Arslan Banu, Sutasir Mehmet Necmeddin, Kapci Mucahit, Korkut Semih, Altinarik Selim
Emergency Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, TUR.
Emergency Health Services, Istanbul Provincial Health Directorate, Istanbul, TUR.
Cureus. 2024 Aug 22;16(8):e67484. doi: 10.7759/cureus.67484. eCollection 2024 Aug.
Trauma resulting from accidents, violence, or war claims over five million lives annually, with traffic accidents and falls being predominant causes. The COVID-19 pandemic has posed unprecedented challenges in trauma care. Even though the number of injuries decreased during the lockdown period, the transportation of trauma patients became even more challenging due to concerns about infection control and the need for enhanced protective measures. This simulation workshop was conducted in a controlled environment to test and refine protocols for the safe transport of trauma patients with COVID-19. Our goal was to develop comprehensive guidance on the intrahospital transportation of these patients, ensuring the highest level of patient care and safety. We detail a five-step approach from preparation to the pre-landing, initial assessment, patient transfer, and patient handover phases, emphasizing adherence to protocols, equipment readiness, and personal protective equipment (PPE) use. The primary issues we encountered were related to time management, the decision-making process for applying lifesaving procedures in an open environment, and the risk of cross-infection. The workshop underscored the importance of swift and coordinated care, balancing life-saving interventions with efficient transport to a definitive care facility.
事故、暴力或战争导致的创伤每年夺走超过500万人的生命，其中交通事故和跌倒为主要原因。新冠疫情给创伤护理带来了前所未有的挑战。尽管在封锁期间受伤人数有所减少，但由于对感染控制的担忧以及加强防护措施的需要，创伤患者的转运变得更具挑战性。本次模拟研讨会在可控环境下进行，以测试和完善新冠创伤患者安全转运的方案。我们的目标是制定关于这些患者院内转运的全面指南，确保最高水平的患者护理和安全。我们详细介绍了从准备到着陆前、初始评估、患者转运和患者交接阶段的五步方法，强调遵守方案、设备准备就绪以及使用个人防护装备（PPE）。我们遇到的主要问题与时间管理、在开放环境中应用救生程序的决策过程以及交叉感染风险有关。研讨会强调了迅速和协调护理的重要性，在挽救生命的干预措施与高效转运至确定性护理机构之间取得平衡。
