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1.
Stroke ; 52(4): 1527-1531, 2021 04.
Article in English | MEDLINE | ID: covidwho-1085244

ABSTRACT

Informed consent is a key concept to ensure patient autonomy in clinical trials and routine care. The coronavirus disease 2019 (COVID-19) pandemic has complicated informed consent processes, due to physical distancing precautions and increased physician workload. As such, obtaining timely and adequate patient consent has become a bottleneck for many clinical trials. However, this challenging situation might also present an opportunity to rethink and reappraise our approach to consent in clinical trials. This viewpoint discusses the challenges related to informed consent during the COVID-19 pandemic, whether it could be acceptable to alter current consent processes under these circumstances, and outlines a possible framework with predefined criteria and a system of checks and balances that could allow for alterations of existing consent processes to maximize patient benefit under exceptional circumstances such as the COVID-19 pandemic without undermining patient autonomy.


Subject(s)
COVID-19 , Informed Consent/standards , Pandemics , Randomized Controlled Trials as Topic/standards , Stroke/diagnostic imaging , Stroke/therapy , Aged , COVID-19/epidemiology , Humans , Male , Stroke/epidemiology , Time Factors
2.
Stroke ; 51(7): 2273-2275, 2020 07.
Article in English | MEDLINE | ID: covidwho-327109

ABSTRACT

During the coronavirus disease 2019 (COVID-19) pandemic, infectious disease control is of utmost importance in acute stroke treatment. This is a new situation for most stroke teams that often leads to uncertainty among physicians, nurses, and technicians who are in immediate contact with patients. The situation is made even more complicated by numerous new regulations and protocols that are released in rapid succession. Herein, we are describing our experience with simulation training for COVID-19 stroke treatment protocols. One week of simulation training allowed us to identify numerous latent safety threats and to adjust our institution-specific protocols to mitigate them. It also helped our physicians and nurses to practice relevant tasks and behavioral patterns (eg, proper donning and doffing PPE, where to dispose potentially contaminated equipment) to minimize their infectious exposure and to adapt to the new situation. We therefore strongly encourage other hospitals to adopt simulation training to prepare their medical teams for code strokes during the COVID-19 pandemic.


Subject(s)
Betacoronavirus , Coronavirus Infections , Neurology/education , Pandemics , Personnel, Hospital/education , Pneumonia, Viral , Simulation Training , Stroke/therapy , Airway Management/methods , COVID-19 , Communication Barriers , Coronavirus Infections/prevention & control , Endovascular Procedures/education , Humans , Infection Control/methods , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Infectious Disease Transmission, Professional-to-Patient/prevention & control , Occupational Diseases/prevention & control , Pandemics/prevention & control , Patient Safety , Personal Protective Equipment , Personnel, Hospital/psychology , Pneumonia, Viral/prevention & control , Procedures and Techniques Utilization , Protective Devices , SARS-CoV-2 , Stress, Psychological/prevention & control , Thrombectomy/education , Thrombectomy/methods , Thrombolytic Therapy/methods , Time-to-Treatment
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