COVID-19 hastalığının en dikkat çeken özelliği insandan insana çok hızlı bir şekilde bulaşabilmesidir. COVID-19 hastalarına müdahale ve nakil süreçlerinde yer alan hastane öncesi acil sağlık hizmetlerinde çalışan 112 ambulans ekibinin hastalığa yakalanma açısından en yüksek riske sahip gruplar arasında yer aldığı bilinmektedir. Bu yazıda hastane öncesi acil sağlık hizmetleri yönü ile COVID-19 hasta yönetimi ve bu alanda çalışan sağlık personeline yönelik riskler ve alınması gereken önlemlerden bahsedilmesi amaçlanmıştır.
Uludağ Ö. Koronavirüs enfeksiyonları ve yeni düşman: COVID-19. ADYÜ Sağlık Bilimleri Derg. 2020;6 (1):118-127.
Huang C, Wang Y, Li X, Ren L, Zhago J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.
Centrel for Disease Control and Prevention (CDC) (10 Mart,2020). 2019 Novel Coronavirus (2019-nCoV) symptoms. https://www.cdc.gov/coronavirus/2019 ncov/about/symptoms.
T.C Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü COVID-19 (SARS-CoV-2 enfeksiyonu) Rehberi (5.Mart 2021).
Bleckwenn M. Behandlung von patienten in corona-ambulanzen: COVID-19-pandemie [Treatment of patients in a corona ambulance]. MMW Fortschr Med. 2020 May;162(9):54-56. German. doi: 10.1007/s15006-020-0479-7. PMID: 32405837; PMCID: PMC7220592.
Nolan JP, Monsieurs KG, Bossaert L, Böttiger BW, Greif R, Lott C, et al. European Resuscitation Council COVID-Guideline Writing Groups. European Resuscitation Council COVID-19 guidelines executive summary. Resuscitation. 2020;153:45-55.
https://www.ilcor.org/COVID-19 (5.Mart 2021).
Hart J, Tracy R, Johnston M, Brown S, Stephenson C, Kegg J, Waymack J. Recommendations for prehospital airway management in patients with suspected COVID-19 İnfection. West J Emerg Med. 2020 Jun 15;21(4):809-812. doi: 10.5811/westjem.2020.5.47540.
Craig S, Cubitt M, Jaison A, Traupakis S, Hood N, Fong C, et al. Management of adult cardiac arrest in the COVID-19 era: consensus statement from the Australasian College for Emergency Medicine. Med J Aust. 2020 Aug;213(3):126-133. doi: 10.5694/mja2.50699.
Kulkarni AP, Singh Y, Garg H, Jha S. Cardiopulmonary resuscitation during COVID-19 pandemic: outcomes, risks, and protective strategies for the healthcare workers and ethical considerations. Indian J Crit Care Med. 2020 Sep;24(9):868-872. doi: 10.5005/jp-journals-10071-23544.
Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, et al. American Heart Association ECC Interim COVID Guidance Authors. Interim guidance for basic and advanced life support in adults, children, and neonates with suspected or confirmed COVID-19: from the Emergency Cardiovascular Care Committee and get with The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association. Circulation. 2020 Jun 23;141(25):e933-e943.
Mazzoli CA, Tartaglione M, Gamberini L, Lipi C, Semeraro F, Chiarini V, et al. Pre-Hospital trauma care in the COVID-19 era. Air Med J. 2020;39(6):434-435.
Yürümez Y, Alaçam M. Acil Serviste COVID-19 ve yönetimi. J Biotechnol and Strategic Health Res. 2020;1(Özel Sayı):116-122.
Pre-Hospital Emergency Medical Services and COVID-19 Patient Management
The most striking feature of COVID-19 disease is that it can be transmitted from person to person very quickly. It is known that the 112 ambulance team working in pre-hospital emergency health services, which are involved in the intervention and transportation processes of COVID-19 patients, are among the groups with the highest risk of getting the disease. In this article, it is aimed to mention about the risks and precautions that should be taken for pre-hospital emergency health services, COVID-19 patient management and healthcare personnel working in this field.
Uludağ Ö. Koronavirüs enfeksiyonları ve yeni düşman: COVID-19. ADYÜ Sağlık Bilimleri Derg. 2020;6 (1):118-127.
Huang C, Wang Y, Li X, Ren L, Zhago J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.
Centrel for Disease Control and Prevention (CDC) (10 Mart,2020). 2019 Novel Coronavirus (2019-nCoV) symptoms. https://www.cdc.gov/coronavirus/2019 ncov/about/symptoms.
T.C Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü COVID-19 (SARS-CoV-2 enfeksiyonu) Rehberi (5.Mart 2021).
Bleckwenn M. Behandlung von patienten in corona-ambulanzen: COVID-19-pandemie [Treatment of patients in a corona ambulance]. MMW Fortschr Med. 2020 May;162(9):54-56. German. doi: 10.1007/s15006-020-0479-7. PMID: 32405837; PMCID: PMC7220592.
Nolan JP, Monsieurs KG, Bossaert L, Böttiger BW, Greif R, Lott C, et al. European Resuscitation Council COVID-Guideline Writing Groups. European Resuscitation Council COVID-19 guidelines executive summary. Resuscitation. 2020;153:45-55.
https://www.ilcor.org/COVID-19 (5.Mart 2021).
Hart J, Tracy R, Johnston M, Brown S, Stephenson C, Kegg J, Waymack J. Recommendations for prehospital airway management in patients with suspected COVID-19 İnfection. West J Emerg Med. 2020 Jun 15;21(4):809-812. doi: 10.5811/westjem.2020.5.47540.
Craig S, Cubitt M, Jaison A, Traupakis S, Hood N, Fong C, et al. Management of adult cardiac arrest in the COVID-19 era: consensus statement from the Australasian College for Emergency Medicine. Med J Aust. 2020 Aug;213(3):126-133. doi: 10.5694/mja2.50699.
Kulkarni AP, Singh Y, Garg H, Jha S. Cardiopulmonary resuscitation during COVID-19 pandemic: outcomes, risks, and protective strategies for the healthcare workers and ethical considerations. Indian J Crit Care Med. 2020 Sep;24(9):868-872. doi: 10.5005/jp-journals-10071-23544.
Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, et al. American Heart Association ECC Interim COVID Guidance Authors. Interim guidance for basic and advanced life support in adults, children, and neonates with suspected or confirmed COVID-19: from the Emergency Cardiovascular Care Committee and get with The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association. Circulation. 2020 Jun 23;141(25):e933-e943.
Mazzoli CA, Tartaglione M, Gamberini L, Lipi C, Semeraro F, Chiarini V, et al. Pre-Hospital trauma care in the COVID-19 era. Air Med J. 2020;39(6):434-435.
Yürümez Y, Alaçam M. Acil Serviste COVID-19 ve yönetimi. J Biotechnol and Strategic Health Res. 2020;1(Özel Sayı):116-122.