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新型2019冠状病毒SARS-CoV-2(COVID-19):面向急诊临床医生的最新概述。

Novel 2019 coronavirus SARS-CoV-2 (COVID-19): An updated overview for emergency clinicians.

作者信息

Giwa A L, Desai Akash, Duca Andrea

机构信息

Associate Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

Icahn School of Medicine at Mount Sinai, New York, NY

出版信息

Emerg Med Pract. 2020 May 1;22(5):1-28. Epub 2020 Mar 24.

Abstract

The novel coronavirus, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. This overview analyzes the best information from the early research, including epidemiologic and demographic features from SARS-CoV-1 and MERS-CoV viruses; lessons learned from the experience of an emergency physician in Northern Italy, where the outbreak has devastated the healthcare system; evidence on transmission and prevention through safe use of PPE; evidence and advice on SARS-CoV-2 testing and co-infection; management options; airway management options; steps for rapid sequence intubation in the ED and managing disaster ventilation; and information on managing pediatric and pregnant patients.

摘要

新型冠状病毒COVID-19已迅速成为对健康、旅行和商业的全球性威胁。本综述分析了早期研究中的最佳信息,包括来自严重急性呼吸综合征冠状病毒1型(SARS-CoV-1)和中东呼吸综合征冠状病毒(MERS-CoV)的流行病学和人口统计学特征;从意大利北部一名急诊医生的经历中吸取的教训,在那里疫情已重创医疗系统;关于通过安全使用个人防护装备进行传播和预防的证据;关于SARS-CoV-2检测和合并感染的证据及建议;管理选项;气道管理选项;急诊科快速顺序插管及灾难通气管理步骤;以及关于儿科和孕妇患者管理的信息。

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