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  1. Article ; Online: Virtual application of

    Hanel, Erich / Bilic, Monika / Hassall, Kelly / Hastings, Mary / Jazuli, Farah / Ha, Michael / Trotter, Brendon / Fraser, Cory / Rutledge, Greg

    CJEM

    2020  , Page(s) 1–6

    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1017/cem.2020.375
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Endotracheal intubation with barrier protection.

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    Emergency medicine journal : EMJ

    2020  Volume 37, Issue 7, Page(s) 398–399

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient's body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    MeSH term(s) Aerosols ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Intubation, Intratracheal/methods ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; Protective Devices ; SARS-CoV-2
    Chemical Substances Aerosols
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209785
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A diagnostic challenge: Eosinophilia of unknown etiology.

    Jazuli, Farah / Kelton, Timothy J / Keystone, Jay S

    Travel medicine and infectious disease

    2016  Volume 14, Issue 5, Page(s) 537–538

    MeSH term(s) Aged ; Animals ; Eosinophilia/drug therapy ; Eosinophilia/etiology ; Eosinophilia/parasitology ; Exanthema/etiology ; Female ; Filariasis/diagnosis ; Filariasis/drug therapy ; Filariasis/parasitology ; Gabon ; Humans ; Loa/drug effects ; Loa/immunology ; Loa/isolation & purification ; Strongyloides/immunology ; Travel
    Language English
    Publishing date 2016-09
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 2170891-5
    ISSN 1873-0442 ; 1477-8939
    ISSN (online) 1873-0442
    ISSN 1477-8939
    DOI 10.1016/j.tmaid.2016.08.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Ciguatera fish poisoning after Caribbean travel.

    Thompson, Courtney A / Jazuli, Farah / Taggart, Linda R / Boggild, Andrea K

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2017  Volume 189, Issue 1, Page(s) E19–E21

    MeSH term(s) Adult ; Aged ; Caribbean Region ; Ciguatera Poisoning/diagnosis ; Ciguatera Poisoning/etiology ; Ciguatera Poisoning/therapy ; Female ; Humans ; Male ; Travel
    Language English
    Publishing date 2017--09
    Publishing country Canada
    Document type Case Reports ; Journal Article
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.151207
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Endotracheal intubation with barrier protection

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    Emerg Med J

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient's body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #767959
    Database COVID19

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  6. Book ; Online: Endotracheal intubation with barrier protection

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    2020  

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient’s body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    Keywords Report from the front ; covid19
    Language English
    Publishing date 2020-07-01 00:00:00.0
    Publisher BMJ Publishing Group Ltd
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Virtual application of in situ simulation during a pandemic

    Hanel, Erich / Bilic, Monika / Hassall, Kelly / Hastings, Mary / Jazuli, Farah / Ha, Michael / Trotter, Brendon / Fraser, Cory / Rutledge, Greg

    CJEM

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #825953
    Database COVID19

    Kategorien

  8. Article ; Online: Endotracheal intubation with barrier protection

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    Emergency Medicine Journal

    2020  Volume 37, Issue 7, Page(s) 398–399

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient’s body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    Keywords Critical Care and Intensive Care Medicine ; Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher BMJ
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2040124-3
    ISSN 1472-0205
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209785
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Virtual application of in situ simulation during a pandemic

    Hanel, Erich / Bilic, Monika / Hassall, Kelly / Hastings, Mary / Jazuli, Farah / Ha, Michael / Trotter, Brendon / Fraser, Cory / Rutledge, Greg

    CJEM

    2020  Volume 22, Issue 5, Page(s) 563–566

    Abstract: ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic introduced challenges to the use of simulation, including limited personal protective equipment and restricted time and personnel. Our use of video for in situ simulation aimed to circumvent these ...

    Abstract ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic introduced challenges to the use of simulation, including limited personal protective equipment and restricted time and personnel. Our use of video for in situ simulation aimed to circumvent these challenges and assist in the development of a protocol for protected intubation and simultaneously educate emergency department (ED) staff. We video-recorded a COVID-19 respiratory failure in situ simulation event, which was shared by a facilitator both virtually and in the ED. The facilitator led discussions and debriefs. We followed this with in situ run-throughs in which staff walked through the steps of the simulation in the ED, handling medications and equipment and becoming comfortable with use of isolation rooms. This application of in situ simulation allowed one simulation event to reach a wide audience, while allowing participants to respect social distancing, and resulted in the education of this audience and successful crowdsourcing for a protocol amidst a pandemic.
    Keywords Emergency Medicine ; covid19
    Language English
    Publisher Cambridge University Press (CUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1488-1543
    DOI 10.1017/cem.2020.375
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Evaluation of a programme for 'Rapid Assessment of Febrile Travelers' (RAFT): a clinic-based quality improvement initiative.

    Jazuli, Farah / Lynd, Terence / Mah, Jordan / Klowak, Michael / Jechel, Dale / Klowak, Stefanie / Ovens, Howard / Sabbah, Sam / Boggild, Andrea K

    BMJ open

    2016  Volume 6, Issue 7, Page(s) e010302

    Abstract: Background: Fever in the returned traveller is a potential medical emergency warranting prompt attention to exclude life-threatening illnesses. However, prolonged evaluation in the emergency department (ED) may not be required for all patients. As a ... ...

    Abstract Background: Fever in the returned traveller is a potential medical emergency warranting prompt attention to exclude life-threatening illnesses. However, prolonged evaluation in the emergency department (ED) may not be required for all patients. As a quality improvement initiative, we implemented an algorithm for rapid assessment of febrile travelers (RAFT) in an ambulatory setting.
    Methods: Criteria for RAFT referral include: presentation to the ED, reported fever and travel to the tropics or subtropics within the past year. Exclusion criteria include Plasmodium falciparum malaria, and fulfilment of admission criteria such as unstable vital signs or significant laboratory derangements. We performed a time series analysis preimplementation and postimplementation, with primary outcome of wait time to tropical medicine consultation. Secondary outcomes included number of ED visits averted for repeat malaria testing, and algorithm adherence.
    Results: From February 2014 to December 2015, 154 patients were seen in the RAFT clinic: 68 men and 86 women. Median age was 36 years (range 16-78 years). Mean time to RAFT clinic assessment was 1.2±0.07 days (range 0-4 days) postimplementation, compared to 5.4±1.8 days (range 0-26 days) prior to implementation (p<0.0001). The RAFT clinic averted 132 repeat malaria screens in the ED over the study period (average 6 per month). Common diagnoses were: traveller's diarrhoea (n=27, 17.5%), dengue (n=12, 8%), viral upper respiratory tract infection (n=11, 7%), chikungunya (n=10, 6.5%), laboratory-confirmed influenza (n=8, 5%) and lobar pneumonia (n=8, 5%).
    Conclusions: In addition to provision of more timely care to ambulatory febrile returned travellers, we reduced ED bed-usage by providing an alternate setting for follow-up malaria screening, and treatment of infectious diseases manageable in an outpatient setting, but requiring specific therapy.
    MeSH term(s) Adolescent ; Adult ; Aged ; Ambulatory Care Facilities/trends ; Communicable Diseases/complications ; Communicable Diseases/diagnosis ; Female ; Fever/diagnosis ; Fever/etiology ; Humans ; Male ; Middle Aged ; Program Evaluation ; Quality Improvement ; Referral and Consultation ; Sentinel Surveillance ; Travel ; Tropical Climate ; Virus Diseases/complications ; Virus Diseases/diagnosis
    Keywords covid19
    Language English
    Publishing date 2016-07-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2015-010302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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