[MCOH-EH] Mask related reactions and rashes

[Mike]

This is what I'm recommending. Does this match with your opinion?

Preventiveskin care:



·        Wash face with onlycool to lukewarm water and mild unscented skin cleansers such as Cetaphilcleanser or castile soap etc (avoid dyes, fragrances, exfoliating scrubs, etc.)



·        Moisturize around theclock with a bland (unscented, no salicylate, no UV) moisturizer, i.e. Eucerin,Cerave



·        Do not use irritatingtopical medications such as retinol, salicylic acid, glycolic acid



·        Avoid use of make-upor other cosmetics (these can break down with expired moisture and becomeirritating)



·        Shave facial hair withclean new sharp blades and use calming shave products without scents




Preventive mask use:



·        Remove mask as allowedto relieve contact (e.g. when eating or using bathroom)



·        Rotatesurgical/procedure masks if possible (ear loops vs ties, etc.).  Do notrotate N95 respirators unless fitted to multiple types 



·        Place thin gauze undersurgical/procedure masks (not N95 respirators), especially at pressure points.



·        Use buttons orpaperclips to hold loops of surgical/procedure masks to alleviate pressure onears.



 

Advancedprevention when needed:


·        Apply barrier ointmentRub thoroughly into skin before donning mask with zinc oxide or mineral oilsuch as A&D ointment or Cavilon or Aquaphor ointment to face prior to maskuse.  .

·        Apply thin siliconeprotective sheets/tape or moleskin to pressure points.  If used with N95must perform seal check.


 


Mike 

    On Wednesday, April 22, 2020, 09:39:52 AM PDT, Gwen Brachman via MCOH-EH <mcoh-eh at mylist.net> wrote:  
 
  I just put together a webinar for WHO on OSH for HWs in the time of Covid-19.  There was almost nothing about prolonged use of PPE in the literature - but heat stress and skin/mucosal barrier damage do occur.
The source I used is an accepted but I don't think yet published article out of China
     Consensus of Chinese experts on protection of skin and mucous membrane barrier for healthcare workers fighting against coronavirus disease 2019 

If you can't find it (I found it on PubMed) let me know and I'll send it to you.
gwen brachman md
     




    On Wednesday, April 22, 2020, 11:49:56 AM EDT, Enass Awad <umhaneen at gmail.com> wrote:  
 
 Good morning everyone:
  Was wondering if you had to deal with mask-related skin reactions and rashes in the context of having employees wear masks all day!!!
  If you did, are you calling those work-related and offer WC evaluations and treatment!!

Thanks , 

Sent from my iPhone
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The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):  http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
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