age was 36.9 years (3). These studies confirm the fact of young males often getting involved with vascular injuries.

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Vascular injuries occur • Unexpected • Young and fit • Results in loss of limb or life • Loss of earning capacity, economic Our experience at Anuradhapura Mean age - 36.9 years (17–69) Arterial injury following trap gun - 25% amputation rate (Sriharan P, Arudchelvam JD, Marasinghe A. Outcome of major lower-limb arterial injuries presenting to a single unit in a peripheral setting in Sri Lanka. Indian J Vasc Endovasc Surg 2019;6:266-8 Causes - Road Traffic Accidents – 54.2%,Trap Gun – 33.3%,Iatrogenic - 8.33%,Other- 4.2% (Sriharan P, Arudchelvam JD, Marasinghe A. Outcome of major lower-limb arterial injuries presenting to a single unit in a peripheral setting in Sri Lanka. Indian J Vasc Endovasc Surg 2019;6:266-8) Mechanism of injury • Sharp / penetrating • Blunt “Vascular injury” is a nonspecific term. Because this is used to describe the injuries to blood vessels in all parts of the body that includes neck vascular injuries, thoracic and abdominal vascular injuries, and injuries to the blood vessels of the limbs. And in addition vascular injury also describes injuries to the arteries and veins. Injuries to the blood vessels of the limbs are called extremity vascular injury. This chapter will concentrate on the extremity vascular injuries.

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