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Obstetric hospital preparedness for a pandemic: an obstetric critical care perspective in response to COVID-19

机译:流行病的产科医院准备:响应Covid-19的产科批判性护理视角

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摘要

The Coronavirus disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic has had a rapid and deadly onset, spreading quicldy throughout the world. Pregnant patients have had high mortality rates, perinatal losses, and Intensive Care Unit (ICU) admissions from acute respiratory syndrome Coronavirus (SARS-CoV) and Middle East respiratory syndrome Coronavirus (MERS-CoV) in the past. Potentially, a surge of patients may require hospitalization and ICU care beyond the capacity of the health care system. This article is to provide institutional guidance on how to prepare an obstetric hospital service for a pandemic, mass casualty, or natural disaster by identifying a care model and resources for a large surge of critically ill pregnant patients over a short time. We recommend a series of protocols, education, and simulation training, with a structured and tiered approach to match the needs for the patients, for hospitals specialized in obstetrics.
机译:由严重急性呼吸综合征冠状病毒-2(SARS-CoV-2)大流行引起的2019年冠状病毒病(COVID-19)发病迅速且致命,在全世界迅速传播。过去,孕妇死亡率高,围产期损失大,重症监护病房(ICU)因急性呼吸综合征冠状病毒(SARS-CoV)和中东呼吸综合征冠状病毒(MERS-CoV)入院。潜在的情况是,激增的患者可能需要住院治疗和ICU护理,这超出了医疗系统的能力。本文旨在通过确定短期内大量危重孕妇的护理模式和资源,为产科医院如何为大流行、大规模伤亡或自然灾害做好准备提供机构指导。我们推荐一系列方案、教育和模拟培训,采用结构化和分层的方法,以满足产科专科医院对患者的需求。

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