Anesthésie-Réanimation, Hôpital Beaujon, DMU PARABOL AP-HP Nord, Université de Paris, Paris, France.
Percy Military Training Hospital, Clamart, France Val-de-Grâce French Military Medical Academy, Paris, France.
Anaesth Crit Care Pain Med. 2020 Jun;39(3):329-332. doi: 10.1016/j.accpm.2020.05.005. Epub 2020 May 13.
The first wave of the SARS-CoV-2 pandemic required an unprecedented and historic increase in critical care capacity on a global scale in France. Authors and members from the ACUTE and REANIMATION committees of the French Society of Anaesthesia and Intensive Care (SFAR) wished to share experience and insights gained during the first weeks of this pandemic. These were summarised following the World Health Organization Response Checklist and detailed according to the subsequent subheadings: 1. Command and Control, 2. Communication, 3. Safety and Security, 4. Triage, 5. Surge Capacity, 6. Continuity of essential services, 7. Human resources, 8. Logistics and supply management, 9. Training/Preparation, 10. Psychological comfort for patients and next of kin, 11. Learning and 12. Post disaster recovery. These experience-based recommendations, consensual across all members from both committees of our national society, establish a practical framework for medical teams, either spared by the first wave of severe COVID patients or preparing for the second one.
在全球范围内,SARS-CoV-2 大流行的第一波疫情需要前所未有的、历史性的增加重症监护能力。法国麻醉与重症监护学会(SFAR)的 ACUTE 和 REANIMATION 委员会的作者和成员希望分享在这场大流行的最初几周中获得的经验和见解。这些经验是按照世界卫生组织的应对清单总结的,并根据随后的副标题进行了详细说明:1. 指挥与控制,2. 沟通,3. 安全与安保,4. 分诊,5. 扩充容量,6. 基本服务的连续性,7. 人力资源,8. 后勤和供应管理,9. 培训/准备,10. 患者和家属的心理安慰,11. 学习,12. 灾后恢复。这些基于经验的建议得到了我们国家学会两个委员会所有成员的一致认可,为医疗团队提供了一个实用的框架,无论是在第一波严重 COVID 患者中幸免还是为第二波做准备。