Download presentation
1
Using 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, RRCP Prepared on behalf of the Greater Toronto Area Critical Care/Emergency Medicine Advisory Group
2
Indications for personal protection systems during SARS outbreak
Patient Known or suspected SARS Respiratory failure of unknown etiology when SARS cannot be ruled out Procedure Intubation Extubation Bronchoscopy
3
Stryker T4 Personal Protection System
Stryker T4 was designed for orthopedic surgeons performing total joint replacements to protect patient from contamination by surgical team This system provides total body droplet protection from the patient
4
Stryker 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)
5
Before putting Stryker suit on
Surgical cap Secure goggles with elastic strap or tape glasses N95/N100 mask (new if time permits) One pair gloves Gown Surgical scrubs Note: don’t wear fabric shoes
6
Get helmet Note: these helmets should be stored and covered in plastic (not as shown here).
7
Put helmet on
8
Adjust headband
9
Get battery
10
Plug helmet cable into battery
11
Secure cable connection with tape
12
Assistant helps you gown
13
Lift visor towards helmet
14
Visor slot to helmet hook
15
Place slot on hook
16
Attach top velcro
17
Lift hood over helmet
18
Pull hood down
19
Attach bottom velcro
20
Pull zipper down
21
Secure ties
22
2nd pair of gloves (surgical)
23
Extend glove over cuff of toga
24
Tape outer gloves to toga
25
Enter room
26
Perform high risk procedure
27
If intubating, confirm with EtCO2
Remember, you can’t use a stethoscope!!!
28
Go to doorway
29
Present back to assistant
30
Assistant unfastens ties
31
Unzip toga
32
Disconnect cable from battery back
33
Go back inside
34
Pull shoulders of toga forward
35
Pinch cuff and outer glove
36
Peel down to knuckles
37
Repeat with other hand
38
Detach top velcro
39
Detach bottom velcro
40
Lift off hook and slide hood forward
41
Pull hood down
42
Rest hood on chest
43
Remove hand from outer glove
44
Repeat with other hand Use free hand under gown to pull 2nd glove off
45
Roll toga down arms and away
46
Begin 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.
47
Take one hand out
48
Only touch clean side of toga
49
Remove other hand
50
Touch only clean part of toga while rolling down
51
Stop rolling at ¾ length
Avoid touching dirty bottom of toga
52
Dispose of toga
53
Leave room, remove remaining gloves
54
Alcohol wash hands
55
Put on new gloves
56
Remove battery pack off belt/scrubs
57
Remove helmet
58
Remove inserts from helmet and discard
59
Using accelerated hydrogen peroxide wipes…
60
Clean helmet
61
Clean cable
62
Clean battery
63
When helmet is dry, place new inserts
64
Wrap helmet in plastic bag
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.