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1.
JNMA J Nepal Med Assoc ; 58(225): 355-359, 2020 May 30.
Artículo en Inglés | MEDLINE | ID: covidwho-699160

RESUMEN

The COVID-19 pandemic is unfolding at an unprecedented pace. The unprecedented threat provides an opportunity to emerge with robust health systems. Nepal has implemented several containment measures such as Rapid Response Team formulation; testing; isolation; quarantine; contact tracing;surveillance, establishment of COVID-19 Crisis Management Centre and designation of dedicated hospitals to gear up for the pandemic. The national public health emergency management mechanisms need further strengthening with the proactive engagement of relevant ministries; we need a strong, real-time national surveillance system and capacity building of a critical mass of health care workers; there is a need to further assess infection prevention and control capacity; expand the network of virus diagnostic laboratories in the private sector with adequate surge capacity;implement participatory community engagement interventions and plan for a phased lockdown exit strategy enabling sustainable suppression of transmission at low-level and enabling in resuming some parts of economic and social life.


Asunto(s)
Defensa Civil , Control de Enfermedades Transmisibles , Infecciones por Coronavirus , Servicios Médicos de Urgencia/organización & administración , Pandemias/prevención & control , Neumonía Viral , Betacoronavirus/aislamiento & purificación , Defensa Civil/legislación & jurisprudencia , Defensa Civil/métodos , Control de Enfermedades Transmisibles/métodos , Control de Enfermedades Transmisibles/organización & administración , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Regulación Gubernamental , Humanos , Nepal/epidemiología , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Salud Pública/métodos
2.
Emerg Med J ; 37(9): 567-570, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: covidwho-647095

RESUMEN

For many of us in emergency medicine, rising to the challenge of the COVID-19 crisis will be the single most exciting and challenging episode of our careers. Lessons have been learnt on how to make quick and effective changes without being hindered by the normal restraints of bureaucracy. Changes that would normally have taken months to years to implement have been successfully introduced over a period of several weeks. Although we have managed these changes largely by command and control, compassionate leadership has identified leaders within our team and paved the way for the future. This article covers the preparation and changes made in response to COVID-19 in a London teaching hospital.


Asunto(s)
Defensa Civil , Infecciones por Coronavirus , Servicio de Urgencia en Hospital , Innovación Organizacional , Pandemias , Neumonía Viral , Planificación Estratégica , Capacidad de Reacción , Betacoronavirus , Gestión del Cambio , Defensa Civil/métodos , Defensa Civil/organización & administración , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Eficiencia Organizacional , Servicio de Urgencia en Hospital/organización & administración , Servicio de Urgencia en Hospital/tendencias , Humanos , Liderazgo , Londres , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control
6.
Nat Med ; 26(7): 1005-1008, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-595980
8.
Am J Gastroenterol ; 115(6): 801-804, 2020 06.
Artículo en Inglés | MEDLINE | ID: covidwho-330592
9.
J Am Geriatr Soc ; 68(6): 1150-1154, 2020 06.
Artículo en Inglés | MEDLINE | ID: covidwho-133566

RESUMEN

Coronavirus disease 2019 (COVID-19) has led to a surge of patients requiring post-acute care. In order to support federal, state and corporate planning, we offer a four-stage regionally oriented approach to achieving optimal systemwide resource allocation across a region's post-acute service settings and providers over time. In the first stage, the post-acute care system must, to the extent possible, help relieve acute hospitals of non-COVID-19 patients to create as much inpatient capacity as possible over the surge period. In the second stage after the initial surge as subsided, post-acute providers must protect vulnerable populations from COVID-19, prepare treat-in-place protocols for non-COVID-19 admissions, and create and formalize COVID-19 specific settings. In the third stage after a vaccine has been developed or an effective prophylactic option is available, post-acute care providers must assist with distribution and administration of vaccinations and prophylaxis, develop strategies to deliver non-COVID-19 related medical care, and begin to transition to the post-COVID-19 landscape. In the final stage, we must create health advisory bodies to review post-acute sector's response, identify opportunities to improve performance going forward, and develop a pandemic response plan for post-acute care providers. J Am Geriatr Soc 68:1150-1154, 2020.


Asunto(s)
Betacoronavirus , Defensa Civil/métodos , Infecciones por Coronavirus , Asignación de Recursos para la Atención de Salud , Pandemias , Neumonía Viral , Atención Subaguda/métodos , Humanos , Estados Unidos/epidemiología
10.
J Nepal Health Res Counc ; 18(1): 142-143, 2020 Apr 20.
Artículo en Inglés | MEDLINE | ID: covidwho-127689

RESUMEN

Patan Academy of Health Sciences started preparedness for COVID-19 in response to increasing number of patient in neighboring country. Outbreak preparedness in resource limited setup is challenging. Despite this, preparedness was done in reference to WHO interim guidance utilizing best available resources. During this preparedness, one patient was isolated as suspected COVID-19. This paper presents level of preparedness achieved with the limited resources and the lesson learned while isolating the patient. Keywords: COVID-19; Disaster; hospital preparedness.


Asunto(s)
Defensa Civil/métodos , Infecciones por Coronavirus/epidemiología , Coronavirus , Planificación en Desastres , Brotes de Enfermedades/prevención & control , Medicina de Emergencia/organización & administración , Neumonía Viral/epidemiología , Betacoronavirus , Salud Global , Hospitales , Humanos , Nepal , Pandemias , Salud Pública
11.
J Am Coll Cardiol ; 76(1): 72-84, 2020 07 07.
Artículo en Inglés | MEDLINE | ID: covidwho-92085

RESUMEN

The COVID-19 pandemic has presented a major unanticipated stress on the workforce, organizational structure, systems of care, and critical resource supplies. To ensure provider safety, to maximize efficiency, and to optimize patient outcomes, health systems need to be agile. Critical care cardiologists may be uniquely positioned to treat the numerous respiratory and cardiovascular complications of the SARS-CoV-2 and support clinicians without critical care training who may be suddenly asked to care for critically ill patients. This review draws upon the experiences of colleagues from heavily impacted regions of the United States and Europe, as well as lessons learned from military mass casualty medicine. This review offers pragmatic suggestions on how to implement scalable models for critical care delivery, cultivate educational tools for team training, and embrace technologies (e.g., telemedicine) to enable effective collaboration despite social distancing imperatives.


Asunto(s)
Servicio de Cardiología en Hospital , Infecciones por Coronavirus , Cuidados Críticos , Prestación de Atención de Salud , Innovación Organizacional , Pandemias/prevención & control , Neumonía Viral , Betacoronavirus/aislamiento & purificación , Servicio de Cardiología en Hospital/organización & administración , Servicio de Cardiología en Hospital/tendencias , Defensa Civil/métodos , Defensa Civil/organización & administración , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/terapia , Cuidados Críticos/métodos , Cuidados Críticos/organización & administración , Cuidados Críticos/tendencias , Prestación de Atención de Salud/métodos , Prestación de Atención de Salud/organización & administración , Prestación de Atención de Salud/tendencias , Humanos , Objetivos Organizacionales , Neumonía Viral/epidemiología , Neumonía Viral/terapia
13.
Can J Cardiol ; 36(6): 956-960, 2020 06.
Artículo en Inglés | MEDLINE | ID: covidwho-77140

RESUMEN

The novel coronavirus 2019 disease (COVID-19) pandemic has placed intense pressure on health care organizations around the world. Among other concerns, there has been an increasing recognition of common and deleterious cardiovascular effects of COVID-19 based on preliminary studies. Furthermore, patients with preexisting cardiac disease are likely to experience a more severe disease course with COVID-19. As case numbers continue to increase exponentially, a surge in the number of patients with new or comorbid cardiovascular disease will translate into more frequent and, in some cases, prolonged rehabilitation needs after acute hospitalization. This report describes the current status of post-discharge cardiac care in Canada and provides suggestions regarding steps that policymakers and health care organizations can take to prepare for the COVID-19 pandemic.


Asunto(s)
Cuidados Posteriores , Rehabilitación Cardiaca/métodos , Enfermedades Cardiovasculares , Defensa Civil , Infecciones por Coronavirus , Control de Infecciones/organización & administración , Pandemias , Alta del Paciente/normas , Neumonía Viral , Cuidados Posteriores/métodos , Cuidados Posteriores/organización & administración , Canadá , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/terapia , Defensa Civil/métodos , Defensa Civil/organización & administración , Comorbilidad , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/terapia , Humanos , Neumonía Viral/epidemiología , Neumonía Viral/terapia , Gestión de Riesgos
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