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Dr. Bob is Robert Hsiung, MD,
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Posted by Phillipa on October 20, 2014, at 22:39:18
Tell me again how this is not contagious really and not to be concerned. If so why did the RN newsletter send the urgent update and see that this will be posted on CDC guidelines later tonight?
New CDC Guidance for Ebola PPE Calls for No Skin in the Game
Robert Lowes
October 20, 2014
27 comments
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Physicians, nurses, and other clinicians caring for patients with the deadly Ebola virus should wear personal protective equipment (PPE) that does not expose any skin, the Centers for Disease Control and Prevention (CDC) announced tonight.That means donning a surgical hood that completely covers the head and neck, and a single-use, full-face shield instead of goggles.
The advice, which appears in a revised set of guidelines for PPE in Ebola care, supersedes an earlier recommendation that allowed for a small degree of skin exposure. The revised guidelines also call for replacing masks with either a N95 respirator or a powered air purifying respirator to offer better protection against close-range aerosol contaminants such as blood or sputum generated by intubation, suctioning, and other high-risk procedures.
In addition, the CDC now is recommending that clinicians rigorously train and demonstrate competency at both donning and doffing PPE. The latter step, if done improperly, puts a clinician at risk for contamination. Also, a trained monitor should oversee each time a clinician puts on and takes off this gear.
The updated guidelines "provide an increased margin of safety," said CDC Director Tom Frieden, MD, MPH, at a news conference this evening.
The new Ebola guidance comes in the wake of two registered nurses at Texas Health Presbyterian Hospital Dallas contracting the virus from Liberian national Thomas Eric Duncan. He died on October 8 after he became exposed to a woman dying of Ebola in his native country and then traveled to Dallas. Duncan was the first person diagnosed with the virus in the United States.
The CDC has not yet determined how the nurses, Nina Pham and Amber Vinson, became infected, but insufficient PPE is on the list of suspects, as is the way the nurses might have taken off contaminated gear. By all accounts, the two nurses and other clinicians treating Duncan during the first two days of his hospitalization wore CDC-prescribed gowns, gloves, masks, and eye protection that would have exposed parts of their faces and necks. On September 30, the day Duncan's Ebola diagnosis was confirmed, healthcare workers switched to hooded hazmat-style PPE, according to Texas Health Resources, the hospital's parent company.
The CDC has been criticized for promulgating PPE guidelines for Ebola care that put clinicians in jeopardy. The nurses' union National Nurses United has called on US hospitals to equip nurses with hazmat suits whenever they deal with suspected or known Ebola cases.
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In today's news conference, Dr Frieden said his agency's previous set of PPE recommendations, based on those of the World Health Organization, "didn't work" for Texas Health Presbyterian. The new guidelines, he said, generally reflect not only the protocols of Doctors Without Borders in its Ebola campaigns in Africa, but also the protocols of Emory University Hospital, Nebraska Medical Center, and the National Institutes of Health (NIH) Clinical Center. They are three of four hospitals with state-of-the-art biocontainment units designed for the likes of Ebola. None of their healthcare workers have yet to contract the virus in the course of caring for infected patients.Pham was transferred from Texas Health Presbyterian to the NIH Clinical Center, while Vinson was sent to Emory University Hospital.
Vinson is the fourth patient with Ebola to be treated at Emory University Hospital. Today it discharged the third of its first three patients with Ebola. The patient, declared disease-free, has requested anonymity. The other two patients were American missionaries who became exposed to the virus in Liberia. They were discharged in August.
Dr Frieden said the new PPE guidelines will be posted later tonight on the CDC Web site.
Posted by Phil on October 21, 2014, at 9:25:55
In reply to Ebola CDC guidelines news alert tonight changes in, posted by Phillipa on October 20, 2014, at 22:39:18
Every major media outlet has put Ebola stories in the US buried down the page in small print. It is not advancing other than a few patients while dozens of people have met the 21 day mark are not infected. They have been cleared and are well.
Lou has a tendency to say that every drug will kill you and now your facts and scare tactics are doing the same thing. Why is your focus on Lou's wild guesses from sketchy sources when you are doing the same thing?
The facts are that this is not as bad as the dire predictions of the press but you continue to say the opposite.
In poor countries this is somewhat true but not in the US. But the vast majority of people in the countries don't have this terribly gut wrenching condition?
Can you take a more moderate view of this non-epidemic? You were a nurse. Extraordinary claims require extraordinary evidence. It not there, Philippa.
I know that these facts have not stopped you from yelling forest fire when in actuality, only a couple of isolated trees are on fire.
Maybe you could focus on facts and not every single unfounded belief that this disease is going to be a widespread epidemic.
Posted by Phillipa on October 21, 2014, at 9:39:51
In reply to Re: Ebola CDC guidelines news alert tonight changes in, posted by Phil on October 21, 2014, at 9:25:55
Just posted what I received as an alert last night. If you don't want to know I willl not post any further updates. Seems the responses on facebook are totally different from here. But to each his own. Phillipa
Posted by Phil on October 21, 2014, at 10:13:45
In reply to Re: Ebola CDC guidelines news alert tonight changes in » Phil, posted by Phillipa on October 21, 2014, at 9:39:51
Not seen on FB for me.
http://www.dailykos.com/story/2014/10/20/1337940/-Too-late-but-media-backtracks-on-Ebola-hysteria
Posted by Phillipa on October 21, 2014, at 10:50:38
In reply to Re: Ebola CDC guidelines news alert tonight changes in » Phillipa, posted by Phil on October 21, 2014, at 10:13:45
That's old let me post CDC guidelines as promised posted today on their site this is face the government. 4 facilities are deemed to care for Ebola. Hoping no more get into the country. Phillipa
Posted by Phillipa on October 21, 2014, at 10:51:56
In reply to Re: Ebola CDC guidelines news alert tonight changes in » Phil, posted by Phillipa on October 21, 2014, at 10:50:38
http://www.usatoday.com/story/news/nation/2014/10/20/cdc-new-protocol/17638161/
Posted by Phil on October 21, 2014, at 11:34:33
In reply to Re: Ebola CDC guidelines news alert tonight changes in » Phil, posted by Phillipa on October 21, 2014, at 10:50:38
These are proactive steps to ensure safety of hospital staff working with Ebola patients IF THERE ARE MORE.
I'm done with this.
Posted by Dr. Bob on October 23, 2014, at 0:34:56
In reply to Re: Ebola CDC guidelines news alert tonight changes in, posted by Phil on October 21, 2014, at 9:25:55
> The facts are that this is not as bad as the dire predictions of the press but you continue to say the opposite.
The sky is falling?
Bob
Posted by Phil on October 23, 2014, at 8:31:14
In reply to Re: dire predictions, posted by Dr. Bob on October 23, 2014, at 0:34:56
Run people! If an Airbus A380 full of seven hundred Ebola patients went down in a heavily populated area like NYC, that would be a huge problem not counting how many people would be destroyed by the plane itself. I think that the flight deck on that plane is 6-8 stories off of of the ground and it weighs over 500 tons. (I love planes)
The care taken on these Ebola scares will serve us well in the future.
Posted by Phillipa on October 23, 2014, at 20:03:21
In reply to Re: dire predictions » Dr. Bob, posted by Phil on October 23, 2014, at 8:31:14
Take it for what it's worth. No fear mongering. Fact is Fact. Phillipa
http://www.cnn.com/2014/10/23/health/new-york-possible-ebola-case/index.html
Posted by pontormo on October 24, 2014, at 1:02:48
In reply to Re: New Case NYC doc returned and didn't quarantin, posted by Phillipa on October 23, 2014, at 20:03:21
I really don't think we need to panic over Ebola. Or even worry at all--
From what I can tell, unless :
1. you live in Liberia, Sierra Leone, or Guinea-- or
2. are a healthcare worker with ongoing responsibilities for caring directly for Ebola patients, especially at a for-profit hospital with no prior experience with Ebola--
I would say your chances of contracting this disease are somewhere between zero and nil.
Of course the CDC is refining their response to ebola- we've never had a single case until the last couple of weeks--
the CDC isn't prescient.-- conditions in Africa have been far from optimal, thus this is new ground--.
Realistically, how could the CDC to get it right the first time? Now that they've had some experience, naturally they're revising their protocols based on what they've learned in this short time.
Let's all go back to worrying about higher-probability events, like being run over by a bus or being hit by a meteor from outer space.
Posted by Phillipa on October 24, 2014, at 19:59:40
In reply to Re: I'm actually more worried about the ice caps, posted by pontormo on October 24, 2014, at 1:02:48
NY, NJ to Quarantine Returning Clinicians With Ebola Contacts
Robert Lowes
Octobe24, 2014In the wake of New York City's first Ebola case, New York and New Jersey will quarantine all healthcare workers arriving at two key airports from Guinea, Sierra Leone, and Liberia for 21 days if they have treated patients with the deadly virus in those countries.
The quarantine will extend to all travelers from the three countries who have had direct contact with an infected individual.
New York Governor Andrew Cuomo and New Jersey Governor Chris Christie announced the decision to impose quarantines this afternoon. Calls for this stringent measure have grown louder since Craig Spencer, MD, tested positive for the Ebola virus yesterday after he returned to New York City on October 17 from an assignment with Doctors Without Borders in Guinea.
Dr Spencer was monitoring himself for Ebola symptoms while traveling around New York City, in accordance with the guidelines of Doctors Without Borders. He reported a low-grade fever yesterday morning and was immediately hospitalized. Doctors Without Borders does not recommend a 21-day quarantine for international healthcare workers returning home from a stint of Ebola care in West Africa.
Under the screening protocols announced by the two governors, the state health departments of New York and New Jersey will have the authority to hospitalize or quarantine travelers coming through John F. Kennedy International Airport or Newark Liberty International Airport, respectively.
"Since taking office, I have erred on the side of caution when it comes to the safety and protection of New Yorkers, and the current situation regarding Ebola will be no different," Cuomo said in a news release. Christie added, "By demanding these enhanced measures, we are ensuring that any suspected cases are identified quickly and effectively, and that proper safeguards are executed."
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