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1.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200657, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33605363

RESUMO

OBJECTIVE: To reflect on the safe care exercised by the pre-hospital care team by emergency ambulance in times of coronavirus infection. METHOD: A reflection and description of how to provide safe care to the patient and the professional during pre-hospital care in times of coronavirus infection. RESULTS: To ensure the health of all those involved in the care, health professionals who work in pre-hospital care by emergency ambulance should use the recommended Personal Protective Equipment (PPE), such as the use of surgical masks and N95, N99, N100, PFF2 or PFF3, the use of an apron or overall, goggles and face shield, gloves and a hat. The entire team must receive training and demonstrate the ability to use PPE correctly and safely. FINAL CONSIDERATIONS: The professional working in the pre-hospital care by ambulance is exposed to a series of occupational risks that need to be discussed and minimized through professional training.


Assuntos
Ambulâncias/normas , Serviços Médicos de Emergência/normas , Auxiliares de Emergência/normas , Segurança do Paciente/normas , Equipamento de Proteção Individual/normas , Guias de Prática Clínica como Assunto , Transporte de Pacientes/normas , Adulto , Ambulâncias/estatística & dados numéricos , Brasil , Feminino , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pessoa de Meia-Idade , Segurança do Paciente/estatística & dados numéricos , Equipamento de Proteção Individual/estatística & dados numéricos , Transporte de Pacientes/estatística & dados numéricos
4.
Palmas; [Secretaria de Estado da Saúde]; 3 jul 2020. 8 p.
Não convencional em Português | LILACS, Coleciona SUS, CONASS, SES-TO | ID: biblio-1120800

RESUMO

Orienta os serviços de Atenção Primária à Saúde (APS) ou Atenção Básica (AB), por meio da Estratégia Saúde da Família (ESF), no manejo e controle da infecção COVID-19. Indica os instrumentos de orientação clínica para os profissionais do Sistema Único de Saúde (SUS) a partir da transmissão do novo Coronavírus (COVID-19) no Tocantins.


It guides the Primary Health Care (PHC) or Basic Care (AB) services, through the Family Health Strategy (FHS), in the management and control of the COVID-19 infection. Indicates the instruments of clinical guidance for professionals of the Unified Health System (SUS) from the transmission of the new Coronavirus (COVID-19) in Tocantins.


Orienta a los servicios de Atención Primaria de Salud (APS) o Atención Básica (AB), a través de la Estrategia de Salud de la Familia (ESF), en el manejo y control de la infección por COVID-19. Indica los instrumentos de orientación clínica para profesionales del Sistema Único de Salud (SUS) a partir de la transmisión del nuevo Coronavirus (COVID-19) en Tocantins.


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Atenção Primária à Saúde/normas , Infecções por Coronavirus/prevenção & controle , Pandemias , Transporte de Pacientes/normas , Assistência Odontológica/normas , Cuidados de Enfermagem/normas
7.
J Athl Train ; 55(6): 545-562, 2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32579669

RESUMO

Sport-related spine injury can be devastating and have long-lasting effects on athletes and their families. Providing evidence-based care for patients with spine injury is essential for optimizing postinjury outcomes. When caring for an injured athlete in American tackle football, clinicians must make decisions that involve unique challenges related to protective equipment (eg, helmet and shoulder pads). The Spine Injury in Sport Group (SISG) met in Atlanta, Georgia, March 2-3, 2019, and involved 25 health care professionals with expertise in emergency medicine, sports medicine, neurologic surgery, orthopaedic surgery, neurology, physiatry, athletic training, and research to review the current literature and discuss evidence-based medicine, best practices, and care options available for the prehospital treatment of athletes with suspected cervical spine injuries.1,2 That meeting and the subsequent Mills et al publication delineate the quality and quantity of published evidence regarding many aspects of prehospital care for the athlete with a suspected cervical spine injury. This paper offers a practical treatment guide based on the experience of those who attended the Atlanta meeting as well as the evidence presented in the Mills et al article. Ongoing research will help to further advance clinical treatment recommendations.


Assuntos
Traumatismos em Atletas , Serviços Médicos de Emergência , Primeiros Socorros , Futebol Americano/lesões , Traumatismos da Coluna Vertebral , Transporte de Pacientes , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/terapia , Benchmarking , Vértebras Cervicais/lesões , Serviços Médicos de Emergência/métodos , Serviços Médicos de Emergência/organização & administração , Primeiros Socorros/métodos , Primeiros Socorros/normas , Georgia , Humanos , Equipamento de Proteção Individual , Guias de Prática Clínica como Assunto , Melhoria de Qualidade/organização & administração , Traumatismos da Coluna Vertebral/epidemiologia , Traumatismos da Coluna Vertebral/terapia , Medicina Esportiva/normas , Transporte de Pacientes/métodos , Transporte de Pacientes/normas , Estados Unidos
10.
Scand J Trauma Resusc Emerg Med ; 28(1): 40, 2020 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-32410706

RESUMO

BACKGROUND: The current COVID-19 pandemic highlights the challenges air ambulance services are facing when transporting highly infectious patients for several hours in enclosed spaces. This overview provides an example of a standard operating procedure (SOP) for infection prevention measures in HEMS missions during the COVID-19 pandemic. Furthermore, we describe different methods used by several organizations in Europe and the experience of the Swiss air rescue organization Rega in transporting these patients. Possible benefits of the use of small patient isolation units (PIU) are discussed, including the fact that accompanying medical personnel do not need to wear personal protective equipment (PPE) during the transport but can still maintain full access to the patient. Rega has developed and patented its own PIU. This device allows spontaneously breathing or mechanically ventilated patients to be transported in pressurized jet cabins, small helicopters and ambulance vehicles, without the need to change between transport units. This PIU is unique, as it remains air-tight even when there is a sudden loss of cabin pressure. CONCLUSION: A wide variety of means are being used for the aeromedical transport of infectious patients. These involve isolating either the patient or the medical crew. One benefit of PIUs is that the means of transport can be easily changed without contaminating the surroundings and while still allowing access to the patient.


Assuntos
Resgate Aéreo/organização & administração , Resgate Aéreo/normas , Aeronaves/normas , Infecções por Coronavirus/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Transporte de Pacientes/métodos , Transporte de Pacientes/normas , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Europa (Continente) , Pessoal de Saúde , Humanos , Controle de Infecções/métodos , Controle de Infecções/normas , Pneumonia Viral/epidemiologia , Suíça
11.
CJEM ; 22(S2): S79-S83, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32436481

RESUMO

Transporting patients with communicable diseases is common in critical care transport operations. At Ornge, Ontario's critical care transport provider, 13.7% of patients required contact, droplet, or airborne precautions during transport in 2019-2020. Ensuring that staff are protected while transporting patients with communicable diseases must remain a prime directive for medical transport administrators and operators. Success in safety requires a robust system of hazard identification and adherence to generally accepted methods of hazard control. This commentary will discuss some of the administrative and engineering controls, as well as the personal protective equipment (PPE) strategies deployed at Ornge.


Assuntos
Infecções por Coronavirus/epidemiologia , Serviços Médicos de Emergência/normas , Controle de Infecções/normas , Equipamento de Proteção Individual , Pneumonia Viral/epidemiologia , Gestão da Segurança/normas , Transporte de Pacientes/normas , Betacoronavirus , Humanos , Ontário/epidemiologia , Pandemias
13.
West J Emerg Med ; 21(2): 455-462, 2020 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-32191204

RESUMO

INTRODUCTION: Increased out-of-hospital time is associated with worse outcomes in trauma. Sparse literature exists comparing prehospital scene and transport time management intervals between adult and pediatric trauma patients. National Emergency Medical Services guidelines recommend that trauma scene time be less than 10 minutes. The objective of this study was to examine prehospital time intervals in adult and pediatric trauma patients. METHODS: We performed a retrospective cohort study of blunt and penetrating trauma patients in a five-county region in North Carolina using prehospital records. We included patients who were transported emergency traffic directly from the scene by ground ambulance to a Level I or Level II trauma center between 2013-2018. We defined pediatric patients as those less than 16 years old. Urbanicity was controlled for using the Centers for Medicare and Medicaid's Ambulance Fee Schedule. We performed descriptive statistics and linear mixed-effects regression modeling. RESULTS: A total of 2179 records met the study criteria, of which 2077 were used in the analysis. Mean scene time was 14.2 minutes (95% confidence interval [CI], 13.9-14.5) and 35.3% (n = 733) of encounters had a scene time of 10 minutes or less. Mean transport time was 17.5 minutes (95% CI, 17.0-17.9). Linear mixed-effects regression revealed that scene times were shorter for pediatric patients (p<0.0001), males (p=0.0016), penetrating injury (p<0.0001), and patients with blunt trauma in rural settings (p=0.005), and that transport times were shorter for males (p = 0.02), non-White patients (p<0.0001), and patients in urban areas (p<0.0001). CONCLUSION: This study population largely missed the 10-minute scene time goal. Demographic and patient factors were associated with scene and transport times. Shorter scene times occurred with pediatric patients, males, and among those with penetrating trauma. Additionally, suffering blunt trauma while in a rural environment was associated with shorter scene time. Males, non-White patients, and patients in urban environments tended to have shorter transport times. Future studies with outcomes data are needed to identify factors that prolong out-of-hospital time and to assess the impact of out-of-hospital time on patient outcomes.


Assuntos
Serviços Médicos de Emergência , Tempo para o Tratamento , Transporte de Pacientes , Ferimentos e Lesões , Adulto , Criança , Serviços Médicos de Emergência/métodos , Serviços Médicos de Emergência/organização & administração , Feminino , Humanos , Masculino , North Carolina/epidemiologia , Estudos Retrospectivos , População Rural , Tempo para o Tratamento/normas , Tempo para o Tratamento/estatística & dados numéricos , Transporte de Pacientes/métodos , Transporte de Pacientes/normas , Centros de Traumatologia/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/terapia
15.
Enferm. clín. (Ed. impr.) ; 30(supl.3): 122-126, mar. 2020.
Artigo em Inglês | IBECS | ID: ibc-196126

RESUMO

OBJECTIVE: Medical air evacuation has some effect including hypoxia, deep vein thrombosis (DVT), dehydration and gas development in the body cavity. METHOD: Descriptive qualitative research method with a case study approach has been carried out and participatory observation of the process of medical air evacuation in patients with Hematoma Post Craniectomy Et Causa Frontoparietalis Sub Dural by using flight documentation forms before flight and post flight. RESULTS: The results showed that the nursing care provided by flight nurses to patients was to anticipate conditions during the flight including pre-flight, in-flight and post-flight. CONCLUSION: The conclusion of this study is that air medic evacuation conducted by an air nurse can run well starting from the evacuation preparation which consists of patient preparation, administration preparation, aircraft preparation and medical equipment so that during the flight the patient's condition is stable until arriving at the destination


No disponible


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Resgate Aéreo , Auxiliares de Emergência , Craniotomia/normas , Medicina Aeroespacial/organização & administração , Enfermagem Militar/organização & administração , Transporte de Pacientes/organização & administração , Papel do Profissional de Enfermagem , Transporte de Pacientes/normas , Traqueostomia
17.
Marianópolis do Tocantins; [S.n]; 2020. 73 p.
Não convencional em Português | LILACS, Coleciona SUS, CONASS, SES-TO | ID: biblio-1129821

RESUMO

Orienta na campanha para ações de combate ao Coronavírus (Covid-19) no município de Marianópolis do Tocantins. Apresenta quais as definições de casos de infecção humana pelo COVID-19. Orientações de como notificar ao Centro de Informações Estratégicas de Vigilância em Saúde (CIEVS). Quais os períodos de incubação da doença. Fatores sobre a transmissão e tratamento. Investigação epidemiológica. Quais atribuições da Vigilância em Saúde. Orientações para a coleta de amostras no Laboratório Central de Saúde Pública do Tocantins (LACEN-TO) bem como a técnica de coleta de Swabde nasofaringe e orofaringe (swabs combinados), o acondicionamento, transporte e envio das amostras. Traz as recomendações para a coleta de amostras em situação de óbito. Mostra as medidas de prevenção e controle Precauções padrão, as medidas de isolamento. Transporte do paciente. Como se dá a Limpeza e desinfecção de superfícies.


He guides in the campaign for actions to combat the Coronavirus (Covid-19) in the municipality of Marianópolis do Tocantins. It presents the definitions of cases of human infection by COVID-19. Guidelines on how to notify the Health Surveillance Strategic Information Center (CIEVS). What are the disease incubation periods. Factors about transmission and treatment. Epidemiological investigation. Which attributions of Health Surveillance. Guidelines for the collection of samples at the Central Laboratory of Public Health of Tocantins (LACEN-TO) as well as the technique of collecting Swabde nasopharynx and oropharynx (combined swabs), packaging, transport and sending of samples . It provides recommendations for the collection of samples in situations of death. Shows prevention and control measures Standard precautions, isolation measures. Transporting the patient. How to clean and disinfect surfaces.


Orienta en la campaña de acciones de combate al Coronavirus (Covid-19) en el municipio de Marianópolis do Tocantins. Presenta las definiciones de casos de infección humana por COVID-19. Directrices sobre cómo notificar al Centro de Información Estratégica de Vigilancia Sanitaria (CIEVS). Cuáles son los períodos de incubación de la enfermedad. Factores de transmisión y tratamiento. Investigación epidemiológica. Qué atribuciones de la Vigilancia Sanitaria. Lineamientos para la recolección de muestras en el Laboratorio Central de Salud Pública de Tocantins (LACEN-TO) así como la técnica de recolección de Swabde nasofaringe y orofaringe (hisopos combinados), el empaque, transporte y envío de las muestras . Proporciona recomendaciones para la recolección de muestras en situaciones de muerte. Muestra medidas de prevención y control Precauciones estándar, medidas de aislamiento. Transporte del paciente. Cómo limpiar y desinfectar superficies.


Il guide dans la campagne d'actions de lutte contre le Coronavirus (Covid-19) dans la municipalité de Marianópolis do Tocantins. Il présente les définitions des cas d'infection humaine par COVID-19. Lignes directrices sur la manière de notifier le Centre d'information stratégique de surveillance sanitaire (CIEVS). Quelles sont les périodes d'incubation de la maladie. Facteurs de transmission et de traitement. Enquête épidémiologique. Quelles attributions de la Surveillance de la Santé. Directives pour le prélèvement d'échantillons au Laboratoire Central de Santé Publique de Tocantins (LACEN-TO) ainsi que la technique de prélèvement de Swabde nasopharynx et oropharynx (écouvillons combinés), l'emballage, le transport et l'envoi des échantillons . Il fournit des recommandations pour le prélèvement d'échantillons en cas de décès. Affiche les mesures de prévention et de contrôle. Transport du patient. Comment nettoyer et désinfecter les surfaces.


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Controle de Doenças Transmissíveis , Infecções por Coronavirus/prevenção & controle , Planos de Contingência , Manejo de Espécimes/métodos , Comorbidade , Transporte de Pacientes/normas , Período de Incubação de Doenças Infecciosas , Monitoramento Epidemiológico
18.
Brasilândia do Tocantins; [S.n]; 2020. 36 p.
Não convencional em Português | LILACS, Coleciona SUS, CONASS, SES-TO | ID: biblio-1123476

RESUMO

Orienta na campanha para ações de combate ao Coronavírus (Covid-19) no município de Brasilândia do Tocantins. Apresenta quais as definições de casos de infecção humana pelo COVID-19. Orientações de como notificar ao Centro de Informações Estratégicas de Vigilância em Saúde (CIEVS). Quais os períodos de incubação da doença. Fatores sobre a transmissão e tratamento. Investigação epidemiológica. Quais atribuições da Vigilância em Saúde. Orientações para a coleta de amostras no Laboratório Central de Saúde Pública do Tocantins (LACEN-TO) bem como a técnica de coleta de Swabde nasofaringe e orofaringe (swabs combinados), o acondicionamento, transporte e envio das amostras. Mostra as medidas de prevenção e controle Precauções padrão, as medidas de isolamento. Transporte do paciente. Como se dá a Limpeza e desinfecção de superfícies.


He guides in the campaign for actions to fight the Coronavirus (Covid-19) in the municipality of Brasilândia do Tocantins. It presents the definitions of cases of human infection by COVID-19. Guidelines on how to notify the Health Surveillance Strategic Information Center (CIEVS). What are the disease incubation periods. Factors about transmission and treatment. Epidemiological investigation. Which attributions of Health Surveillance. Guidelines for the collection of samples at the Central Laboratory of Public Health of Tocantins (LACEN-TO) as well as the technique of collecting Swabde nasopharynx and oropharynx (combined swabs), packaging, transport and sending of samples . Shows prevention and control measures Standard precautions, isolation measures. Transporting the patient. How to clean and disinfect surfaces.


Orienta en la campaña de acciones para combatir el Coronavirus (Covid-19) en el municipio de Brasilândia do Tocantins. Presenta las definiciones de casos de infección humana por COVID-19. Directrices sobre cómo notificar al Centro de Información Estratégica de Vigilancia Sanitaria (CIEVS). Cuáles son los períodos de incubación de la enfermedad. Factores de transmisión y tratamiento. Investigación epidemiológica. Qué atribuciones de la Vigilancia Sanitaria. Lineamientos para la recolección de muestras en el Laboratorio Central de Salud Pública de Tocantins (LACEN-TO) así como la técnica de recolección de Swabde nasofaringe y orofaringe (hisopos combinados), el empaque, transporte y envío de las muestras . Muestra medidas de prevención y control Precauciones estándar, medidas de aislamiento. Transporte del paciente. Cómo limpiar y desinfectar superficies.


Il guide dans la campagne d'actions de lutte contre le Coronavirus (Covid-19) dans la commune de Brasilândia do Tocantins. Il présente les définitions des cas d'infection humaine par COVID-19. Lignes directrices sur la manière de notifier le Centre d'information stratégique de surveillance sanitaire (CIEVS). Quelles sont les périodes d'incubation de la maladie. Facteurs de transmission et de traitement. Enquête épidémiologique. Quelles attributions de Surveillance de la Santé. Directives pour le prélèvement d'échantillons au Laboratoire Central de Santé Publique de Tocantins (LACEN-TO) ainsi que la technique de prélèvement Swabde rhinopharynx et oropharynx (écouvillons combinés), emballage, transport et envoi des échantillons . Affiche les mesures de prévention et de contrôle Précautions standard, mesures d'isolement. Transport du patient. Comment nettoyer et désinfecter les surfaces.


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Manejo de Espécimes/métodos , Transporte de Pacientes/normas , Infecções por Coronavirus/prevenção & controle , Planos de Contingência , Pandemias/prevenção & controle , Notificação de Doenças/normas , Período de Incubação de Doenças Infecciosas
19.
Arch Argent Pediatr ; 117(1): S1-S23, 2019 02.
Artigo em Espanhol | MEDLINE | ID: mdl-31833345

RESUMO

The greater development and creation of new Pediatric Intensive Care Units in recent years requires us to review the appropriate structure of the corresponding care between the initial resuscitation of the critical pediatric patient and care by specialists in highly complex areas. The transportation process must offer the critical pediatric patient a standard of care similar to that offered in said Unit. This standard is achieved with a team trained in pediatric transport and with the capacity to provide critical care. The decision to transport a patient within the same hospital or to another institution is based on the evaluation of the potential benefits weighed against potential risks, since there is an increase in morbidity and mortality during transport. The recommendations presented in this document are intended to try to improve the transfer of critical patients in our country.


Assuntos
Cuidados Críticos/organização & administração , Unidades de Terapia Intensiva Pediátrica/organização & administração , Transporte de Pacientes/organização & administração , Criança , Cuidados Críticos/normas , Estado Terminal/terapia , Humanos , Unidades de Terapia Intensiva Pediátrica/normas , Pediatria/normas , Ressuscitação/normas , Transporte de Pacientes/normas
20.
Air Med J ; 38(5): 334-337, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31578970

RESUMO

OBJECTIVE: During transport, the time spent in stabilizing sick infants before repatriation is crucial in optimizing the outcome and effective use of resources. The study aim was to assess individual components of neonatal transport time to identify opportunities to minimize delay, optimize care, and improve the overall efficiency of transport. METHODS: A single-center prospective observational study conducted at McMaster Children's Hospital, Hamilton, Ontario, Canada, with a dedicated transport team for over 12 months. The stabilization time was defined as the time interval between arrival and departure from the referring hospital. RESULTS: Of 223 neonatal transfers, 67 required no procedural or therapeutic intervention before mobilization to the receiving unit, with a mean stabilization time of 113 ± 52 minutes. In 156 transport events, 1 or more interventions were required, with a significantly higher mean stabilization time of 165 ± 89 minutes (P < .0001). CONCLUSION: This study found that the local stabilization time was more than 1.5 times that of the comparable published data. The reasons identified for this delay were mostly because of waiting times for vehicle mobilization, waiting for blood and radiology results, and bed availability. Modifying these factors could save up to 28% of the stabilization time.


Assuntos
Assistência ao Paciente , Transporte de Pacientes , Resgate Aéreo , Eficiência Organizacional , Hospitais Pediátricos , Humanos , Recém-Nascido , Ontário , Estudos Prospectivos , Fatores de Tempo , Transporte de Pacientes/normas
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