1887
Volume 2022, Issue 4
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

The risk of novel coronavirus disease (COVID-19) transmission in the confined mobile ambulance compartment is increased during aerosol-generating procedures and close proximity. Paramedics are encouraged to increase body-surface-isolation by donning additional personal protective equipment (PPE) during patient encounters. This study aimed to better understand paramedics’ knowledge, attitudes, and practices related to PPE use during the COVID-19 pandemic in the prehospital setting with a focus on mitigating risks associated with infection control.

This prospective quantitative study collected descriptive data using a specifically designed data collection tool. The survey data was then cleaned and analyzed with Microsoft Excel® and the latest version of the Statistical Package for Social Sciences.

One thousand frontline paramedics employed by the Hamad Medical Corporation Ambulance Service (HMCAS) were invited via email to participate in the study. A total of 282 (28.2% of frontline paramedics) paramedics completed the online survey, of which 80.1% completed the mandatory HMCAS online infection control training program within the last year, and 17.0% between one to two years ago. Approximately 83% of the participants had completed an N95 mask fit test at HMCAS within the past five years, and 91.5% completed the hand hygiene training.

The study found that 98.2% of the paramedics were knowledgeable about COVID-19 and its transmission, while 96.1% agreed that aerosol-generating procedures increased airborne transmission. The paramedics’ attitudes were mainly positive toward the use of PPE to prevent the spread of the virus, which was synchronous with their practice. The sample population demonstrated a strong knowledge of COVID-19 and its transmission. Their overall positive attitudes and good infection control practices were demonstrative of efforts to mitigate risks associated with the spread of the virus.

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2022-11-04
2022-12-07
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References

  1. Farhat H, Laughton J, Gangaram P, El Aifa K, Khenissi MC, Zaghouani O, et al. Hazardous material and chemical, biological, radiological, and nuclear incident readiness among prehospital care professionals in the State of Qatar. Global Security: Health Science and Policy. 2022 7:(1)24–36.
    [Google Scholar]
  2. HMCAS. Hamad Medical Corporation Annual Report. In: Health, editor. Doha: HMCAS; 2017.
    [Google Scholar]
  3. HMCAS. Clinical Practice Guidelines. In: Service HMCA, editor. Doha: HMCAS; 2022.
    [Google Scholar]
  4. Gangaram P, Alinier G, Menacho AM. Crisis resource management in emergency medical settings in Qatar. International Paramedic Practice. 2017 7:(1)18–23.
    [Google Scholar]
  5. WHO. Infection prevention and control during health care when COVID-19 is suspected: interim guidance, 19 March 2020. World Health Organization; 2020.
    [Google Scholar]
  6. WHO. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): interim guidance, 19 March 2020. World Health Organization; 2020.
    [Google Scholar]
  7. Al Maskari Z, Al Blushi A, Khamis F, Al Tai A, Al Salmi I, Al Harthi H, et al. Characteristics of healthcare workers infected with COVID-19: A cross-sectional observational study. International Journal of Infectious Diseases. 2021;102:32–6.
    [Google Scholar]
  8. Ng K, Poon BH, Kiat Puar TH, Shan Quah JL, Loh WJ, Wong YJ, et al. COVID-19 and the risk to health care workers: a case report. Annals of internal medicine. 2020.
    [Google Scholar]
  9. Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y, et al. Infection and mortality of healthcare workers worldwide from COVID-19: a systematic review. BMJ global health. 2020 5:(1)e003097.
    [Google Scholar]
  10. Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hosp infect. 2020;1051.
    [Google Scholar]
  11. Higginson R, Parry A, Williams M, Jones B. Paramedics and pneumonia associated with COVID-19. Journal of Paramedic Practice. 2020 12:(1)179–85.
    [Google Scholar]
  12. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. Jama. 2020 323:(1)1439–40.
    [Google Scholar]
  13. Maguire BJ, Shearer K, McKeown J, Phelps S, Gerard DR, Handal KA. The ethics of PPE and EMS in the COVID-19 era. JEMS. 2020.
    [Google Scholar]
  14. Adhikari SP, Meng S, Wu Y-J, Mao Y-P, Ye R-X, Wang Q-Z, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infectious diseases of poverty. 2020 9:(1)1–12.
    [Google Scholar]
  15. Huh S. How to train the health personnel for protecting themselves from novel coronavirus (COVID-19) infection during their patient or suspected case care. Journal of educational evaluation for health professions. 2020;17:10.
    [Google Scholar]
  16. Alinier G, Morris B, Abu J, Al Shaikh L, Owen R. Implementation of a drive-through testing clinic in Qatar for residents having recently returned from a country with a COVID-19 travel warning. Qatar Medical Journal. 2021 2020:(1)42.
    [Google Scholar]
  17. Ehrlich H, McKenney M, Elkbuli A. Defending the front lines during the COVID-19 pandemic: Protecting our first responders and emergency medical service personnel. The American Journal of Emergency Medicine. 2020.
    [Google Scholar]
  18. Cook T. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic–a narrative review. Anaesthesia. 2020.
    [Google Scholar]
  19. Smereka J, Szarpak L. The use of personal protective equipment in the COVID-19 pandemic era. The American journal of emergency medicine. 2020.
    [Google Scholar]
  20. Garg K, Grewal A, Mahajan R, Kumari S, Mahajan A. A cross-sectional study on knowledge, attitude, and practices of donning and doffing of personal protective equipment: An institutional survey of health-care staff during the COVID-19 pandemic. Anesthesia, Essays and Researches. 2020 14:(1)370.
    [Google Scholar]
  21. Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection. 2020 105:(1)183–7.
    [Google Scholar]
  22. Hossain MA, Rashid MUB, Khan MAS, Sayeed S, Kader MA, Hawlader MDH. Healthcare Workers’ knowledge, attitude, and practice regarding personal protective equipment for the prevention of COVID-19. Journal of multidisciplinary healthcare. 2021;14:229.
    [Google Scholar]
  23. Mohrsen S. COVID-19: experiences of roadside logistics from a UK air ambulance service. Journal of Paramedic Practice. 2020 12:(1)263–8.
    [Google Scholar]
  24. Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA, Bandari DK. Knowledge and perceptions of COVID-19 among health care workers: cross-sectional study. JMIR public health and surveillance. 2020;6(2):e19160; Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. Journal of Hospital Infection. 2020 105:(1)419–23.
    [Google Scholar]
  25. Martin-Conty JL, Polonio-López B, Maestre-Miquel C, Mohedano-Moriano A, Durantez-Fernández C, Mordillo-Mateos L, et al. Physiological response of quality cardiopulmonary resuscitation, crossover trial on mannequin in extreme temperature conditions. International Journal of Environmental Research and Public Health. 2020 17:(1)5835.
    [Google Scholar]
  26. Luisa Fernández-González-de-la M, Piñero-Zapata M, González-de-la-Riva ML. Quality of chest compressions in cardiopulmonary resuscitation performed in extreme ambient temperature conditions. Enfermería Global. 2020 19:(1)55–63.
    [Google Scholar]
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