PROTECT THE NHS

What is PPE and who needs to wear protective equipment in the UK?


FOREIGN Secretary Dominic Raab stressed that the government is working to provide NHS heroes with suitable personal protective equipment as they battle on the frontline against coronavirus.  

This came after an investigation has been launched into the death of an NHS doctor who died from the virus after repeatedly pleading for better protection.

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An Italian medic putting on his PPECredit: Getty Images - Getty

What is the latest in the PPE shortage?

Mr Raab said the UK is continuing to source PPE from abroad.

In the last 10 days, more than 5 million masks have been secured from China and three flights of gowns have arrived from Turkey.

This comes as an investigation has been launched into the death of Dr Peter Tun, 62, who died at Royal Berkshire Hospital on April 13 after testing positive for Covid-19.

He had pleaded with bosses for PPE but his request was rejected due to a shortage - he died two weeks later.

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And the doctor was told his team could not have surgical masks, since there were no suspected or confirmed cases of Covid-19 in his ward, despite the fact two members of his team were self-isolating.

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What is PPE?

Personal Protective Equipment (PPE) varies, but it is the extra layers used to keep the wearer safe from pathogens, chemicals and most importantly right now, coronavirus.

It is the battle armour of the NHS medic.

The main goal of PPE is to stop pathogen-loaded airbourne particles, like saliva or blood, transferring from patient to medic, like an extreme sneeze guard.

PPE stops those particles getting into the wearer's body through vulnerable points like their mouths, lungs and eyes.

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Under normal circumstances, PPE is worn by specialists like surgeons, forensics teams and pathologists who come within two metres of unknown substances.

The World Health Organisation describes it as "garments placed to protect the health care workers or any other persons to get infected.
"These usually consist of standard precautions: gloves, mask, gown."

In the case of blood or airborne high infections like coronavirus, PPE will include face protection, goggles and a mask or face shield, gloves, gown or coverall, head cover and rubber boots.

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There is fierce debate over what counts as a proper gown as new NHS advice says "disposable fluid-repellent coveralls or long-sleeved gowns" are no longer mandatory for all procedures involving coronavirus patients, saying only that they must be used when a disposable apron provides "inadequate" cover.

The advice was issued without consulting medical bodies according to the who said they were "deeply disturbed" by the change and slammed it as an "unacceptable" risk to the health of staff.

A nurse wearing required protective equipment, including a mask, gloves and a visorCredit: Mirrorpix

What is the NHS standard for PPE at the moment?

Every country's standards vary when it comes to PPE and most of it is single use.

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The standard PPE kit in the UK is a surgical gown, alcohol hand rub, surgical gloves, a visor, goggles, and a fit-tested FFP3 respirator.

Due to the PPE global shortage a lot of medics have had to improvise, but here's the breakdown of what should be worn.

Mask/respirator

A well-fitted mask that covers both the nose and mouth. It should not be used for more than one shift and should be "Filtering Face Piece Class 3" or better.

Lesser masks, like N95 and surgical masks, should be worn with a full face shield if no FFP3 masks are available.

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Eye protection: Face shield, goggles and/or visor

Eye protection stops particles getting into your eyes and therefore should be fitted and airtight if possible.

A lot of medics are using a visor too. This is a bit of plastic that acts like a salad bar sneeze guard.

The visors are easy and cheap to produce, which is why .

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