Paramedic use of PPE and testing during the COVID-19 pandemic

Abstract

COVID-19 is the disease caused by the SARS-CoV-2 virus. Paramedics are at the frontline of healthcare delivery, including during the SARS-CoV-2 pandemic. The virus poses specific problems for paramedics. These involve treating and transporting infected patients, as well as considerations around decontamination and disinfection of ambulances and medical equipment. All respiratory infections should be considered COVID-19 until proven otherwise so paramedics should wear personal protective equipment (PPE). PPE consists of gloves, gowns, aprons, surgical face masks, protective eyewear and face shields. Paramedics should receive training and guidance on PPE so they can select and use it properly. The type and level of PPE used will depend on the level of protection required, and risk should be assessed. Widespread testing will give a clearer picture of the incidence and distribution of the virus.