COVID 19 Pandemisi ve Acil Servis Triyajı

COVID 19 pandemisi ile beraber salgınlar esnasında kaynakların etkin kullanımının önemi tekrar anlaşılmıştır. Triyaj etkin kaynak kullanımı açısından sağlık hizmetlerinin her basamağında yapılmalıdır. Pandemi esnasında sağlık personelinin korunması için kişisel korunma ekipmanlarının yeterli olması ve uygun şekilde kullanımı gereklidir. Hastane ana girişlerinden itibaren pandemi triyajı yapılmalıdır. Semptomatik hastaların değerlendirilmesi için ayrı alanlar düzenlenmelidir. Ayrıca diğer hastaların tedavilerinin aksamaması için önlem alınmalıdır.

COVID 19 Pandemic and Emergency Service Triage

With the COVID 19 pandemic, the importance of efficient use of resources during epidemics has been understood again. Triage should be done at every stage of health services in terms of efficient resource use. In order to protect healthcare personnel during the pandemic, it is ne-cessary to have sufficient personal protection equipment and use it appropriately. Pandemic triage should begin from the main entrance of the hospital. Separate areas should be arranged for the evaluation of symptomatic patients. In addition, measures should be taken to prevent other patients from interrupting their treatment.

PDF

___

1. Medical Dictionary. Accessed September 27, 2020. https://www.online-medical-dictionary.org/definitions-t/triage.html
2. Cots JM, Alós J, Bárcena M, et al. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information . 2020;(January).
3. Solnica A, Barski L, Jotkowitz A. Allocation of scarce resources during the COVID-19 pandemic: A Jewish ethical perspective. J Med Ethics. 2020;46(7):444-446. doi:10.1136/medethics-2020-106242
4. Challen K, Bentley A, Bright J, et al. Clinical review: Mass casualty triage - Pandemic influenza and critical care. Crit Care. 2007;11(2). doi:10.1186/cc5732
5. Center for Disease Control CDC. Standard Operating Procedure (SOP) for Triage of Suspected COVID-19 Patients. Published online 2020:1- 5. https://www.cdc.gov/coronavirus/2019- ncov/hcp/non-us-settings/sop- triage-prevent-transmission.html
6. WHO. Algorithm for COVID-19 triage and referral. World Heal Organ West Pacific Reg. 2020;(March):1-6.
7. Chopra V, Toner E, Waldhorn R,et al. How should U.S. Hospitals prepare for coronavirus disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9). doi:10.7326/M20-0907
8. Cao Y, Li Q, Chen J, et al. Hospital Emergency Management Plan During the COVID-19 Epidemic. Acad Emerg Med. 2020;27(4):309-311. doi:10.1111/acem.13951
9. Establishing Triage Stations at Healthcare Facilities : Key Instructions and Tips. https://www.afro.who.int/sites/default/files/Covid- 19/Techinical documents/Establishing COVID-19 triage stations at healthcare facilities - Key instructions and tips.pdf
10. Peros G, Gronki F, Molitor N, et al. Organizing a COVID-19 triage unit: a Swiss perspective. Emerg Microbes Infect. 2020;9(1):1506-1513. doi:10.1080/22221751.2020.1787107
11. Sayburn A. Covid-19: PHE upgrades PPE advice for all patient contacts with risk of infection. BMJ. 2020;369(April):m1391. doi:10.1136/bmj.m1391
12. Kampf G, Todt D, Pfaender S, et al. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020;104(3):246-251. doi:10.1016/j.jhin.2020.01.022
13. Information for Healthcare Professionals about Coronavirus (COVID-19). Accessed October 20, 2020. https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html
14. Coronavirus Disease 2019 (COVID-19) Triage Precautions FAQ. Accessed October 20, 2020. https://emedicine.medscape.com/article/2500120-overview#a2
15. Örnek Büken N. COVID 19 Pandemisi ve Etik Konular. Published online 2020:15-26.
16. British Medical Association. COVID-19 – Ethical Issues. A guidance note. 2020;(March):1-9.
17. Kramer JB, Brown DE, Kopar PK. Ethics in the Time of Coronavirus: Recommendations in the COVID-19 Pandemic. J Am Coll Surg. 2020;230(6):1114-1118. doi:10.1016/j.jamcollsurg.2020.04.004