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

Preventive skin care:

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

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

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

·         Avoid use of make-up or other cosmetics (these can break down with expired moisture and become irritating)

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


Preventive mask use:

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

·         Rotate surgical/procedure masks if possible (ear loops vs ties, etc.).  Do not rotate N95 respirators unless fitted to multiple types

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

·         Use buttons or paperclips to hold loops of surgical/procedure masks to alleviate pressure on ears.

 

Advanced prevention when needed:

·         Apply barrier ointment Rub thoroughly into skin before donning mask with zinc oxide or mineral oil such as A&D ointment or Cavilon or Aquaphor ointment to face prior to mask use.  .

·         Apply thin silicone protective sheets/tape or moleskin to pressure points.  If used with N95 must perform seal check.

 



Mike


On Wednesday, April 22, 2020, 09:39:52 AM PDT, Gwen Brachman via MCOH-EH <mcoh-eh@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@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@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.
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