Objective: This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.
Do-Hee Kim;Youngmin Jun;Ho-Joon Lee;Gyeongri Kang;Cho-Eun Lee;Joo-Young Lee
Fashion & Textile Research Journal
/
v.26
no.1
/
pp.123-136
/
2024
This study aimed to assess the mobility and thermal comfort of personal protective equipment (PPE) among female healthcare workers, taking into account wearers' physique and PPE protection levels. A total of 16 participants (age: 26.3 ± 8.3 y, height: 161.5 ± 7.3 cm, body weight: 57.1 ± 11.0 kg, BMI: 21.9 ± 3.6), representing diverse body types, underwent four PPE conditions: L (Low_Plastic gown ensemble), M (Medium_Tyvek 400), H (High_Tyvek 800J with Powered Air Purifying Respirator [PAPR]), and E (Extremely high_Tychem 2000 with PAPR, Bib apron, and Chemical-resistant gloves). The mobility protocol consisted of 10 different tasks in addition to donning and doffing. The 10 tasks were repeated twice at an air temperature of 24.3 ± 0.1℃, 59±4%RH. Findings revealed a disproportionate relationship between PPE protection and wearer discomfort. Significant differences in clothing microclimate and total sweat rate were observed between the lowest (L) and highest (E) protection levels (p < 0.01), while distinctions among medium levels were inconclusive. Subjective evaluations favored conditions H and L over M and E (p < 0.05), indicating reduced heat, and humidity, increased comfort, and lower exertion. Instances of mobility discomfort, specially in the small body type group, underscored the need for a suitable PPE size system for Korean adult female medical workers. Furthermore, enhancements in gloves, shoe cover, and PAPR hood designs are essential for improving ease of movement and preventing hindrance.
We conducted a nationalwide questionnaire to investigate accidental experiences and injuries at flashover or flame-fire for active firefighters in the line of duty. A total of 794 firefighters participated in this survey (764 males, 27 females, and 3 respondents; $39.2{\pm}8.4yr$ in age, $173.7{\pm}5.1cm$ in height, $73.4{\pm}8.6kg$ in body mass). The results showed that high risk circumstances the most frequently experienced while firefighting in Korea was flashover followed by backdraft, rollover and flameover. At the high risk circumstances the most frequently-experienced injuries were bruise, stabs and burns. Firefighters hoped to reduce the total mass of personal protective equipment (PPE), improve the mobility of the PPE and dexterity of protective gloves, so that they could escape from the high risk circumstances as fast as possible. In particular, requirements for improvement on protective gloves were greater than those on other PPE. The present study suggested that the need for improvements on the current firefighters' PPE to cope with emergency high risk situations in terms of PPE mass reduction and mobility.
The present study developed a test protocol for evaluating the mobility of firefighting chemical and flame personal protective equipment (PPE) for the National 119 Rescue Headquarters in Korea and suggested ergonomic design factors to improve their mobility and performance. Six types of PPE were employed, including three types for flame protective PPE (5 ~ 6 kg excluding the self-contained breathing apparatus), and three types for chemical and flame protective PPE (8 ~ 11 kg). These PPEs are used by the 119 Rescue firefighters. Three male firefighters (34.3 ± 1.2 y in age, 175 ± 8 cm in height, 81 ± 13 kg in body weight) participated in the mobility test and interview. A mobility test protocol consisting of 16 components (nine postures and seven motions including a dexterity test) along with a visibility test were developed based on pre-interviews and literature reviews. The findings indicated that the clothing microclimate humidity on the neck and chest exceeded 85%RH on average for all the six PPE conditions, with the chest area reaching as high as 98%RH. This high humidity caused fogging inside the visor and impaired visibility. The requirements for improving the PPE design in terms of mobility varied depending on whether it was the separated types or all-in-one types, particularly regarding the hood and gloves design. The findings of this study can be applied to improve the design of Level A_PPE for firefighters. The mobility test protocol and visibility test developed in this study can also be applied to other types of Level A impermeable PPE.
No, Yoo-Min;Nam, Yun-Ja;Lee, Hye-Rin;Kim, Tae-Han;Kim, Chu-Hyun;Shin, Sang-Do
The Korean Journal of Emergency Medical Services
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v.22
no.1
/
pp.83-97
/
2018
Purpose: The purpose of this study was to provide basic data for the development of personal protective equipment (PPE) for emergency medical technicians (EMTs) during chemical, biological, radiological, nuclear, and explosive situations. Methods: Body measurements were obtained for adults aged from 20 to 59 years from the data in the 6 th Size Korea national sizing survey. These data were compared to the sizes of protective clothing currently available in the market. In-depth interviews with active paramedics with experiences of wearing PPE were conducted. Results: Most of the imported protective clothing turned out to be unfit for Korean adults. This showed the urgent need for developing appropriately sized protective clothing for Korean emergency technicians. In total, 55.0% of the respondents indicated that the current protective clothing is unsafe, and 71.0% requested the clothing to have level C protective performance. Regarding the design, many people wanted hooded all-in-one type of clothing. Conclusion: Considering these requirements, most of the wearers wanted their protective clothing to be fundamentally protective of their body, be available in various sizes with adjustable parts, and easy to wear and take off. They also wanted the clothing to be secure in clear sight, while not revealing any parts of their body and not interfringe with their ability to communicate with others.
Objectives: According to the new Chemical Control Act from the Korean Ministry of Environment (2014-259), workers handling hazardous chemicals should wear personal protective equipment (PPE). However the act simply states in basic phrases that every worker handling one or more of the 69 listed chemicals should wear PPE and does not consider the unique hazard characteristics of chemicals and work types. The main purpose of this study is to provide basic data to revise the act to suit particular work processes and situations. Methods: The hazard rank of the substances was classified based on hazardous characteristics such as LC50 and vapor pressure using matrix analysis. The workplace exposure risk of the substances was also determined through a matrix analysis based on the previously determined hazard ranks and the demands of manual handling together with the likelihood of accident frequency of the operation combined with the exposure of workers during spill accidents. Results: To meet the demands for developing subsequent guidelines for the risk-based application of PPE in hazardous workplaces, this study sorted the 69 listed chemicals into five hazardous categories based on their LC50 and vapor pressures, and also assigned exposure categories according to exposure vulnerability for various types of work which are frequently performed throughout the life cycle of the chemicals. Conclusion: In the next study, an exposure risk matrix will be produced using the hazard rank of chemicals and workplace exposure risk, and then PPE will be selected to suit the categories of the exposure risk matrix.
The purpose of this study is to find out its effect on changes in the joint angle and the success rate of cardiopulmonary resuscitation by conducting cardiopulmonary resuscitation (CPR) when wearing and not wearing PPE (personal protective equipment) targeting 20 paramedics with more than 5 years of experience. The subjects carried out CPR in 30:2 for 4 minutes and collected images were digitized by Kwon3D XP Software Package(Version 4.0) and then data were obtained. Data, which were collected by analyzing the motion when starting in one cycle, when pressing to the maximum, in the final position (relaxed), were analyzed by using SPSS 18.0. In conclusion, during CPR, the angle of the both shoulder joints was not significant (p>.05) and the angle of the right elbow joint was reduced in all positions and was statistically significant (p<.05) and the angle of the left was significantly reduced in the maximum pressure posture and the final position (p>.05). In the case of the trunk, the angle increased statistically significantly at all stages (p<.01, p<.001). Also, during CPR, the average compression rate was significantly reduced after wearing PPE (p<.05) and average hand escape time by cycle increased statistically significantly (p<.05) but chest compression execution rate at the correct depth did not show any significant difference between the two groups (p>05).
Han, Don-Hee;Park, Min Soo;Cho, Yong-Sung;Lee, Chungsoo
Journal of Environmental Health Sciences
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v.47
no.1
/
pp.101-109
/
2021
Objectives: The objectives of this study are to introduce the development process of work situations and types in the revised regulations on wearing personal protective equipment (PPE) for hazardous chemical handlers, analyze the implementation of the regulations, and then provide basic data for future education strategies. Methods: The development process of work situations for regulation was explained through a flowchart by year. In 2018, a survey of 30 chemical managers and 201 managers and handlers was conducted based on recognition of work situations and the related regulations. In 2019, 91 chemical managers and 204 handlers were surveyed to find the degree of compliance with regulations, direction for improvement of understanding the regulations, and training methods. Results: Only 78.0% of chemical managers and 66.7% of handlers said they were aware of the regulations (p<0.05). Just 79.0% of handlers knowing the regulations said they would wear PPE in compliance with these regulations. Therefore, the best way to make workers wear proper PPE in accordance with regulations is to strengthen the promotion of education on regulations. In order to improve the quality of education, 51.7% of managers and 33.3% of handlers cited educational content (video, ppt, etc.) as the top priority. Conclusion: This study suggested that more educational opportunities should be provided and educational content should be developed in order for workers handling hazardous chemicals to wear PPE as prescribed in regulations.
Purpose: The purpose of this study is to develop a deep learning-based personal protective equipment detection model for disaster prevention at construction sites, and to apply it to actual construction sites and to analyze the results. Method: In the method of conducting this study, the dataset on the real environment was constructed and the developed personal protective equipment(PPE) detection model was applied. The PPE detection model mainly consists of worker detection and PPE classification model.The worker detection model uses a deep learning-based algorithm to build a dataset obtained from the actual field to learn and detect workers, and the PPE classification model applies the PPE detection algorithm learned from the worker detection area extracted from the work detection model. For verification of the proposed model, experimental results were derived from data obtained from three construction sites. Results: The application of the PPE recognition model to construction site brings up the problems related to mis-recognition and non-recognition. Conclusions: The analysis outcomes were produced to apply the object recognition technology to a construction site, and the need for follow-up research was suggested through representative cases of worker recognition and non-recognition, and mis-recognition of personal protective equipment.
This study was aimed to investigate factors that affected the status of wearing personal protective equipment (PPE) for handling poultry carcasses with potential exposure to virulent avian infectious agents. A large outbreak of high pathogenic avian influenza (HPAI) occurred in South Korea in 2014. Many public officers participated for euthanizing and handling livestock carcass. However, several safety issues with using PPE were revealed. Therefore, a questionnaire survey was conducted for 340 people who participated euthanasia and carcass disposal in the place where HPAI mainly occurred in 2014. It was found that 31.8% of the respondents had ever taken off their protective equipment during operations because of its inconvenience. The most inconvenient PPE was goggles (54.6%), followed by mask (20.2%), latex gloves (11.6%), shoe covers (5.9%) and protective clothing (5.3%). The main complaints about this individual PPE was unclear sight, damp emitted toward eye, sweating, tearing easily and sweating, respectively. Considering such problems of PPE, new possible directions for improvement of gloves and goggles were suggested. With newly developed rubber coating fabric gloves and conventionally using latex and fabric gloves, H3N2 influenza virus transmission experiment was conducted. Rubber coating fabric gloves showed similar efficiency for blocking virus transmission with latex laboratory gloves and were not easily torn by sharp claws of chicken. In addition, air flow control safety eyewear was suggested to minimize moisture formation. The air flow control system efficiently suppressed moisture formation inside the goggles. Therefore our study will provide more specific directions about new PPE development for safety protection of actual wearers.
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