If your patient does prove to have ebola, I doubt that the cost of a new
blood gas analyser will be considered too much:
http://www.dailymail.co.uk/news/article-2800282/german-clinic-scraps-two
-machines-worth-1m-suspected-ebola-patient-threw-didn-t-deadly-virus.htm
l
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-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Gray Yusuf (DERBY
HOSPITALS NHS FOUNDATION TRUST)
Sent: 31 October 2014 12:59 PM
To: [log in to unmask]
Subject: Re: Blood Gases and Ebola
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Hi Martin,
The guidance on analysers suggests that most main chemistry analysers
are "closed".
However, as one of the team who maintain these analysers I am aware of
the amount of serum which requires cleaning from surfaces within the
"closed" units. Not sure that I want to be in the position of
decontaminating a very complex analyser when one suspected patient
becomes a confirmed case. POCT devices are by far the best option and
are recommended by the American Microbiologists Association.
Regards,
Yusuf
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Myers Martin
(LTHTR)
Sent: 31 October 2014 11:37
To: [log in to unmask]
Subject: Re: Blood Gases and Ebola
Craig,
The UK guidance is that "high risk" and "confirmed" ebola cases only
have limited testing, and blood gases are not on the list. The limited
testing in these two categories are:
Urgent malaria investigation
Full blood count, U&Es, LFTs Clotting screen, CRP glucose and blood
cultures
There is guidance about what is a closed system and how it can be
cleaned, but I suspect that the debate has not finished yet.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/fil
e/354640/VHF_guidance_document_updated_links.pdf
https://www.gov.uk/government/uploads/system/uploads/attachment_data/fil
e/365599/Summary_guidance_for_Acute_Trust_Staff_211014.pdf
Martin
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Webster Craig
Sent: 31 October 2014 09:54
To: [log in to unmask]
Subject: Blood Gases and Ebola
Hi,
Anyone got any views on blood gas machines and whether they constitute a
closed system if blood gases are required on an ? Ebola patient. Any
guidance from blood gas machines been produced?
Cheers
Craig
Craig Webster
Clinical Service Lead, Blood Sciences
Consultant Clinical Scientist
Birmingham Heartlands Hospital
Birmingham
B95SS
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