ABSTRACT
BACKGROUND: Health care workers (HCWs) have been engaged in fighting dangerous epidemics for hundreds of years, more recently in severe acute respiratory syndrome, H1N1, Middle East respiratory syndrome, and now coronavirus disease 2019. A consistent feature of epidemic disease results is that health care systems and HCWs are placed under immense strain. METHODS: A focused narrative review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to examine the main concerns and anxieties faced by HCWs during recent epidemics and to determine the supports deemed most important to those HCWs to keep them at the frontline. PubMed, Web of Science, and the Cochrane Library were searched in March 2020 using terms "Healthcare" OR "Medical" AND "Staff" OR "Workers" OR "Front line" AND "Concerns" OR "Anxiety" OR "Stress" AND "Pandemic" Or "Epidemic." RESULTS: Twenty-five studies that reported the concerns and expectations of an estimated 13,793 HCWs in 10 countries (Canada, China, Greece, Hong Kong, Japan, Liberia, Netherlands, Saudi Arabia, Singapore and Taiwan) during pandemic situations were identified. Health care workers identified personal and family safety, appreciation, and the provision of personal protective equipment and adequate rest as primary concerns. Informal psychological supports were favored over formal employment-based group interventions. DISCUSSION: Despite being hailed by the media as heroes, HCWs face social stigmatization and experienced high levels of anxiety and fear regarding personal safety and the health of their colleagues and family. Health care workers are more likely to seek peer-to-peer psychological support but also benefit from knowing that formal psychological supports are available to them.
Subject(s)
COVID-19 , Influenza A Virus, H1N1 Subtype , Fear , Health Personnel , Humans , Pandemics , SARS-CoV-2ABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Pneumothorax/diagnostic imaging , Abdominal Injuries/complications , Craniocerebral Trauma/complications , Emergencies , Multiple Trauma , Pneumothorax/complications , Positive-Pressure Respiration , Pulmonary Atelectasis/complications , Radiography , Respiration, Artificial , Wounds, Gunshot/complicationsSubject(s)
Pneumothorax/diagnostic imaging , Abdominal Injuries/complications , Craniocerebral Trauma/complications , Emergencies , Humans , Male , Middle Aged , Multiple Trauma , Pneumothorax/complications , Positive-Pressure Respiration , Pulmonary Atelectasis/complications , Radiography , Respiration, Artificial , Wounds, Gunshot/complicationsABSTRACT
A 41-year-old white male with a history of alcoholism and depression was brought from prison into the emergency department (ED) after having had a witnessed tonic-clonic seizure lasting approximately 5 min. During the 24 h prior to admission, the patient's cell mate reported that he was restless and had consumed 11 litres of water. The patient had also been taking regular escitalopram for his depression. On arrival to the ED, the patient was found to have a sodium level of 112 mmol/l. After correction of his hyponatraemia the patient developed rhabdomyolisis with a creatine kinase level of 65 064 IU/l. To prevent an acute kidney injury a high volume alkaline diuresis protocol was started. Once corrected, his sodium level remained normal and he was discharged home after making a full neurological recovery. Rhabdomyolysis has rarely been associated with the correction of hyponatraemia.
