Hill Eric, Crockett Christopher, Circh Ryan W, Lansville Frank, Stahel Philip F
1The Medical Center of Aurora, 1501 South Potomac St, Aurora, CO 80012 USA.
Covenant Health, Methodist Medical Center of Oak Ridge, 990 Oak Ridge Turnpike, Oak Ridge, TN 37831 USA.
Patient Saf Surg. 2020 May 13;14:22. doi: 10.1186/s13037-020-00247-5. eCollection 2020.
The coronavirus disease 2019 (COVID-19) pandemic places healthcare workers at risk of exposure to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Emergency department (ED) staff are particularly vulnerable when managing patients with acute respiratory distress due to the aerosolization of the virus during endotracheal intubation. A simple and innovative intubation tent was designed with the intent of decreasing the risk of accidental viral transmission from emergent intubations during the COVID-19 pandemic.
The materials and assembly process of the novel "Corona Curtain" are described in technical detail, with the intent of allowing other providers to template the concept at their respective facilities.
A total of 36 intubation tents were mounted in the ED at the Medical Center of Aurora, Colorado, on April 7, 2020, and thereafter consistently used for all intubations during the ongoing COVID-19 outbreak. The cost of raw materials and labor for the initial assembly averaged US $ 8.00 per construct. The price of the single-use plastic cover is variable depending on the vendor source.
The new "Corona Curtain" was designed to improve the safety of ED staff when performing urgent/emergent intubations during the current COVID-19 pandemic. The concept can easily be adopted to other patient care areas, including perioperative and intensive care units. Future validation studies are needed to determine the safety and efficacy of the intubation tents by quantifying the pre-/post-intubation exposure through "point-of-care" SARS-CoV-2 testing once these resources are more widely available.
2019年冠状病毒病（COVID-19）大流行使医护人员面临感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的风险。急诊科（ED）工作人员在处理急性呼吸窘迫患者时尤其容易受到感染，因为在气管插管过程中病毒会形成气溶胶。设计了一种简单且创新的插管帐篷，旨在降低COVID-19大流行期间紧急插管导致意外病毒传播的风险。
详细介绍了新型“冠状病毒帘”的材料和组装过程，目的是让其他医疗机构能够在各自的设施中借鉴这一概念。
2020年4月7日，科罗拉多州奥罗拉医疗中心的急诊科共安装了36个插管帐篷，此后在持续的COVID-19疫情期间一直用于所有插管操作。初始组装的原材料和劳动力成本平均每个结构为8.00美元。一次性塑料罩的价格因供应商来源而异。
新型“冠状病毒帘”旨在提高当前COVID-19大流行期间急诊科工作人员进行紧急/急诊插管时的安全性。这一概念可轻松应用于其他患者护理区域，包括围手术期和重症监护病房。一旦这些资源更广泛可用，未来需要通过“即时”SARS-CoV-2检测量化插管前后的暴露情况，以确定插管帐篷的安全性和有效性。
