Interhospital transport of patients with COVID-19: Cleveland Clinic approach

Brown, Abigail S.; Hustey, Fredric M.; Reddy, Anita

doi:10.3949/ccjm.87a.ccc045

Cited by 10 publications

(11 citation statements)

References 2 publications

(2 reference statements)

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“…This article is part of the Topical Collection on Covid-19 their benefits outweigh the infection risk, for example, when a treatment is lifesaving or is required as part of intensive care such as patient transport vehicle [5].…”

Section: Any Treatments Should Be Performed In Well-ventilated Spaces Upon Identification Of Covid-19 Infection Unlessmentioning

confidence: 99%

Principles of Disinfectant Use and Safety Operation in Medical Facilities During Coronavirus Disease 2019 (COVID-19) Outbreak

Takagi

Yagishita

2020

SN Compr. Clin. Med.

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Medical collapse became a major concern under coronavirus disease 2019 (COVID-19) outbreak; prevention of medical accidents is essential during disinfection either. The objective of this review is to enhance the awareness regarding the safety aspects towards infection prevention practices and to offer solutions for safe patient care practices including side effects of disinfectants and precaution in specific medical facilities especially in hemodialysis rooms, intensive care unit, hyperbaric oxygen therapy (HBO) chambers, or patient transport vehicle. Literature was researched that was obtained from studies of human coronavirus infections, including the severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS), and created a summary of the characteristics of these disinfectants. This review is not intended to replace infection prevention policies and procedures established by hospitals, and manufacturers, but to provide some update confidence in the safety measures that each medical facility already uses and to offer additional input that should optimally reduce the risk of infection.

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Section: Any Treatments Should Be Performed In Well-ventilated Spaces Upon Identification Of Covid-19 Infection Unlessmentioning

confidence: 99%

Principles of Disinfectant Use and Safety Operation in Medical Facilities During Coronavirus Disease 2019 (COVID-19) Outbreak

Takagi

Yagishita

2020

SN Compr. Clin. Med.

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“…Based on our experience with this case, we make the following practical recommendations for the safe and appropriate interhospital transportation of COVID-19 patients on ECMO (Supplemental Table 4). First, preparation on a routine basis and effective communication allowed for quick adaptation to the modified protocol for COVID-19 cases [ 8 ]. We previously established a bi-annual training program for ECMO patient transport using a helicopter in collaboration with the fire department.…”

Section: Discussionmentioning

confidence: 99%

“…Immediate disinfection of the route and vehicles and strict ongoing compliance with infection control policies are also indicated in a practical recommendation by ECMO experts [ 4 ]. Finally, it is necessary to consider the vehicle used for transportation to minimize the exposure time of medical staff with regard to temporal and spatial distances and the patient's condition [ 8 ]. Because the risk of infection is higher during transport in the confined environment than in a hospital setting [ 9 ], we strongly recommend that the fastest means of transportation available is utilized.…”

Section: Discussionmentioning

confidence: 99%

Interhospital transportation of a COVID-19 patient undergoing veno-venous extracorporeal membrane oxygenation by helicopter

Imaeda

Hattori

Abe

et al. 2021

The American Journal of Emergency Medicine

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Some coronavirus disease 2019 (COVID-19) patients develop rapidly progressive acute respiratory distress syndrome and require veno-venous extracorporeal membrane oxygenation (V-V ECMO). A previous study recommended the transfer of ECMO patients to ECMO centers. However, because of the pandemic, a limited number of ECMO centers are available for patient transfer. The safe long-distance interhospital transport of these patients is a concern. To minimize transportation time, helicopter use is a suitable choice. We report the first case of a COVID-19 patient on V-V ECMO, transferred to our ECMO center by helicopter. A 45-year-old man with rheumatoid arthritis history, treated with immunosuppressants, presented with fever and sore throat. He was diagnosed with COVID-19 following a positive severe acute respiratory syndrome coronavirus 2 polymerase chain reaction test result and was subsequently prescribed favipiravir. However, his respiratory failure progressively worsened. On day 10 of hospitalization at the previous hospital, he was intubated, and we received a request for ECMO transport on the next day. The ECMO team, who wore personal protective equipment (N95 respirators, gloves, gowns, and face shields), initiated V-V ECMO in the referring hospital and safely transported the patient by helicopter. The flight time was 7 min. He was admitted to the intensive care unit of our hospital and received tocilizumab. He was discharged on hospital day 31 with no significant sequelae. In this case report, we discuss important factors for the safe and appropriate interhospital transportation of COVID-19 patients on ECMO as well as staff and patient safety during helicopter transportation.

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“…Les transferts interhospitaliers des patients COVID positifs n’ont pas fait l’objet d’une abondante littérature. Les quelques travaux ont porté sur les choix logistiques entre moyens aériens, et sur la protection des personnels par isolement du patient dans un caisson étanche [1] , [2] , [3] , [4] . Nous avons fait le choix de protéger les personnels soignants par le port d’EPI et d’isoler le cockpit de la soute pour protéger l’équipage.…”

Section: Bilan Et Propositionsunclassified

Transferts héliportés interhospitaliers de patients atteints de COVID-19 : expérience du SDIS du Bas-Rhin

Tritsch¹,

Rohmer²,

Diebold³

et al. 2020

Médecine de Catastrophe - Urgences Collectives

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Interhospital transport of patients with COVID-19: Cleveland Clinic approach

Cited by 10 publications

References 2 publications

Principles of Disinfectant Use and Safety Operation in Medical Facilities During Coronavirus Disease 2019 (COVID-19) Outbreak

Principles of Disinfectant Use and Safety Operation in Medical Facilities During Coronavirus Disease 2019 (COVID-19) Outbreak

Interhospital transportation of a COVID-19 patient undergoing veno-venous extracorporeal membrane oxygenation by helicopter

Transferts héliportés interhospitaliers de patients atteints de COVID-19 : expérience du SDIS du Bas-Rhin

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