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Close air support: enhancing emergency care in the COVID-19 pandemic.
Low, Tze Yi; Mathews, Ian; Lau, Joel Wen-Liang; Ngiam, Kee Yuan.
  • Low TY; Surgery, National University Hospital, Singapore.
  • Mathews I; Emergency Medicine, National University Hospital, Singapore.
  • Lau JW; Surgery, National University Hospital, Singapore.
  • Ngiam KY; Surgery, National University Hospital, Singapore kee_yuan_ngiam@nuhs.edu.sg.
Emerg Med J ; 37(10): 642-643, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-697092
Semantic information from SemMedBD (by NLM)
1. Emergency medical service TREATS COVID-19
Subject
Emergency medical service
Predicate
TREATS
Object
COVID-19
2. Emergency medical service TREATS COVID-19
Subject
Emergency medical service
Predicate
TREATS
Object
COVID-19
ABSTRACT
The COVID-19 pandemic has taken the world by storm and overwhelmed healthcare institutions even in developed countries. In response, clinical staff and resources have been redeployed to the areas of greatest need, that is, intensive care units and emergency rooms (ER), to reinforce front-line manpower. We introduce the concept of close air support (CAS) to augment ER operations in an efficient, safe and scalable manner. Teams of five comprising two on-site junior ER physicians would be paired with two CAS doctors, who would be off-site but be in constant communication via teleconferencing to render real-time administrative support. They would be supervised by an ER attending. This reduces direct viral exposure to doctors, conserves precious personal protective equipment and allows ER physicians to focus on patient care. Medical students can also be involved in a safe and supervised manner. After 1 month, the average time to patient disposition was halved. General feedback was also positive. CAS improves efficiency and is safe, scalable and sustainable. It has also empowered a previously untapped group of junior clinicians to support front-line medical operations, while simultaneously protecting them from viral exposure. Institutions can consider adopting our novel approach, with modifications made according to their local context.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Coronavirus Infections / Air Ambulances / Emergency Medical Services / Emergency Service, Hospital / Workforce / Pandemics Subject: Pneumonia, Viral / Coronavirus Infections / Air Ambulances / Emergency Medical Services / Emergency Service, Hospital / Workforce / Pandemics Type of study: Evaluation study / Qualitative research Language: English Journal: Emerg Med J Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Coronavirus Infections / Air Ambulances / Emergency Medical Services / Emergency Service, Hospital / Workforce / Pandemics Subject: Pneumonia, Viral / Coronavirus Infections / Air Ambulances / Emergency Medical Services / Emergency Service, Hospital / Workforce / Pandemics Type of study: Evaluation study / Qualitative research Language: English Journal: Emerg Med J Year: 2020
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