In recent years, with the impact of the coronavirus, people daily travel to wear masks to protect themselves, and people are using disposable masks, such as N95 masks and so on. But little thought has been given to using rebel respirators, such as PAPR medical.

The availability of PAPR medical can be considered as part of a stratified approach to pandemic preparedness. In well-resourced and well-prepared countries such as Singapore, the availability and deployment of PAPR medical have become a cornerstone of pandemic preparedness and “Timely response” to a pandemic. Their use is unlikely to be a determinant of the success or failure of infection control programs.

Research has shown that PAPR medical's storage and use are the most economically disadvantageous, mainly due to the cost of rechargeable batteries. PAPR was developed and certified primarily for industrial use because such health care regulatory and certification standards lag internationally. Significant barriers remain to the use of PAPR in healthcare settings, such as approval and conditions for use in sterile surgical procedures. Simulation of task performance under simulated conditions.

PAPR medical has been reported to be rated more highly by users for heat resistance, visibility, breathability, and comfort compared with alternative respiratory protection devices. In simulation studies, users of PAPR medical generally scored lower on audibility, ease of communication, mobility, and dexterity. Despite poor ratings on communications, experienced PAPR users prefer rebel respirators to disposable masks in the face of increased threats.

During the current outbreak, the use of PAPR medical was comparable to other appropriate respiratory protective measures. However, PAPR medical should be considered during high-risk long-term AGP, such as tracheotomy and endoscopic drilling, to address emerging diseases that may be acquired via aerosol routes. Respiratory protection for healthcare workers should not wait for clear scientific evidence in the context of emerging and fatal diseases, but should instead focus on best-case tailored prevention.

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