COVID-19大流行第一波期间急诊部门的运作

Michał Dudek, Zbigniew Putowski, Robert Latacz, Robert Kijanka, K. Nadolny, W. Gaszyński
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摘要

目的:急诊科工作组织是急诊科医务人员面临的重大挑战。许多地方仍然存在的个别医院之间的空间限制和建筑差异是造成这种状态的主要原因之一。由此产生的通信路线的多样性、特定地区的分布和床上资源的多样性只是阻碍全国范围内ED工作统一组织的众多因素之一。SARS-CoV-2大流行的“第一波”对这些部门的日常运作产生了重大影响,其中包括隔离COVID-19患者的必要性,这应该根据自上而下的建议进行。这些建议对急诊科提出了具体的组织和后勤解决方案,特别包括为患有新传染病的患者建立隔离区,同时保持向未患COVID-19的患者提供服务的连续性。因此,在现有ED组织的显著多样性的背景下,它们的实施是一项具有挑战性的任务,要求每个ED“单独”适应新的,甚至更困难的工作条件。本文讨论了在COVID-19大流行的第一波期间,急诊科功能面临的相关挑战。
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THE FUNCTIONING OF EMERGENCY DEPARTMENTS DURING THE FIRST WAVE OF THE COVID-19 PANDEMIC
Aim: Emergency Departments (EDs) work organization is a significant challenge for the medical personnel managing them. Space limitations and architectural differences between individual hospitals still existing in many places are one of the main reasons for such a state. The resulting diversity of communication routes, the distribution of particular areas, and the variety of bed resources are only among the many factors hindering the unification of the organization of ED work on a national scale. The “first wave” of the SARS-CoV-2 pandemic had a significant impact on the daily functioning of these departments, which resulted, among others, from the necessity to isolate patients with COVID-19, which should have been carried out according to top-down recommendations. These recommendations imposed specific organizational and logistic solutions on the EDs, including, in particular, the formation of isolation zones for patients suffering from a new infectious disease while maintaining the continuity of providing services to patients not suffering from COVID-19. Their implementation, in the context of the significant diversity of the existing organization of EDs, was, therefore, a challenging task requiring “individual” adaptation of each ED to new, even more, difficult working conditions. This article discusses the related challenges in the ED functioning during the first wave of the COVID-19 pandemic.
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