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我们医学院应对新冠疫情大流行的学习经验。

A learning experience of pandemic COVID-19 management at our medical institute.

作者信息

Sonkar Satyendra Kumar, Kumar Satish, Gupta Kamlesh Kumar, Chaudhary Shyam Chand, Kumar Vivek, Sawlani Kamal Kumar, Verma Sudhir Kumar

机构信息

Department of Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2020 Aug 25;9(8):4270-4276. doi: 10.4103/jfmpc.jfmpc_836_20. eCollection 2020 Aug.

Abstract

BACKGROUND

Coronavirus disease-19 (COVID-19) pandemic caused by Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) is a novel disease.

OBJECTIVES

Our healthcare sector is at the epicentre of this unprecedented global pandemic challenge and we are not fully aware of it's management. Here we have discussed our learning experience in managing and tackling the COVID-19 pandemic at our institute which will set an example for other hospitals as well as instill confidence in our primary care physicians who are the frontline warriors.

METHODS AND RESULTS

For combating COVID-19, dedicated teams for its management including logistic support was streamlined. Our capacity was built up for 200 isolation beds including 40 ventilator equipped beds and 645 defined quarantine rooms, to be implemented in phased manner. Till date more than 200 COVID-19 patients have been admitted here. Fever and cough were common presentations. Mortality was high in patients with advanced age or who had multiple co-morbid conditions. Efficient training and infection prevention control have resulted in a satisfactory outcome.

CONCLUSION

In the wake of this pandemic all hospital setup, with collective responsibility should follow a specified protocol so that our hospital is not converted to the hotspot. COVID-19 has imposed a new challenge where not only patients have to be managed but our health care workers also need to be protected. Telemedicine and our primary care physicians will play a crucial role. Here at a medical institute, medical teaching, and learning atmosphere has to be created amidst the pandemic apprehension for our budding medicos.

摘要

背景

由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的冠状病毒病-19(COVID-19)是一种新型疾病。

目的

我们的医疗保健部门处于这一前所未有的全球大流行挑战的中心,而我们对其管理并不完全了解。在此,我们讨论了在我们机构管理和应对COVID-19大流行的学习经验,这将为其他医院树立榜样,并增强我们作为一线战士的基层医疗医生的信心。

方法与结果

为抗击COVID-19,精简了包括后勤支持在内的专门管理团队。我们建立了200张隔离床位的能力,其中包括40张配备呼吸机的床位和645间指定的隔离病房,并将分阶段实施。截至目前,已有200多名COVID-19患者在此住院。发热和咳嗽是常见症状。高龄或有多种合并症的患者死亡率较高。有效的培训和感染预防控制取得了令人满意的结果。

结论

在这场大流行之后,所有医院机构都应共同承担责任,遵循特定的协议,以免我们的医院变成热点地区。COVID-19带来了新的挑战,不仅要管理患者,还需要保护我们的医护人员。远程医疗和我们的基层医疗医生将发挥关键作用。在一所医学院,必须在大流行的担忧中为我们初出茅庐的医学生营造医学教学和学习氛围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/187c/7586540/9d6e287ad81d/JFMPC-9-4270-g001.jpg

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