key: cord-0812130-vhwe09gb
authors: Ludwin, Kobi; Filipiak, Krzysztof J.; Jaguszewski, Milosz; Pruc, Michal; Paprocki, Michal; Smereka, Jacek; Szarpak, Lukasz; Dabrowski, Marek; Czekajlo, Michael
title: Place of prefilled syringes in COVID-19 patient based on current evidence
date: 2020-05-11
journal: Am J Emerg Med
DOI: 10.1016/j.ajem.2020.05.016
sha: adf638a95f9a6505fa7f2bf8e280339168394d76
doc_id: 812130
cord_uid: vhwe09gb

nan

J o u r n a l P r e -p r o o f emergency stuff during contact with patients with suspected/confirmed COVID-19 should wear full personal protective equipment (PPE) for aerosol generating procedures to reduce the risk of infection. However, the use of such personal protective equipment because of its felt to impair comfort, sensitivity and dexterity may hinder the performance of medical procedures [2] . Therefore, the best ways of performing medical procedures, including the Table 1 ).

Another element in favors of using pre-filled syringes is the fact that in the case of pre-filled syringes the distribution of amount of volume drawn compared to GSN was statistically significantly higher for both types of pre-filled syringes (Table 1) , while the analysis in subgroups with consideration of the type of pre-filled syringe showed that J o u r n a l P r e -p r o o f consultation/treatment in infectious wards, should be particularly avoided, as medical personnel, whose deficiencies are now so clearly visible and problematic, is excluded

In conclusion, in emergency medicine, especially during cardiopulmonary resuscitation of patients with suspected/confirmed COVID-19 emergency stuff should consider a combination of intraosseous access and drugs in prefilled syringes to reduce the time of infusion and the risk of infection. 

The time dependent association of adrenaline administration and survival from out-of-hospital cardiac arrest

Which intravascular access should we use in patients with suspected/confirmed COVID-19

A randomised crossover simulation study comparing the impact of chemical, biological, radiological or nuclear substance personal protection equipment on the performance of advanced life support interventions

IO versus IV access while wearing personal protective equipment in a HazMat scenario

Does wearing CBRN-PPE adversely affect the ability for clinicians to accurately, safely, and speedily draw up drugs?