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" MIST (Modified Intubating Sequence for Transmissibility) Bundle for Infectious Diseases with Aerosol Hazard "
Balakrishnan, Jayaraj M.; Asanaru Kunju, Sanjan; Wilson, William; Nayak Sujir, Sachin; Bhat, Rachana; Vandana, K.E.
Document Type
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AL
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Record Number
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932558
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Doc. No
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LA0g21h3dn
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Language of Document
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English
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Main Entry
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Balakrishnan, Jayaraj M.; Asanaru Kunju, Sanjan; Wilson, William; Nayak Sujir, Sachin; Bhat, Rachana; Vandana, K.E.
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Title & Author
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MIST (Modified Intubating Sequence for Transmissibility) Bundle for Infectious Diseases with Aerosol Hazard [Article]\ Balakrishnan, Jayaraj M.; Asanaru Kunju, Sanjan; Wilson, William; Nayak Sujir, Sachin; Bhat, Rachana; Vandana, K.E.
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Title of Periodical
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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Volume/ Issue Number
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21/5
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Date
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2020
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Abstract
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The current global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has magnified the risk to healthcare providers when inititiating airway management, and safe tracheal intubation has become of paramount importance. Mitigation of risk to frontline providers requires airway management to be an orchestrated exercise based on training and purposeful simulation. Role allocation and closed-loop communication form the foundation of this exercise. We describe a methodical, 10-step approach from decision-making and meticulous drug and equipment choices to donning of personal protective equipment, and procedural concerns. This bundled approach will help reduce unplanned actions, which in turn may reduce the risk of aerosol transmission during airway management in resource-limited settings.
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