Çocuk Acil Servisinde COVID-19 Yönetimi

Öz

Acil servisler Covid-19 vakalarının yönetiminde ön saflarda yer almaktadır. Acil servis personeli kişisel koruyucu ekipmanlarla donatılmalı ve kullanımı konusunda eğitilmelidir. Hastane enfeksiyonlarının önlenmesi için ön-triaj taramaları gereklidir. Covid-19’un klinik görünümü spesifik olmayan semptomlardan akut solunum sıkıntısı sendromuna kadar değişebilmektedir. Triaj personeli, özellikle ateş, öksürük, nefes darlığı veya solunum yolu hastalığı bulguları olmak üzere tüm hastaları değerlendirirken yüksek şüphe duymalıdır. Aerosol oluşturan işlemler yapan sağlık çalışanları dikkatli olmalıdır. Çocuk popülasyonda morbidite ve mortalite nadir olmakla birlikte, klinisyenler daha savunmasız, hassas popülasyonlara bulaştırabileceklerinin farkında olmalı ve sosyal mesafe teşvik edilmelidir.

Anahtar Kelimeler

• Çocuk
• COVID-19
• Çocuk Acil Servis

COVID-19 Management in Pediatric Emergency Medicine

Öz

Emergency departments are on the front line in the management of Covid-19 cases. Emergency department personal need to be equipped with appropriate personal protective equipment and trained in its use. Pre-triage screening is necessary to prevent nosocomial infection. The clinical presentation of Covid-19 ranges from non-specific symptoms to acute respiratory distress syndrome. Personal in triage must maintain a high index of suspicion when evaluating all patients, but especially those with fever, cough, dyspnea, or signs of a respiratory illness. Healthcare workers who perform aerosol processing should be carefully. Even though morbidity and mortality are rare in pediatric population, clinicians should be aware that they may infect more vulnerable populations and social distance should be encouraged.

Anahtar Kelimeler

• Children
• COVID-19
• Pediatric Emergency Department

Kaynakça

1. 1- Wee LE, Fua TP, Chua YY, Ho A, Sim XY, Conceicao EP, et al. Containing COVID-19 in the Emergency Department: The Role of Improved Case Detection and Segregation of Suspect Cases. Acad Emerg Med. 2020;27(5):379-387.
2. 2- T. C. Ministry of Health Covid-19 Guide, 14 April 2020. Available from: https://covid19bilgi.saglik.gov.tr
3. 3- Garcia-Castrillo L, Petrino R, Leach R, Dodt C, Behringer W, Khoury A, et al. European Society For Emergency Medicine Position Paper on Emergency Medical Systems' Response to COVID-19. Eur J Emerg Med. 2020;27(3):174-177.
4. 4- Möckel M, Bachmann U, Behringer W, Pfafflin F, Stegemann MS. How Emergency Departments Prepare for Virus Disease Outbreaks Like COVID-19. Eur J Emerg Med. 2020;27(3):161-162.
5. 5- Matava CT, Kovatsis PG, Summers JL, Castro P, Denning S, YU J, et al. Pediatric Airway Management in COVID-19 Patients - Consensus Guidelines From the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society. Anesth Analg. 2020; 13;10.1213/ANE.0000000000004872. doi: 10.1213/ANE.0000000000004872.
6. 6- Edelson DP, Sasson C, Chan PS, Atkins DL, Aziz K, Becker LB, et al. 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 in Collaboration With the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians. Circulation 2020;9. doi: 10.1161/ CIRCULATIONAHA.120.047463.
7. 7- Chavez S, Long B, Koyfman A, Liang SY. Coronavirus Disease (COVID-19): A Primer for Emergency Physicians. Am J Emerg Med. 2020;24:S0735-6757(20)30178-9. doi: 10.1016/j.ajem.2020.03.036.
8. 8- Giwa AL, Desai A, Duca A. Novel 2019 Coronavirus SARS-CoV-2 (COVID-19): An Overview for Emergency Clinicians. Pediatr Emerg Med Pract. 2020; 2;17(5):1-24.

9. 9- Anıl M, Besli E, Duman M, Erkek N, Derinöz O, Saz EU, et al. Child Emergency Medicine and Intensive Care Association, Child Emergency Service Covid-19 Case Management Algorithms. 2020(1). Available from: http://www.cayd.org.tr