Annals of Emergency Medicine
Volume 51, Issue 4 , Pages 420-425.e5 , April 2008

Initial Test of Emergency Procedure Performance in Temporary Negative Pressure Isolation by Using Simulation Technologies

Presented at the Temporary Negative Pressure Isolation Leadership Meeting, August 2005, Arlington, VA.

  • Mark A. Davis, MD, MS

      Affiliations

    • Institute for International Emergency Medicine and Health, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • Corresponding Author InformationAddress for reprints: Mark A. Davis, MD, MS, Institute for International Emergency Medicine and Health Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115.
    • ,
  • Roxanne Landesman, MS

      Affiliations

    • Institute for International Emergency Medicine and Health, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • ,
  • Boaz Tadmor, MD

      Affiliations

    • Cerberus, Inc.A
    • ,
  • Michael Hopmeier, MSME

      Affiliations

    • Cerberus, Inc.A
    • Unconventional Concepts, Inc.
    • ,
  • Gili Shenhar, MBA

      Affiliations

    • Cerberus, Inc.A
    • ,
  • Tobias Barker, MD

      Affiliations

    • STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • ,
  • Charles N. Pozner, MD

      Affiliations

    • STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • ,
  • Emily S. Binstadt, MD

      Affiliations

    • STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • ,
  • Stephen Nelson, CCEMTP

      Affiliations

    • STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • ,
  • Rodney Look, MD

      Affiliations

    • Emergency Medicine Residency Training Program, Brigham and Women’s Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA
    • ,
  • Maria Shubina, ScD

      Affiliations

    • Brigham and Women’s Hospital Center for Clinical Investigation, Boston, MA.
    • ,
  • Ron M. Walls, MD

      Affiliations

    • Institute for International Emergency Medicine and Health, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • STRATUS Center for Medical Simulation, Department of Emergency Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
    • Emergency Medicine Residency Training Program, Brigham and Women’s Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA

Received 31 August 2006 ,Revised 5 April 2007 ,Accepted 18 April 2007.

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    Isoark portable bioisolation unit.

    Isoark portable bioisolation unit.

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    Synopsis of types of precautions and patients requiring the precautions.*

    Synopsis of types of precautions and patients requiring the precautions.*

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    Simulation, Training, Research, and Technology Utilization System (STRATUS) megacode room.

    Simulation, Training, Research, and Technology Utilization System (STRATUS) megacode room.

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    Participant questionnaire I completed after each run of the scenario.

    Participant questionnaire I completed after each run of the scenario.

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    Participant questionnaire II: Each scenario (to be completed after both runs of each scenario)

    Participant questionnaire II: Each scenario (to be completed after both runs of each scenario)

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    Temperature and humidity inside the temporary negative pressure isolation tent testing room and in the adjoining simulation testing room.

    Temperature and humidity inside the temporary negative pressure isolation tent testing room and in the adjoining simulation testing room.

 Supervising editor: Gregory J. Moran, MD

 Author contributions: MAD was the principal coordinator and the individual with overall responsible for study design, implementation, and article preparation. R Landesman organized the progress of the study within the simulation laboratory and was the primary person responsible for data collection for statistical review. BT, MH, and GS provided expertise in bioagent threats, protocols for bioisolation implementation, and technical support in tent construction and modification. TB, CMP, ESB, SN, and RL Look participated in the design and execution of simulation laboratory-based critical care scenarios. They also assisted with article preparation. MS was responsible for statistical analysis and article review. RMW participated in simulation design, experiment implementation, and article preparation and review. MD takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This study was partially funded by Unconventional Concepts, Inc. and Collective Protection Engineering companies, with technical assistance from Cerberus, Inc. Cerberus, Inc. is now dissolved, and its former members serve as strategic consultants in emergency and disaster response planning.

 Publication dates: Available online August 24, 2007.

PII: S0196-0644(07)00544-6

doi: 10.1016/j.annemergmed.2007.04.017

Annals of Emergency Medicine
Volume 51, Issue 4 , Pages 420-425.e5 , April 2008

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