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2nd April 2020

Environment Coronavirus: Paramedic protective kit ‘only fit for making sandwiches’

Environment Coronavirus: Paramedic protective kit ‘only fit for making sandwiches’

Environment

environment Paramedic wearing protective apronImage copyright
Reuters/Hannah McKay

Image caption

One paramedic (not pictured) says the apron staff have to wear is the “thinnest thing you can imagine”

A paramedic in the London Ambulance Service (LAS) has claimed the kit workers have been given to protect them from coronavirus would be more suitable for people making sandwiches.

The south London medic, who did not want to be identified, said the basic apron, gloves and masks were not sufficient protection from infection.

“It feels like every day I’m exposing myself and potentially my family to this virus,” he told the BBC.

In a document seen by the BBC, LAS has told its paramedics to wear basic PPE – a plastic apron, gloves and a surgical mask – for most call-outs.

The advanced PPE – including a white boiler suit, FFP3 mask, and goggles – is reserved only for confirmed cases of coronavirus, and in situations where paramedics have to perform invasive procedures such as full CPR.

Chest compressions – during which breath is forced from a patient’s body – alone are not considered invasive enough to warrant advanced PPE, in the LAS guidance.

The World Health Organization (WHO) says paramedics should wear a full gown, which covers their arms and below their knees, when helping patients who might have the virus into an ambulance and taking them to hospital.

Environment ‘Coughing over us’

But the LAS paramedic, in his 30s, said aprons distributed to him and his colleagues are “like something someone would make a sandwich with, someone serving you a sandwich”.

“It’s the thinnest thing you can imagine and it covers maybe 30% of your uniform,” he added.

In one recent example, the paramedic said he was carrying a critically-unwell patient with suspected coronavirus from their home to his ambulance.

“When wheeling them outside, the bottom half of the apron flew up and stuck to my face. One – I couldn’t see where I was going. And two – all of the virus that was likely on my apron was now on my face. My crew mate had to pull it down,” he said.

He said he could not clean his face until he was at the hospital about half an hour later.

He added that the “majority” of patients the LAS is treating at the moment have symptoms of coronavirus – “coughing over us while we assess them” – but because testing is predominantly only happening for people already in hospital, they are not counted as confirmed cases.

“We are surrounded by it now and we’re not sufficiently protected,” he said, adding that he was worried ambulance workers were helping to spread the virus.

Media playback is unsupported on your device

Media captionCoronavirus: The kit being used to treat patients

The chief operating officer for LAS, Khadir Meer, said the safety, health and wellbeing of staff was an “absolute top priority, and we do not expect crews to attend people with possible or confirmed Covid-19 without the correct protective equipment”.

He added there were stocks of PPE “for all those who need them” and that the level of protection LAS workers should wear was in line with “the latest guidance” from Public Health England.

Heather Lawrence, chair of LAS’s NHS trust board, said in a Facebook comment to LAS staff, seen by the BBC, that the aprons were “inadequate”.

“I agree [with workers’ concerns] that the aprons are inadequate in general and particularly for the environment you work in, and I believe that this will be resolved as soon as possible,” she said.

But the paramedic said as soon as possible was “too late” because many of his colleagues have already contracted the virus, including at least one who has had to have ventilator treatment.

He said even if the guidance was updated soon, in the meantime crews were still going out “with inadequate PPE”.

The paramedic said morale in the LAS was “really, really low” as a result of the “extremely stressful” situations posed by the coronavirus pandemic.

He said he was “without a doubt” the “most stressed I’ve ever been at work”, adding the “all-consuming” work was difficult to switch off from.

“My stress levels…. I’ve felt like a sort of simmering anxiety for the last couple of weeks which I don’t usually get from work,” he said.

“I feel duty bound more than ever to go out there and help in the pandemic, but it’s difficult when I don’t feel adequately protected.”

He added that LAS colleagues are “completely losing it” – with some going home crying after every shift and others contemplating quitting their jobs.

Image copyright
REUTERS/Mark Hartnell

Image caption

The paramedic said LAS guidance should be updated so that workers wear advanced PPE (pictured) to treat every patient

The medic said he and colleagues were also worried stock of advanced PPE could soon run out.

He said he had spent the start of shifts driving between several ambulance stations before managing to find appropriate kit.

“At the start of every shift we have to check what PPE we have. We’ve got loads of the surgical masks, which are substandard. The FFP3 masks, the proper ones, sometimes you get in the ambulance and they’re not there… often you have to go around different stations to find some.”

Environment Record-breaking demand

Ms Lawrence said in a public message on Monday that she was “exceptionally grateful” for the work her staff members were doing.

She added that over the past two weeks, 999 control rooms in London had received record-breaking numbers of calls – almost 8,000 per day.

“The situation will get more difficult before it starts to get better. As a service we will need to draw on all our strength and resilience to get through it,” Ms Lawrence said.


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