Department of Family Medicine, Thomas Moore Health Clinic, Fort Hood, TX.
Department of Emergency Medicine at Brook Army Medical Center, Fort Sam Houston, TX.
Med J (Ft Sam Houst Tex). 2021 Jan-Mar(PB 8-21-01/02/03):28-33.
Coronavirus 2019 (COVID-19) has spread across the globe with a concerningly high infectivity resulting in the World Health Organization deeming it a pandemic. It has resulted in thousands of deaths and placed enormous strain on communities, healthcare systems and healthcare workers as they battle shortages of ventilators, supplies, and difficulties in protecting patients and hospital staff alike. Challenges in managing the disease have led to new treatment and management strategies as healthcare teams struggle to adapt. We present the first case of COVID-19 managed in the austere deployed environment of Operation Inherent Resolve in which the patient was treated with dexamethasone, remdesivir, COVID-19 convalescent plasma, positive pressure ventilation, and proning. We discuss some of the inherent and unique challenges of caring for a patient in this resource constrained environment with a brief review of the literature on the treatment and management.
2019 年冠状病毒（COVID-19）在全球范围内迅速传播，其传染性令人担忧，世界卫生组织（World Health Organization）已将其宣布为大流行。它导致了数千人死亡，并给社区、医疗保健系统和医疗保健工作者带来了巨大压力，因为他们面临着呼吸机、用品短缺以及难以保护患者和医院工作人员的问题。管理这种疾病的挑战导致了新的治疗和管理策略，因为医疗团队努力适应。我们报告了首例在“坚定决心行动”（Operation Inherent Resolve）部署环境中管理的 COVID-19 病例，该患者接受了地塞米松、瑞德西韦、COVID-19 恢复期血浆、正压通气和俯卧位通气治疗。我们讨论了在这种资源有限的环境中照顾患者所面临的一些固有和独特的挑战，并简要回顾了关于治疗和管理的文献。
