Maudet Ludovic, Sarasin François, Dami Fabrice, Carron Pierre-Nicolas, Pasquier Mathieu
Service des urgences, CHUV, 1011 Lausanne.
Service d'anesthésiologie, CHUV, 1011 Lausanne.
Rev Med Suisse. 2020 Apr 29;16(N° 691-2):810-814.
The COVID-19 epidemic required rapid and frequent adaptations from the prehospital emergency medical services (EMS). The exposure of EMS providers is significant, particularly during procedures at risk of aerosolization such as advanced airways management or cardiopulmonary resuscitation. EMS personal need to be equipped with appropriate personal protective equipment and trained in its use. Interhospital transfers from COVID-19 patients are complex and involve mainly intubated patients. The possible shortage of resources may motivate the implementation of dedicated pre-hospital triage and orientation recommendations, which should be consistent with the hospital processes.
新冠疫情要求院前急救医疗服务（EMS）迅速且频繁地做出调整。急救人员面临的暴露风险很大，尤其是在诸如高级气道管理或心肺复苏等有气溶胶形成风险的操作过程中。急救人员需要配备适当的个人防护装备并接受使用培训。新冠患者的院间转运很复杂，主要涉及插管患者。资源可能短缺，这可能促使实施专门的院前分诊和转诊建议，这些建议应与医院流程保持一致。
