新冠疫情期间急诊科的管理。
Emergency Department Management of the Covid-19 Pandemic.
机构信息
Department of Emergency Medicine, Temple University Hospital, Philadelphia, Pennsylvania.
Department of Nursing, Temple University Hospital, Episcopal Campus, Philadelphia, Pennsylvania.
出版信息
J Emerg Med. 2020 Dec;59(6):946-951. doi: 10.1016/j.jemermed.2020.07.022. Epub 2020 Jul 9.
BACKGROUND
Emergency departments (EDs) need to be prepared to manage crises and disasters in both the short term and the long term. The coronavirus disease 2019 (COVID-19) pandemic has necessitated a rapid overhaul of several aspects of ED operations in preparation for a sustained response.
OBJECTIVE
We present the management of the COVID-19 crisis in 3 EDs (1 large academic site and 2 community sites) within the same health care system.
DISCUSSION
Aspects of ED throughput, including patient screening, patient room placement, and disposition are reviewed, along with departmental communication procedures and staffing models. Visitor policies are also discussed. Special considerations are given to airway management and the care of psychiatric patients. Brief guidance around the use of personal protective equipment is also included.
CONCLUSIONS
A crisis like the COVID-19 pandemic requires careful planning to facilitate urgent restructuring of many aspects of an ED. By sharing our departments' responses to the COVID-19 pandemic, we hope other departments can better prepare for this crisis and the next.
背景
急诊科需要为短期和长期的危机和灾难做好管理准备。2019 年冠状病毒病（COVID-19）大流行需要迅速彻底改革急诊科的几个方面，为持续应对做好准备。
目的
我们展示了同一医疗系统内 3 家急诊科（1 家大型学术机构和 2 家社区机构）对 COVID-19 危机的管理。
讨论
审查了急诊科的吞吐量方面，包括患者筛查、患者病房安置和处置，以及部门沟通程序和人员配备模式。还讨论了访客政策。特别考虑了气道管理和精神科患者的护理。还提供了有关使用个人防护设备的简要指南。
结论
像 COVID-19 大流行这样的危机需要精心规划，以促进急诊科许多方面的紧急重组。通过分享我们部门对 COVID-19 大流行的应对措施，我们希望其他部门能够更好地为这场危机和下一场危机做好准备。
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