1. Hospital & Transport Care of the Highly Infectious Patient Elizabeth L. Beam, RN, MSN UNMC College of Nursing www.onlineheroes.org

2. Biocontainment Care

3. Biocontainment Transport Issues Unit weight, sturdiness and portability Compatibility with fixed wing aircraft, helicopters and ambulances Patient monitoring capability Air flow HEPA filtration of exit air Waste management, amount of space inside Unit durability, reusability, cost

4. Biocontainment Care Expertise Military US Army; USAMRIID Public Health Centers for Disease Control Civilian Nebraska Biocontainment Unit

5. Military

6. Public Health/CDC Pictures provided by: Alexander Isakov, MD, MPH Emory Emergency Medicine Grady EMS

7. Civilian

8. Points for discussion… Community resources Care for the potentially exposed Slow, calculated response Exercise the plan (unexpected issues) Care of the isolated Walk a mile in their shoes. Humidity, dexterity, tools needed.

9. References Christopher, G. W., & Eitzen, E. M. (1999). Air evacuation under high-level biosafety containment: The aeromedical isolation team. Emerging Infectious Disease, 5(2), 241-246. Marklund, L. A. (2003). Patient care in a biosafety level-4 (BSL-4) environment. Critical Care Nursing Clinics of North America, 15(2), 245-255.

10. Contact Information/Questions? Kate Boulter, RN (Lead RN, Neb BCU) kboulter@nebraskamed.com Beth Beam, RN, MSN (HEROES Coordinator) 402-559-6547 ebeam@unmc.edu www.onlineheroes.org