Careflight, Darwin, Australia; Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
Air Med J. 2022 May-Jun;41(3):323-325. doi: 10.1016/j.amj.2022.01.002. Epub 2022 Feb 10.
We report on the international retrieval of a critically ill, ventilated, coronavirus disease 2019-positive patient from Dili, East Timor, into the intensive care unit of the Royal Darwin Hospital in Australia. The patient had severe respiratory failure, and the medical team in Dili was struggling to maintain adequate oxygenation with a fraction of inspired oxygen of 1 most of the time. This occurred during an outbreak of coronavirus disease 2019 in East Timor, placing strain on the local health system. Therefore, it was decided to transfer the patient to Australia. Given the closed international borders of Australia, organization of the retrieval and infection control measures were challenging and are described in the article. We discuss the need for a pathway to retrieve critically ill patients into a well-resourced country during a pandemic and the importance of public health measures including a robust vaccination program.
我们报告了一例来自东帝汶帝力的危重症、需通气、2019 冠状病毒病阳性患者的国际检索，并将其转运至澳大利亚达尔文皇家医院的重症监护病房。该患者患有严重的呼吸衰竭，帝力的医疗团队在大多数时间内通过吸入 1 分数的氧气来维持足够的氧合作用，这在东帝汶 2019 冠状病毒病爆发期间发生，给当地卫生系统带来了压力。因此，决定将患者转运至澳大利亚。鉴于澳大利亚的国际边境关闭，检索的组织和感染控制措施具有挑战性，文章对此进行了描述。我们讨论了在大流行期间需要为危重症患者检索至资源充足的国家建立一条途径，以及公共卫生措施（包括强大的疫苗接种计划）的重要性。
