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[急诊科:新冠疫情危机与组织层面]

[Emergency department : COVID-19 crisis and organizational aspects].

作者信息

Ageron François-Xavier, Sarasin François, Pasquier Mathieu, Carron Pierre-Nicolas

机构信息

Service des urgences, CHUV, 1011 Lausanne.

(pour l'équipe des cadres du SU), Service des urgences, HUG, 1205 Genève.

出版信息

Rev Med Suisse. 2020 May 6;16(692):924-929.

Abstract

Emergency departments are on the front line in the management of COVID-19 cases, from screening to the initial management of the most severe cases. The clinical presentation of COVID-19 range from non-specific symptoms to adult acute respiratory distress syndrome (ARDS). Diagnosis is based on PCR from a nasopharyngeal swab and emergency treatment rely on oxygen therapy. Patient's orientation (home, hospitalization, admission in intensive care unit) is a central aspect of emergency management. The shift from a strategy of systematic recognition of potential cases to the one of epidemic mitigation required hospital emergency medicine services to implement crisis management measures, to guarantee admission and hospitalization capacity.

摘要

急诊科处于新冠肺炎病例管理的第一线,从筛查到最严重病例的初始管理。新冠肺炎的临床表现从非特异性症状到成人急性呼吸窘迫综合征(ARDS)不等。诊断基于鼻咽拭子的聚合酶链反应(PCR),紧急治疗依赖于氧疗。患者的去向(回家、住院、入住重症监护病房)是急诊管理的核心方面。从系统识别潜在病例的策略转向疫情缓解策略,要求医院急诊医学服务部门实施危机管理措施,以保证收治和住院能力。

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