Critical care transport in the time of COVID-19

Tien, Homer; Sawadsky, Bruce; Lewell, Michael; Peddle, Michael; Durham, Wade

doi:10.1017/cem.2020.400

Cited by 23 publications

(20 citation statements)

References 6 publications

(6 reference statements)

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“…Most programs are using rotor wing as a last resort because of the crew's close proximity to the patient and the limited ability for appropriate ventilation systems. 2 There is also a common belief during this time that there is no emergency in a pandemic. However, there are instances when time may be limited because of the patient's condition, making rotor wing a better option than ground transport.…”

Section: Discussionmentioning

confidence: 99%

Triple Threat: Postpartum, Coronavirus Disease 2019 Positive, and Requiring Extracorporeal Membrane Oxygenation

Clough

2021

Air Medical Journal

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Section: Discussionmentioning

confidence: 99%

Triple Threat: Postpartum, Coronavirus Disease 2019 Positive, and Requiring Extracorporeal Membrane Oxygenation

Clough

2021

Air Medical Journal

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“…Preplanning, collecting equipment, and effective communication ensure patient and staff safety. [90][91][92][93]…”

Section: Transporting Patientsmentioning

confidence: 99%

Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

Pandian

Morris

Brodsky

et al. 2020

American Journal of Critical Care

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Purpose Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic. Methods Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations. Results Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equipment includes an N95/FFP3 mask with or without surgical masks, gloves, goggles, and gown when performing aerosol-generating procedures for patients with known or suspected COVID-19. Viral testing of bronchial aspirate via tracheostomy may inform care providers when determining the protective equipment required. The need for protocols to reduce risk of transmission of infection to nurses and other health care workers is evident. Conclusion Critical care nurses and multidisciplinary teams often care for patients with a tracheostomy who are known or suspected to have COVID-19. Appropriate care of these patients relies on safeguarding the health care team. The practices described in this review may greatly reduce risk of infectious transmission.

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“…The nature of care provided by ambulance services changed, with efforts being made to reduce unnecessary transport to hospital 10 , and reports of more severely ill patients refusing transport to hospital 11 . As for all health services, ambulance personnel have had to deal with increased infection control procedures 12 , evolving guidelines 13,14 , and the potential impact of the rapidly changing situation on staff wellbeing 15 .…”

Section: Introductionmentioning

confidence: 99%

Rapid response and learning for later: establishing high quality information networks and evaluation frameworks for the National Ambulance Service response to COVID-19 – the ENCORE COVID Project Protocol

et al. 2020

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Background: The National Ambulance Service (NAS) is at the forefront of Ireland’s response to the COVID-19 pandemic. As directed in Ireland’s National Action Plan, NAS significantly expanded prehospital services, including provision of a novel home and community COVID-19 testing service. Additionally, other health services rely on NAS’s capacity to assess, transport and/or treat COVID-19 patients. In a climate of innovation and adaptation, NAS needs to learn from international ambulance services and share experience. Evaluation of the NAS response to COVID-19 is required to facilitate evidence-based planning for subsequent waves or future pandemics, and to identify innovative practice for mainstreaming into routine service provision. Aims: This project aims to provide information networks and evaluation tools that will help NAS meet these requirements. Methods: The first aim will be to produce ambulance-specific research and information updates for NAS. Secondly, an international network of senior ambulance and research personnel will be established (‘AMBULANCE+COVID19’ network) and a short-survey instrument, the Emergency Medical Services Five Question Survey (EMS-5QS), will be developed. The EMS-5QS will enable AMBULANCE+COVID19 participants to nominate a topic for which they would like to hear about the experience and practice of other ambulance services. Multiple surveys covering a range of topics will be carried out. Finally, an evaluation framework will be developed to enable NAS determine innovations: (1) for reactivation in another wave or new pandemic; (2) to be sustained as part of routine service. The framework will be developed in collaboration with NAS and the Health Service Executive National Quality Improvement Team. The Research Team includes expertise from academia, ambulance services and the National Public Health Emergency Team. Conclusions: Ability to mobilise resources quickly and utilise ready-made international networks will ensure a successful project than can inform future information sharing methodologies and pandemic planning for ambulance services internationally.

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Critical care transport in the time of COVID-19

Cited by 23 publications

References 6 publications

Triple Threat: Postpartum, Coronavirus Disease 2019 Positive, and Requiring Extracorporeal Membrane Oxygenation

Triple Threat: Postpartum, Coronavirus Disease 2019 Positive, and Requiring Extracorporeal Membrane Oxygenation

Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

Rapid response and learning for later: establishing high quality information networks and evaluation frameworks for the National Ambulance Service response to COVID-19 – the ENCORE COVID Project Protocol

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