COVID-19 MANAGEMENT IN EMERGENCY MEDİCİNE

Abstract

Abstract: Although Covid-19 is usually transmitted by droplets, it also passes from person to person after contact with the infected object, as a result of the interaction of the contact area with the mouth, nose and eyes. Emergency services with closed and restricted areas pose a high risk for Covid-19 infection. The absolute continuity of the emergency service operation has led to the need for other critical patient management and infected patient processes to be carried out simultaneously. At the same time, the high variation in clinical presentations of Covid-19 patients is one of the factors that increase the risk for both working and non-infected patients. Considering the limited facilities of emergency services, it is necessary to make some arrangements in order to meet various needs, to separate triage, observation, resuscitation and, if possible, imaging areas for infected patients, and to arrange rapid hospitalization algorithms for patients with Covid-19. In this article, we aimed to discuss Covid-19 management in the emergency room.

Keywords

• Covid-19
• emergency department
• patient manegement

ACİL SERVİSTE COVİD-19 YÖNETİMİ

Abstract

Özet: Covid-19, genellikle damlacık yoluyla bulaş gösterse de enfekte obje teması sonrasında, temas edilen bölgenin ağız, burun ve göz ile etkileşimi sonucunda da insandan insana geçmektedir. Kapalı ve kısıtlı alanlara sahip acil servisler, Covid-19 enfeksiyonu için oldukça risk barındırmaktadır. Acil servis işleyişinin mutlak suretle devam ediyor olması, diğer kritik hasta yönetimleriyle enfekte hasta süreçlerinin eş zamanlı yürütülmesi gerekliliğini doğurmuştur. Aynı zamanda Covid-19 hastalarının klinik başvuru çeşitliliğinin fazlaca varyasyon göstermesi hem çalışan, hem de enfekte olmayan hastalar adına riski artıran faktörlerdendir. Acil servislerin imkanları da göz önüne alınarak, çeşitli ihtiyaçların karşılanabilmesi adına bazı düzenlemelerin yapılması, enfekte hastalar için triaj, müşahede, resüsitasyon ve mümkünse görüntüleme alanlarının ayrılması, Covid-19’lu hastalar için hızlı yatış algoritmalarının düzenlenmesi gereklidir. Bu makalemizde acil servis içerisinde Covid-19 yönetimini tartışmayı amaçladık.

Keywords

• Covid-19
• Acil Servis
• Hasta Yönetimi

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