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首页> 外文期刊>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine >Decision support tool and suggestions for the development of guidelines for the helicopter transport of patients with COVID-19
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Decision support tool and suggestions for the development of guidelines for the helicopter transport of patients with COVID-19

机译：决策支持工具和建议开发Covid-19患者直升机运输指南

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The novel coronavirus SARS-CoV2 emerged in December 2019 and is now pandemic. Initial analysis suggests that 5% of infected patients will require critical care, and that respiratory failure requiring intubation is associated with high mortality. Sick patients are geographically dispersed: most patients will remain in situ until they are in need of critical care. Additionally, there are likely to be patients who require retrieval for other reasons but who are co-incidentally infected with SARS-CoV-2 or shedding virus. The COVID-19 pandemic therefore poses a challenge to critical care retrieval systems, which often depend on small teams of specialists who live and work together closely. The infection or quarantining of a small absolute number of these staff could catastrophically compromise service delivery. Avoiding occupational exposure to COVID-19, and thereby ensuring service continuity, is the primary objective of aeromedical retrieval services during the pandemic. In this discussion paper we collaborated with helicopter emergency medical services(HEMS) worldwide to identify risks in retrieving COVID-19 patients, and develop strategies to mitigate these. Simulation involving the whole aeromedical retrieval team ensures that safety concerns can be addressed during the development of a standard operating procedure. Some services tested personal protective equipment and protocols in the aeromedical environment with simulation. We also incorporated experiences, standard operating procedures and approaches across several HEMS services internationally. As a result of this collaboration, we outline an approach to the safe aeromedical retrieval of a COVID-19 patient, and describe how this framework can be used to develop a local standard operating procedure.
机译：2019年12月的新型冠状病毒SARS-COV2，现在发生了大流行。初步分析表明，5％的受感染患者将需要关键护理，并且需要插管的呼吸衰竭与高死亡率有关。生病的患者在地理上分散：大多数患者将留在原地，直到他们需要重大护理。此外，可能是由于其他原因需要检索的患者，但是谁与SARS-COV-2或脱落病毒共同感染。因此，Covid-19大流行为关键护理检索系统构成了挑战，这通常依赖于仔细生活和工作的专家小组。小绝对数量的这些员工的感染或隔离可能灾难性地妥协服务交付。避免职业暴露于Covid-19，从而确保服务连续性，是流行期间航空医学检索服务的主要目标。在本讨论中，我们与全球直升机紧急医疗服务（HEMS）合作，以确定检索Covid-19患者的风险，并制定减轻这些策略的策略。涉及整个航空医学检索团队的仿真确保了在制定标准操作程序期间可以解决安全问题。一些服务在仿真中测试了在航空医学环境中的个人防护设备和协议。我们还在国际上注册了经验，标准操作程序和跨越几个下摆服务的方法。由于这种协作，我们概述了一种方法来对Covid-19患者的安全气雾检索的方法，并描述了如何使用该框架来开发本地标准操作程序。

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