Prehospital management of acute respiratory distress in suspected COVID-19 patients

Jouffroy, Romain; Lemoine, Sabine; Derkenne, Clément; Kedzierewicz, Romain; Scannavino, Marine; Bertho, Kilian; Frattini, Benoît; Lemoine, Frédéric; Jost, Daniel; Prunet, Bertrand

doi:10.1016/j.ajem.2020.09.022

Cited by 10 publications

(10 citation statements)

References 27 publications

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“… Clinical Assessment 38 Jouffroy et. al 50 Prehospital management of acute respiratory distress in suspected COVID-19 patients Cohort EMS and Hospital Patient Care Records Paris, FR ● 15% of 256 patients with COVID-19 symptoms died at the scene but there was a low prevalence of prior cardiovascular risk factors. ● Out of the 185 patients analyzed 44% were transported via BLS and 42% received non- invasive ventilation.…”

Section: Resultsmentioning

confidence: 99%

“…It was found that of the suspected COVID-19 patients who were assessed by EMS personnel, 42% of BLS cases and 52% of ALS cases provided non-invasive ventilation, however, prehospital intubation was significantly less common as it was only present in 18% of ALS cases. 50 , Jouffroy et al report that of all COVID−19 suspected patients, 53.4% showed signs of respiratory distress. Most of these patients presented with respiratory rates of approximately 30/min and oxygen saturations of 72%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Ventura¹,

Denton²,

David³

et al. 2022

OAEM

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This study aimed to analyze prehospital Emergency Medical Services (EMS) response to the COVID-19 pandemic in the US through a brief systematic review of available literature in context with international prehospital counterparts. An exploration of the NCBI repository was performed using a search string of relevant keywords which returned n=5128 results; articles that met the inclusion criteria (n=77) were reviewed and analyzed in accordance with PRISMA and PROSPERO recommendations. Methodical quality was assessed using critical appraisal tools, and the Egger’s test was used for risk of bias reduction upon linear regression analysis of a funnel plot. Sources of heterogeneity as defined by P < 0.10 or I^2 > 50% were interrogated. Findings were considered within ten domains: structural/systemic; clinical outcomes; clinical assessment; treatment; special populations; dispatch/activation; education; mental health; perspectives/experiences; and transport. Findings suggest, EMS clinicians have likely made significant and unmeasured contributions to care during the pandemic via nontraditional roles, ie, COVID-19 testing and vaccine deployment. EMS plays a critical role in counteracting the COVID-19 pandemic in addition to the worsening opioid epidemic, both of which disproportionately impact patients of color. As such, being uniquely influential on clinical outcomes, these providers may benefit from standardized education on care and access disparities such as racial identity. Access to distance learning continuing education opportunities may increase rates of provider recertification. Additionally, there is a high prevalence of vaccine hesitancy among surveyed nationally registered EMS providers. Continued rigorous investigation on the impact of COVID-19 on EMS systems and personnel is warranted to ensure informed preparation for future pandemic and infectious disease responses.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Ventura¹,

Denton²,

David³

et al. 2022

OAEM

View full text Add to dashboard Cite

show abstract

“…This suggests that it is critical to provide sufficient respiratory support in the prehospital setting. It was found that of the suspected COVID-19 patients who were assessed by EMS personnel, 42% of BLS cases and 52% of ALS cases provided non-invasive ventilation, however, prehospital intubation was significantly less common as it was only present in 18% of ALS cases (50) . Jouffroy et al report that of all COVID-19 suspected patients, 53.4% showed signs of respiratory distress.…”

Section: Discussionmentioning

confidence: 99%

EMS prehospital response to the COVID-19 pandemic in the US: A brief literature review

Ventura

Denton

David

et al. 2022

Preprint

View full text Add to dashboard Cite

This study aimed to analyze prehospital Emergency Medical Services (EMS) response to the COVID-19 pandemic in the US through a brief systematic review of available literature in context with international prehospital counterparts. An exploration of the NCBI repository was performed using a search string of relevant keywords which returned n=5128 results; articles that met the inclusion criteria (n=77) were reviewed and analyzed in accordance with PRISMA and PROSPERO recommendations. Methodical quality was assessed using critical appraisal tools, and the Eggers test was used for risk of bias reduction upon linear regression analysis of a funnel plot. Sources of heterogeneity as defined by P < 0.10 or I^2 > 50% were interrogated. Findings were considered within ten domains: structural/systemic; clinical outcomes; clinical assessment; treatment; special populations; dispatch/activation; education; mental health; perspectives/experiences; and transport. Findings suggest, EMS clinicians have likely made significant and unmeasured contributions to care during the pandemic via nontraditional roles, i.e., COVID-19 testing and vaccine deployment. EMS plays a critical role in counteracting the COVID-19 pandemic in addition to the worsening opioid epidemic, both of which disproportionately impact patients of color. As such, being uniquely influential on clinical outcomes, these providers may benefit from standardized education on care and access disparities such as racial identity. Access to distance learning continuing education opportunities may increase rates of provider recertification. Additionally, there is a high prevalence of vaccine hesitancy among surveyed nationally registered EMS providers. Continued rigorous investigation on the impact of COVID-19 on EMS systems and personnel is warranted to ensure informed preparation for future pandemic and infectious disease response.

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“…Similar scenarios of trainings could initiate a synergy effect in common disaster response (Rojek andSmith, 2007, Laufs andWaseem, 2020;Beerens et al, 2020). The obvious pandemic co-operator to fire rescue service is healthcare service which states a core emergency foundation in pandemic and needs operational support from other emergency services, public administration etc., (Jouffroy et al, 2020). It finds its justification in preparing emergency infrastructure to disasters (Ortiz-Barrios et al, 2020) and fighting barriers in interorganizational disaster response (Berchtold et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

“…High cooperation potential with police should be noticed (Laufs and Waseem, 2020). Just like with healthcare service, in the context of preliminary identification of infected people (Jouffroy et al, 2020), important in epidemic risk reduction (Alcantara-Ayala et al, 2020). Emergency sheltering can be supported by fire rescue service as well.…”

Section: Literature Reviewmentioning

confidence: 99%

To Manage Societal Security in COVID-19: Operational Continuity of Fire Rescue Service in Disaster Conditions

Gromek¹,

Wojakowska²

2021

ERSJ

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Purpose:The research objective is the question "How to manage societal security in COVID-19 conditions from the perspective of operational continuity of fire rescue service?" Design/Methodology/Approach: In order to achieve the research objective, the qualitative method was used. The research materials was collected using the SWOT analysis. We involved 99 fire rescue experts in SWOT analysis to identify the continuity factors. Basing on 3731 elementary results, we unified them to the reference 40 (10 per each SWOT category). This gave us a background to formulate specific and general manners to ensure the security. The collected empirical data was processed using the methods of analysis, synthesis and comparison to form conclusions. Deductive and inductive inference methods enabled the presentation of a comprehensive approach to social safety management. Findings: Specific methods relate to SWOT results, risk specifications and service conditions. Particular attention should be paid to physical isolation, organizational flexibility, personal protective equipment, training and access to up-to-date information on the outbreak. The research results can be used in scientific works, as well as in expert opinions for the needs of public administration units, in particular for the improvement of the management process of fire protection units. Practical Implications: The study will positively influence the understanding of the needs of various participants in the safety management process, both in the current functioning of the organization and in crisis situations. Originality/ Value: The study is an opportunity to present a comprehensive approach to managing social security in the face of COVID-19 and future epidemics. It covers risk management, operational continuity, and the safety and well-being of firefighters. To the best of the authors' knowledge, this is the first study to present such an approach.

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Prehospital management of acute respiratory distress in suspected COVID-19 patients

Cited by 10 publications

References 27 publications

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

Emergency Medical Services Prehospital Response to the COVID-19 Pandemic in the US: A Brief Literature Review

EMS prehospital response to the COVID-19 pandemic in the US: A brief literature review

To Manage Societal Security in COVID-19: Operational Continuity of Fire Rescue Service in Disaster Conditions

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