Co Christian Oliver C, Yu Jeryl Ritzi T, Macrohon-Valdez Ma Cristina, Laxamana Lina C, De Guzman Vincent Paul E, Berroya-Moreno Remy Margarette M, Mariano Manuel M, Rivera Peter Paul Dela Paz, Racpan-Cauntay Joana Lyn M, Ilano Karen Czarina S, Trias Evita C, Domingo Alyssa Mae C, Marcelo Alvin Valeriano De Borja, Pineda-Franks Maria Carissa C
Institute for Neurosciences, St. Luke's Medical Center- Global City, 5th Ave, Taguig, Manila 1634, Philippines.
Institute for Neurosciences, St. Luke's Medical Center- Global City, 5th Ave, Taguig, Manila 1634, Philippines.
J Stroke Cerebrovasc Dis. 2020 Sep;29(9):105059. doi: 10.1016/j.jstrokecerebrovasdis.2020.105059. Epub 2020 Jun 20.
Since the declaration of the Novel Coronavirus Disease (COVID-19) pandemic, ensuring the safety of our medical team while delivering timely management has been a challenge. Acute stroke patients continue to present to the emergency department and they may not have the usual symptoms of COVID-19 infection. Stroke team response and management must be done within the shortest possible time to minimize worsening of the functional outcome without compromising safety of the medical team.
Infection control recommendations, emergency department protocols and stroke response pathways utilized prior to the COVID 19 pandemic within our institution were evaluated by our stroke team in collaboration with the multidisciplinary healthcare services. Challenges during the COVID-19 scenario were identified, from which a revised acute stroke care algorithm was formulated to adapt to this pandemic.
We formulated an algorithm that incorporates practices from internationally devised protocols while tailoring certain aspects to suit the available resources in our system locally. We highlighted the significance of the following: team role designation, coordination among different subspecialties and departments, proper use of personal protective equipment and resources, and telemedicine use during this pandemic.
This pandemic has shaped the stroke team's approach in the management of acute stroke patients. Our algorithm ensures proper resource management while optimizing acute stroke care during the COVID-19 pandemic in our local setting. This algorithm may be utilized and adapted for local practice and other third world countries who face similar constraints.
自新型冠状病毒病（COVID-19）大流行宣布以来，在提供及时治疗的同时确保我们医疗团队的安全一直是一项挑战。急性中风患者继续前往急诊科就诊，他们可能没有COVID-19感染的常见症状。中风团队的反应和管理必须在尽可能短的时间内完成，以在不影响医疗团队安全的情况下将功能预后的恶化降至最低。
我们的中风团队与多学科医疗服务部门合作，评估了我们机构在COVID-19大流行之前使用的感染控制建议、急诊科方案和中风应对途径。确定了COVID-19情况下的挑战，据此制定了修订后的急性中风护理算法以适应这一流行病。
我们制定了一种算法，该算法纳入了国际制定的方案中的做法，同时在某些方面进行了调整以适应我们当地系统中可用的资源。我们强调了以下几点的重要性：团队角色指定、不同专科和部门之间的协调、个人防护设备和资源的正确使用以及在这一流行病期间远程医疗的使用。
这一流行病塑造了中风团队管理急性中风患者的方法。我们的算法确保了在我们当地环境中COVID-19大流行期间进行适当的资源管理，同时优化急性中风护理。该算法可用于并适用于当地实践以及面临类似限制的其他第三世界国家。
