Intermarkets' Privacy Policy Support
Donate to Ace of Spades HQ! Recent Entries
Saturday Evening Movie Thread 09/07/2024 [TheJamesMadison]
Hobby Thread - Sept 7, 2024 [TRex] Ace of Spades Pet Thread, September 7 Gardening, Puttering and Adventure Thread, Sept. 7 The "rules-based international order" vs. free speech? The Classical Saturday Morning Coffee Break & Prayer Revival Daily Tech News 7 September 2024 The Bric, The Brac, The Craic & All, Lets Call It An ONT TGIF Cafe The Week In Woke Absent Friends
Bandersnatch 2024
GnuBreed 2024 Captain Hate 2023 moon_over_vermont 2023 westminsterdogshow 2023 Ann Wilson(Empire1) 2022 Dave In Texas 2022 Jesse in D.C. 2022 OregonMuse 2022 redc1c4 2021 Tami 2021 Chavez the Hugo 2020 Ibguy 2020 Rickl 2019 Joffen 2014 AoSHQ Writers Group
A site for members of the Horde to post their stories seeking beta readers, editing help, brainstorming, and story ideas. Also to share links to potential publishing outlets, writing help sites, and videos posting tips to get published.
Contact OrangeEnt for info:
maildrop62 at proton dot me Cutting The Cord And Email Security
Moron Meet-Ups
|
« We Must All Do Our Part to Fight Viral Stupidity |
Main
| DSCC Abandons Allison Ludergan Grimes as Senate Races Seem to Shift Towards GOP »
October 14, 2014
Dr. Sanjay Gupta Demonstrates That CDC's Safety Protocols for Ebola Treatment are Flawedvia @allahpundit. Update: Via Slate, the CDC's poster for dressing/undressing protocols is here. They suggest taking the gloves off first. I don't know about that. ... What I see here is a strong suggestion not that the Dallas nurse breached protocol, but that the protocols she followed are flawed and inadequate. Sanjay Gupta dons the protective gear, then takes it off. It's the taking it off part that poses the greatest danger to the health care practitioner, as when she is taking it off, the protective clothing is possibly infected with ebola. Touching one's skin to a smear of ebloa-infected saliva on one's glove, for example, can result in infection. So the trick is to get the clothing off without touching your own skin with any part of the clothing, or the gloves. Gupta smears his gloves and his hospital gown with some chocolate sauce to represent possible ebola contact. The trick is then to get the gear off him without getting any chocolate sauce on his skin. Gupta takes off the clothing following what he says are CDC procedures, and winds up getting chocolate sauce on him. The problem, I think (and which I've always suspected), is that you really can't take your clothes off with your own dirty, possibly-infected globes. You need someone with perfectly-clean gloves undressing you. Or, alternately, you have to have clean gloves placed over your dirty gloves,* so when you undress yourself, you're only touching yourself with a clean glove surface. Only then, at the end of the process, can you take off your gloves. And frankly I think this last step is still dangerous because, when you think about it, at some point you will be touching a dirty glove with one naked hand. One of your hands will end up being the first one to be without a glove, after all, when you take off gloves. And when you use that hand, you're touching naked skin to a possibly infected glove. I found Dr. Frieden's claim that the protocols must have been breached to have been unscientific and dangerous. A scientist should examine the possibility that the protocols themselves are inadequate, and should be experimented with. He seemed to dismiss all that -- to reassure us, of course. But when Gupta runs the experiment -- actually trying to follow the protocols -- he finds it to be quite likely that people will touch ebola-infected liquid to their skin in taking off the gear. Shouldn't a scientist actually look into these things instead of just being a glib reassurance machine? * This sounds sillier than it is. I don't mean slip on tight latex gloves over the infected gloves. I really have in mind a loose-fitting rubber mitten that is easily slipped on and off. Bear in mind, this mitten will be used only to remove clothing. The practitioner does not need all his fingers moving independently for this process. Slip on the clean undressing mitten, right over the filthy gloves, then use the clean undressing mittens to undress. End of process, who knows, perhaps they'd have to then put on a fresh set of undressing mittens (taking off the first ones) in order to then take off the actual gloves. We're talking about medical parts that would probably cost $0.20 a pair. We can afford to have practitioners use two sets of them per contact. Suggested Protocol. These protocols assume the existence of "undressing mittens," which are latex like surgical gloves, but looser fitting, so they can be easily slipped over a gloved hand. 1. Put on clean undressing mittens. 2. Use the clean undressing mittens to remove the face shield. 3. Take off the undressing mittens. Dispose of them in medical waste (with the face shield). 4. Put on new, clean undressing mittens. 5. Use them to take off the face mask. 6. Once again, take the mittens off, and dispose of them with the other medical waste (mittens, face shield, face mask). 7. Put on a new, clean undressing mittens. 8. Use these to take off the body garment. 9. Once again, take off the undressing mittens and dispose of them with the other medical waste (now multiple courses of mittens, mask, shield, garment). 10. Put on one new clean undressing mitten. 11. Use that mitten to remove the glove on the opposite hand. 12. Put on one new clean undressing mitten. 13. Use that to remove the other hand's undressing mitten and glove. 14. Dispose of the mittens and gloves in medical waste with all the other items. That's a lot of steps -- but at each step, the practitioner is guaranteed he cannot be touching himself except with a new, uninfected undressing mitten. It's idiot proof. Yes, it's a bunch of steps, but they're all simple. And the "undressing mittens" I have in mind are like $0.20 a pair. It's not like we have to save money on latex mittens. Simpler Protocol? Forget the mittens, ace. Arm length surgical gloves beneath the exterior gloves (he shows a two layers being put on) would be the way to go. Put those on first, remove gown and outer gloves, strip long gloves, and THEN face PPE Here's my problem with that. For the first step, it seems sound. You take off the outer gloves and then undress with the undergloves, which are, presumably, clean. However, you then take off your face shield. At this point your undergloves must be presumed to have made contact with ebola. That means you cannot now use your gloves to take off your face mask and body garment. As soon as your gloves touch anything which might have been infected, they are now dirty and cannot be used for subsequent undressing steps. So this works, I think, for removing the face shield, but I would not want to then take off my face mask -- think how hard it is to take off a face mask (looped around your ears) without making any contact with your body -- with an infected glove. I think you're going to have to put on proven-clean and new for each potential body-contact maneuver. Flawed from the Outset? Someone on Twitter, @chbillhorn, says it's impossible to put on clean mittens using dirty gloves without making the clean mittens dirty in the process. He may be right. It seems like an objection that I can't overcome. Alternative: Wear three pairs of gloves to start. When disrobing: 1. Use one glove to remove one layer of glove on the other hand, revealing a presumably-clean glove. 2. Use that clean glove to remove the face shield. 3. Use that glove (now dirty) to remove one layer of glove on the other hand, revealing a presumably-clean glove. 4. Use that glove to remove the face mask. 5. (I think here the dirty gloves can actually be used to pull off the body garment -- this seems like the step least likely to result in a touching off the body. So I'll suggest that.) 6. use one hand to remove one glove on the other hand. 7. use that hand (clean glove) to remove the hand's glove. I think at this point we are done with gloves. | Recent Comments
Reforger:
"1950's construction techniques are a world away fr ..."
screaming in digital : "And I gotta watch that Matchbox car vid. As a kid ..." Notsothoreau: "I am supposed to get a portion of my aunt & uncle' ..." Smell the Glove: "Thx T.Rex. I collected sports cards as a kid and I ..." screaming in digital : "I'm very late, but in response to sharon.... I ..." Mike Hammer, etc., etc.: "Whatever 'collections' I have are pretty modest. A ..." Kindltot: "Iris, once you learn the lingo, you can research a ..." rhennigantx: "210 I guess I collect books as well, actually took ..." Skip : "I guess I collect books as well, actually took 1 b ..." Blanco Basura - Z28.310 [/i] [/b] [/u] [/s]: "[i]I have 2 corneas that cost about 67,000.[/i] ..." exdem13 FIGHT FIGHT FIGHT: "The meme is correct. We got started young. ..." rhennigantx: "205 rhennigan. I think you call that an investment ..." Recent Entries
Saturday Evening Movie Thread 09/07/2024 [TheJamesMadison]
Hobby Thread - Sept 7, 2024 [TRex] Ace of Spades Pet Thread, September 7 Gardening, Puttering and Adventure Thread, Sept. 7 The "rules-based international order" vs. free speech? The Classical Saturday Morning Coffee Break & Prayer Revival Daily Tech News 7 September 2024 The Bric, The Brac, The Craic & All, Lets Call It An ONT TGIF Cafe The Week In Woke Search
Polls! Polls! Polls!
Frequently Asked Questions
The (Almost) Complete Paul Anka Integrity Kick
Primary Document: The Audio
Paul Anka Haiku Contest Announcement Integrity SAT's: Entrance Exam for Paul Anka's Band AllahPundit's Paul Anka 45's Collection AnkaPundit: Paul Anka Takes Over the Site for a Weekend (Continues through to Monday's postings) George Bush Slices Don Rumsfeld Like an F*ckin' Hammer Top Top Tens
Democratic Forays into Erotica New Shows On Gore's DNC/MTV Network Nicknames for Potatoes, By People Who Really Hate Potatoes Star Wars Euphemisms for Self-Abuse Signs You're at an Iraqi "Wedding Party" Signs Your Clown Has Gone Bad Signs That You, Geroge Michael, Should Probably Just Give It Up Signs of Hip-Hop Influence on John Kerry NYT Headlines Spinning Bush's Jobs Boom Things People Are More Likely to Say Than "Did You Hear What Al Franken Said Yesterday?" Signs that Paul Krugman Has Lost His Frickin' Mind All-Time Best NBA Players, According to Senator Robert Byrd Other Bad Things About the Jews, According to the Koran Signs That David Letterman Just Doesn't Care Anymore Examples of Bob Kerrey's Insufferable Racial Jackassery Signs Andy Rooney Is Going Senile Other Judgments Dick Clarke Made About Condi Rice Based on Her Appearance Collective Names for Groups of People John Kerry's Other Vietnam Super-Pets Cool Things About the XM8 Assault Rifle Media-Approved Facts About the Democrat Spy Changes to Make Christianity More "Inclusive" Secret John Kerry Senatorial Accomplishments John Edwards Campaign Excuses John Kerry Pick-Up Lines Changes Liberal Senator George Michell Will Make at Disney Torments in Dog-Hell Greatest Hitjobs
The Ace of Spades HQ Sex-for-Money Skankathon A D&D Guide to the Democratic Candidates Margaret Cho: Just Not Funny More Margaret Cho Abuse Margaret Cho: Still Not Funny Iraqi Prisoner Claims He Was Raped... By Woman Wonkette Announces "Morning Zoo" Format John Kerry's "Plan" Causes Surrender of Moqtada al-Sadr's Militia World Muslim Leaders Apologize for Nick Berg's Beheading Michael Moore Goes on Lunchtime Manhattan Death-Spree Milestone: Oliver Willis Posts 400th "Fake News Article" Referencing Britney Spears Liberal Economists Rue a "New Decade of Greed" Artificial Insouciance: Maureen Dowd's Word Processor Revolts Against Her Numbing Imbecility Intelligence Officials Eye Blogs for Tips They Done Found Us Out, Cletus: Intrepid Internet Detective Figures Out Our Master Plan Shock: Josh Marshall Almost Mentions Sarin Discovery in Iraq Leather-Clad Biker Freaks Terrorize Australian Town When Clinton Was President, Torture Was Cool What Wonkette Means When She Explains What Tina Brown Means Wonkette's Stand-Up Act Wankette HQ Gay-Rumors Du Jour Here's What's Bugging Me: Goose and Slider My Own Micah Wright Style Confession of Dishonesty Outraged "Conservatives" React to the FMA An On-Line Impression of Dennis Miller Having Sex with a Kodiak Bear The Story the Rightwing Media Refuses to Report! Our Lunch with David "Glengarry Glen Ross" Mamet The House of Love: Paul Krugman A Michael Moore Mystery (TM) The Dowd-O-Matic! Liberal Consistency and Other Myths Kepler's Laws of Liberal Media Bias John Kerry-- The Splunge! Candidate "Divisive" Politics & "Attacks on Patriotism" (very long) The Donkey ("The Raven" parody) |