Hack The Pandemic

Lately, supply chain shortages became a part of daily life.  For many folks, it started with toilet paper and disinfecting products like Clorox wipes and hand sanitizer.  Now, in some areas meat is the unobtanium-du-jour.  Who knows what’s next.  Yet for healthcare workers and other folks who are on the front lines of the fight against COVID-19, the PPE needed to protect these folks from exposure to the virus has been in seriously short supply for months.  Globally.

Despite the lack of N95 masks and isolation gowns, face shields and other PPE essentials, healthcare workers and so many other folks are continuing to go above and beyond their job duties knowing full well that this lack of PPE may cause them to contract the virus.  Commercial PPE manufactures are scrambling to make all items that they can, but we as regular citizens have the ability to help make even more PPE to help out the folks on the front lines of this fight.  Thanks to crowdsourcing and 3D Printing, folks just like you and me can help keep our healthcare workers and others safe from COVID-19.

In early April, I came across an article about a Canadian Boy Scout who used his 3D printer to help out his local hospital.  As the story goes, the hospital had put out a community-wide request for help as their caregivers were experiencing pain from wearing face masks that hook behind the wearer’s ears for extended periods of time.  The boy scout used his 3D Printer to create a simple device that holds the straps from the mask off of the back of the wearer’s ears.  He made a bunch and distributed them to his hospital.  Problem solved.  Reading this inspired me and made me want to know more.  Surely if surgical masks were hurting folks in one hospital, they were hurting folks in other hospitals – and so my next move was all but made for me.  I sourced the design for this “Ear Saver” from the National Intitute’s of Health (NIH.GOV) 3D print exchange and fired up my own 3D Printers.

While my first few batches of Ear Savers were printing, I consulted the Googles to get up to speed on how folks all over the world are 3D Printing PPE.  In a sentence – what some folks are doing right now to help our healthcare workers and first responders is truly impressive.  In a matter of days, folks have spun up operations that are cranking out serious volumes of face shields, masks, and all kinds of other parts that hospitals and healthcare workers need right now.  After watching a few videos and reading about some of these operations, I started searching to see if anyone had organized such an effort in Northern Arizona – but I could not find anything.  I knew that a local company that makes medical devices and the university were organizing projects internally, but I didn’t see anything underway by regular Joes.  So I jumped in and started learning how to make face shields in addition to the ear savers that I was already producing.

Thankfully, a friend of mine in Colorado was a couple weeks ahead of me in his own effort to make face shields – and picking his brain on how to make it happen was invaluable in getting my project off the ground quickly.  Normally, my buddy’s company, MotoMinded makes awesome things for dirt bikes and ADV bikes – but they completely pivoted to making face shields when a Colorado non-profit reached out for help.  Getting the download on the things that work, things that do not, and all of the other little details was a huge help.  You see, you can’t just print out any old headband, stick some kind of clear plastic to it, and use the rubber band from last night’s asparagus to hold the contraption on your head.  You have to make sure your PPE is actually going to help the user and not just become a potential source of liability.

To make quality PPE, you need to print with certain filaments, like PETG, that can withstand the steam autoclave sterilization method that hospitals use.  Likewise, all of the other components of the face shield have to be able to withstand sterilization so that the item can be re-used.  Thankfully, there are a bunch of folks out there who have already conducted this research and they’re happy to share their knowledge.  Thanks internet.  The global maker community has come together to crowdsource designs, get them validated by healthcare professionals, and then get tons of these supplies in the hands of the folks who need them.

One of the more popular crowdsourced 3D Printed face shield designs is Prusa Research RC3 USA face shield.  This design prints relatively quickly and has been optimized using USA standards for things 3-hole punches to make a face shield that’s easily manufactured without special tools.  Thanks to MotoMinded, I was able to track down the clear plastic that I needed for the actual shield.  The last item I needed to source to make a complete face shield was a headstrap, and I ended up using a couple of pieces of nylon 550 cord, tied to make a strap that functions just like the waist strap on your backpack.  I made a few samples and got them in the hands of some friends who are nurses, and the local hospital’s supply chain manager for a final validation and assessment of fitness for use.

Other organizations I provided samples to requested different features.  The Prusa RC3 face shield design in open at the top, and so some organizations have requested a closed top or a visor – something that crowdsourcing has once again addressed and validated.  On the NIH exchange, I found remixes of the RC3 face shield with a visor and with a closed top – exactly what these organizations were looking for.  This is what it’s all about – getting the folks who are on the front lines of this fight the tools that they need NOW.  Healthcare workers aren’t the only folks who can use additional PPE during this time either.

While I was getting up to speed on my 3D Printed PPE project, American Adventurist staffer Cris Mateski, (@blkwgn) was also busy putting his 3D Printers to work to make Ear Savers.  In talking to him I began to fully appreciate just how many different organizations beyond healthcare workers need PPE right now.  Cris has been giving his Ear Savers to police, fire, and other public service departments in southern California.  Hearing this, I got inspired to dive headlong into this project – why not start shipping face shields and ear savers to folks all across the country in addition to supplying folks who need them here in Northern Arizona?  This is a global pandemic afterall.

Today, my new around-the-clock job is 3D Printed PPE manufacture.  We’ve donated supplies from California to New York City, and from Tucson, AZ to Missoula, MT.  And the requests just keep coming in.

If making PPE sounds like a something that you want to get involved with, there are a number of ways that you can help out.  You don’t have to have a printer to make an impact, as there is so much more to this whole process than just printing parts.  Here are a few good things to know:

  1. Get online and get involved.  Find out if there are operations in your area that are already printing or manufacturing PPE.  If there are, reach out and find out how you can help out.  These larger operations certainly need folks to print parts, but many of them need volunteers to sterilize parts, package parts, make other components, or help with logistics – so find out where you can jump in and help out.
  2. If you’re in a more rural area and there aren’t any organized operations in your area, reach out! Post on social media what you want to accomplish, and see if you can scare up some help.  Strong alone – stronger together.  Then reach out to your hospitals, Law Enforcement, Fire, City and County Health departments, doctor’s organizations, or anyone else who could need PPE and find out what they need.
  3. Stick to validated designs wherever you can. The NIH is a great resource for designs for 3D Printed parts that have been “clinically validated.”  That last thing you want to do is cause an issue for a healthcare worker or expose yourself to some serious liability.  If you are going to do something – do it right and follow the design requirements (like filament type).  Yes, there are a ton of potential improvements to the designs that are our there right now, but lets just make the stuff that’s been approved and proven to work.

The bottom line is that if you have the bandwidth to help right now, know that a little effort can go a long way to potentially protecting someone from contracting COVID-19.  To learn more about my project, you can check out our Facebook page.  The goal is to make as many face shields and ear savers as we can, and get them wherever they need to go, anywhere in the United States.  Our healthcare workers are our frontline forces in the fight against this coronavirus as well as any future threat, so anything we can do to help them will make it easier for them to help the folks who are suffering from this virus.

Stay safe, stay healthy, and thanks for reading.

OUR POSITION ON THE COVID-19 PANDEMIC

COVID-19

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Today we’re being bombarded with reports from academia, mainstream and social media, and the government. This announcement is not intended to condense all those reports, politicize them, or provide our own set of recommendations, other than to reinforce one particularly important issue – to come together as Americans and stay home. Now is not the time to get out and travel.

Instead, spend some time with family. Work on other projects.

One principle we sincerely believe in is that American Adventurist is a vehicle which allows for the individual, who shares our passion for this pastime and community of interest, to be something greater than yourself through fellowship, stewardship, and leadership. Now is the time to do just that.

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Lately, many social media organizations have been advocating for “social distancing” through self-quarantine by camping. On Twitter, Instagram, and Facebook we see people essentially bragging that they’re packing their gear and heading out to the most remote location imaginable, typically only a few hours away from their home. While romantic conceptually that’s not practical, nor is it contributing to the health of our community. Let’s take a closer look at why we’re convinced this isn’t a good strategy.

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“Coronavirus is just like the flu – it’ll all be okay.”

COVID-19 is similar to the flu in how it’s transmitted – via respiratory droplets and contaminated surfaces. And that’s why many of the preventive measures we talk about are the same as the flu. But the two viruses are different in ways that are significant and dangerous, and current data supports the FACT that COVID-19 is on the rise in America.

Meanwhile, flu has a vaccine; COVID-19 does not. The flu vaccine protects all of us, including our vulnerable populations who are frail or who have medical conditions. People who get the flu when they’ve taken the vaccine tend to have milder, and shorter illnesses. A vaccine for COVID-19 won’t be available for at least 18 months, if even then. Everyone is vulnerable.

Flu has established treatments; COVID-19 does not. Our flu treatments make the illness milder and shorter. When someone does get hospitalized with the flu, the health care team have experience and material for treating the flu. With COVID-19 we don’t have a treatment, other than supportive care, which means they can keep you alive longer, whereupon you either survive or die.

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“I don’t need to worry about getting sick. I’m healthy.”

Sixty percent of Americans have at least one medical condition whether it’s high blood pressure, diabetes, sleep apnea, or something else. Feeling healthy and being young isn’t a good reason either. The majority of hospitalizations in China were over age 30.

“Coronavirus is not in ‘the wilderness’, so I can go out.”

You don’t know it’s not in your area. There’s been a shortage of testing in the US, so we don’t have an accurate idea of how many people – or what areas – have truly been affected. The fact is, it is already here and has been for some time.

Did you know that individuals can shed the virus (infecting others) for up to 2 weeks before they get sick? That’s why the quarantine for COVID-19 is 14 days. You can be standing by someone who is infectious but not yet sick; in a queue at the grocery story; punching in your PIN at the ATM; pumping fuel into you adventure vehicle; and quietly pick up the virus. A virus which can survive on some surfaces from a minimum of 1 to 3 days. On every gas pump handle or debit card device you touch.

Alternatively, you could be the one who is positive and inadvertently spreading it to others. This is part of what explains the rapid spread of the disease. People don’t realize they are infectious. It could be anyone.

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If you do decide to retreat to the “safety” of your remote camping site, what might happen if you have COVID-19 and you begin to exhibit symptoms? Even with the latest communication and locator gear, rescue could be hours away, while the respiratory effects of this infection rapidly progress and you slowly suffocate. Additionally, you have now initiated a cascade of human rescuers that you’ve exposed which ultimately consumes more scarce resources and threatens more lives. This is why social distancing is so important. By severely limiting our interactions with each other (even if we think we’re healthy), we have a chance of slowing the progress of the virus.

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The Bottom Line in a Pandemic:

Naysayers may be acting out of a false sense of security. They may be downplaying the seriousness of the situation out of fear. But with lives at stake, we simply can’t afford to deny the danger. Stay at home. Take the opportunity to do that deferred maintenance on your vehicle, or perform that modification or installation you’ve really wanted to do. Take time now to do deliberate trip planning for later on. Study things and do things and be well. At home.

If you happen to already be out there on extended travel far from home, consider hunkering down someplace safe until the situation improves.

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If we each do our part, we will make a difference and flatten the curve. Look at polio – with global collaborative efforts polio is now 99% eliminated in the world. Today with the COVID-19 crisis, social distancing buys us the critical time we need to save lives. Be part of something bigger than yourself, and don’t forget to support small businesses during this time of uncertainty.

Stay home, hang out in your garage, and be a part of the solution, not a part of the problem.

Poster images courtesly of Duke Cannon

Photos by Chad de Alva

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