Thies N, Urban B, Kraus M, Kohlmann T, Niedermirtl F, Prückner S
Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Universität München, LMU München, München, Deutschland.
AG 4 des Rettungsdienstausschusses Bayern, Regierung von Unterfranken, Würzburg, Deutschland.
Notf Rett Med. 2022;25(2):119-124. doi: 10.1007/s10049-021-00855-3. Epub 2021 Mar 4.
During a pandemic situation, patients with suspected coronavirus disease (COVID-19) are also treated by emergency medical services (EMS). In order to establish an adequate procedure, a decision aid for the allocation of patients in case of suspicion of COVID-19 has been prepared for the ambulance staff as well as for the emergency physician in the Bavarian EMS. The decision-making aid includes the current guidelines and recommendations on COVID-19. A flowchart in A4 format was chosen for the presentation of the decision aid, which is structured according to the ABCDE scheme (A-Airway, B-Breathing, C-Circulation, D-Disability, E-Environment/Exposure) established in EMS. The flowchart allows patients to be categorized in three stages, based on (vital) parameters and criteria such as risk factors and specific framework conditions. The aim is to provide emergency physicians and ambulance staff with guidance for the assessment of patients and the resulting transport decision with a suitable target clinic if necessary.
在大流行期间，疑似冠状病毒病（COVID-19）患者也由紧急医疗服务（EMS）进行治疗。为了建立适当的程序，已为巴伐利亚紧急医疗服务中的救护人员以及急诊医生编写了一份在疑似COVID-19情况下分配患者的决策辅助工具。该决策辅助工具包括有关COVID-19的现行指南和建议。决策辅助工具的呈现选用了A4格式的流程图，该流程图根据紧急医疗服务中确立的ABCDE方案（A-气道；B-呼吸；C-循环；D-残疾；E-环境/暴露）构建。该流程图允许根据（生命）参数以及诸如风险因素和特定框架条件等标准将患者分为三个阶段。目的是为急诊医生和救护人员在评估患者以及必要时做出将患者转运至合适目标诊所的运输决策方面提供指导。
