European Society For Emergency Medicine position paper on emergency medical systems’ response to COVID-19

Garcı́a-Castrillo, Luis; Petrino, Roberta; Leach, Robert; Dodt, Christoph; Behringer, Wilhelm; Khoury, Abdo; Sabbé, Marc

doi:10.1097/mej.0000000000000701

Cited by 92 publications

(97 citation statements)

References 13 publications

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“…As a further result of this approach, after 5 weeks, we had a prevalence of infected healthcare personnel < 5%. As stated in a recent position paper by the European Society of Emergency Medicine [13], Emergency medical systems, i.e. the front line of the health systems towards the territory, are clearly suffering from overload and severe working conditions, with the additional burden of high risk of contagion and transmission of the health professionals.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical care of patients with suspected Covid-19 infection should focus on early recognition and immediate isolation [10]. Since EDs are concomitantly crowded with patients seeking care for other illnesses [13], the first effort in facing a pandemics like the present one should be in the direction of a clear separation of patient pathways, in order to prevent a further spread of the infection [14]. Indeed, beyond the clinical responsibility of early triage and management of patients with suspected or confirmed infection, Emergency workers have a crucial role in preventing infection spreading.…”

Section: Discussionmentioning

confidence: 99%

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Emergency Department and Out-of-Hospital Emergency System (112—AREU 118) integrated response to Coronavirus Disease 2019 in a Northern Italy centre

et al. 2020

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Since December 2019, the world has been facing the life-threatening disease, named Coronavirus disease-19 (COVID-19), recognized as a pandemic by the World Health Organization. The response of the Emergency Medicine network, integrating "out-of-hospital" and "hospital" activation, is crucial whenever the health system has to face a medical emergency, being caused by natural or human-derived disasters as well as by a rapidly spreading epidemic outbreak. We here report the Pavia Emergency Medicine network response to the COVID-19 outbreak. The "out-of-hospital" response was analysed in terms of calls, rescues and missions, whereas the "hospital" response was detailed as number of admitted patients and subsequent hospitalisation or discharge. The data in the first 5 weeks of the Covid-19 outbreak (February 21-March 26, 2020) were compared with a reference time window referring to the previous 5 weeks (January 17-February 20, 2020) and with the corresponding historical average data from the previous 5 years (February 21-March 26). Since February 21, 2020, a sudden and sustained increase in the calls to the AREU 112 system was noted (+ 440%). After 5 weeks, the number of calls and missions was still higher as compared to both the reference pre-Covid-19 period (+ 48% and + 10%, respectively) and the historical control (+ 53% and + 22%, respectively). Owing to the overflow from the neighbouring hospitals, which rapidly became overwhelmed and had to temporarily close patient access, the population served by the Pavia system more than doubled (from 547.251 to 1.135.977 inhabitants, + 108%). To minimize the possibility of intra-hospital spreading of the infection, a separate "Emergency Department-Infective Disease" was created, which evaluated 1241 patients with suspected infection (38% of total ED admissions). Out of these 1241 patients, 58.0% (n = 720) were admitted in general wards (n = 629) or intensive care unit (n = 91). To allow this massive number of admissions, the hospital reshaped many general ward Units, which became Covid-19 Units (up to 270 beds) and increased the intensive care unit beds from 32 to 60. In the setting of a long-standing continuing emergency like the present Covid-19 outbreak, the integration, interaction and team work of the "out-of-hospital" and "in-hospital" systems have a pivotal role. The present study reports how the rapid and coordinated reorganization of both might help in facing such a disaster. AREU-112 and the Emergency Department should be ready to finely tune their usual cooperation to respond to a sudden and overwhelming increase in the healthcare needs brought about by a pandemia like the current one. This lesson should shape and reinforce the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Emergency Department and Out-of-Hospital Emergency System (112—AREU 118) integrated response to Coronavirus Disease 2019 in a Northern Italy centre

et al. 2020

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“…Health-care workers (HCWs) are another segment of population particularly affected by stress ( Garcia-Castrillo et al, 2020 ; Lai et al, 2020 ). HCWs are at risk to develop symptoms common in catastrophic situations, such as post-traumatic stress disorder, burnout syndrome, physical and emotional exhaustion, depersonalization, and dissociation ( Grassi and Magnani, 2000 ; Mache et al, 2012 ; Øyane et al, 2013 ).…”

Section: Covid-19 and At-risk Populations: Psychological And Social Imentioning

confidence: 99%

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Algeri²,

2020

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The recent Covid-19 pandemic has had significant psychological and social effects on the population. Research has highlighted the impact on psychological well-being of the most exposed groups, including children, college students, and health workers, who are more likely to develop post-traumatic stress disorder, anxiety, depression, and other symptoms of distress. The social distance and the security measures have affected the relationship among people and their perception of empathy toward others. From this perspective, telepsychology and technological devices assume important roles to decrease the negative effects of the pandemic. These tools present benefits that could improve psychological treatment of patients online, such as the possibility to meet from home or from the workplace, saving money and time and maintaining the relationship between therapists and patients. The aim of this paper is to show empirical data from recent studies on the effect of the pandemic and reflect on possible interventions based on technological tools.

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“…Ceci peut s'expliquer par le fait que les urologues privilégient d'explorer les fortes suspicions de torsion en sachant que le taux d'explorations négatives varie entre 50 et 86 % dans la littérature [21,22]. Néanmoins, l'explication la plus probable à notre sens est la diminution du nombre de consultation pour douleur testiculaire aigue, probablement liée à la baisse globale des consultations dans les services d'urgence [23].…”

Section: Estimation Du Nombre D'interventions à Reprogrammerunclassified

Impact de la pandémie de COVID-19 sur l’activité chirurgicale au sein des services d’urologie de l’Assistance Publique – Hôpitaux de Paris

Pinar¹,

Anract

Duquesne

et al. 2020

Progrès en Urologie

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Introduction.-En conséquence de la pandémie de COVID-19 en France, toute activité chirurgicale non urgente a dû être annulée à partir du 12 mars 2020. Afin d'anticiper la reprise des interventions décalées, une quantification de la réduction d'activité est nécessaire. L'objectif de l'étude était d'évaluer comparativement à 2019 la réduction d'activité chirurgicale urologique adulte pendant la pandémie de COVID-19. Matériel et méthodes.-Nous avons comparé le nombre d'interventions urologiques pratiquées dans les 8 services universitaires d'urologie de l'Assistance Publique-Hôpitaux de Paris (AP-HP) sur deux périodes comparables (14-29 mars 2019 et 12-27 mars 2020) à l'aide du logiciel de planification opératoire et du PMSI partagé par ces centres. L'intitulé d'intervention et le type de chirurgie ont été collectés et regroupées en 16 catégories. Résultats.-Une baisse de l'activité globale à l'AP-HP en urologie de 55 % entre 2019 et 2020 (995 et 444 interventions respectivement) a été constatée sur les 8 services. L'activité oncologique et les urgences ont diminué de 31 % et 44 %. L'activité de transplantation rénale, la chirurgie fonctionnelle et andrologique ont subi les plus fortes baisses d'activité par les interventions non oncologiques (−92 %, −85 % et −81 %, respectivement). Environ 1033 heures d'intervention devront être reprogrammées pour rattraper le programme opératoire annulé. Conclusion.-Le confinement et le report des interventions chirurgicales « non urgentes » ont entraîné une diminution drastique de l'activité chirurgicale au sein de l'AP-HP. Pendant cette période, les urologues ont été sollicités pour d'autres tâches mais doivent désormais s'atteler à organiser la période de reprise d'activité pour éviter une crise organisationnelle en urologique. Niveau de preuve.-3.

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European Society For Emergency Medicine position paper on emergency medical systems’ response to COVID-19

Cited by 92 publications

References 13 publications

Emergency Department and Out-of-Hospital Emergency System (112—AREU 118) integrated response to Coronavirus Disease 2019 in a Northern Italy centre

Emergency Department and Out-of-Hospital Emergency System (112—AREU 118) integrated response to Coronavirus Disease 2019 in a Northern Italy centre

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Impact de la pandémie de COVID-19 sur l’activité chirurgicale au sein des services d’urologie de l’Assistance Publique – Hôpitaux de Paris

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