1Using the Stryker T4 Personal Protection System For High-Risk Procedures During SARS Outbreaks Randy Wax, MD, FRCPC (Critical Care)Laurie Mazurik, MD, FRCPC (Emergency Medicine)Vagia Tsiaousidis Campbell, RRCPPrepared on behalf of the Greater Toronto AreaCritical Care/Emergency Medicine Advisory Group
2Indications for personal protection systems during SARS outbreak PatientKnown or suspected SARSRespiratory failure of unknown etiology when SARS cannot be ruled outProcedureIntubationExtubationBronchoscopy
3Stryker T4 Personal Protection System Stryker T4 was designed for orthopedic surgeons performing total joint replacements to protect patient from contamination by surgical teamThis system provides total body droplet protection from the patient
4Stryker T4 Personal Protection System Use of this system is consistent with the “Directives to All Ontario Acute Care Hospitals for High-risk Procedures in Critical Care Areas During a SARS Outbreak” (Directive 03-06, May 1/2003)
5Before putting Stryker suit on Surgical capSecure goggles with elastic strap or tape glassesN95/N100 mask (new if time permits)One pair glovesGownSurgical scrubsNote: don’t wear fabric shoes
6Get helmetNote: these helmets should be stored and covered in plastic (not as shown here).
46Begin turning toga inside out Remember the inside surface of the toga is clean.Wrap clean inside around contaminated exterior when removing toga.Don’t touch the outer surface of the toga once the outer gloves are removed.