Notfall Rettungsmed
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Notfall Rettungsmed · Jan 2020
Review[Strategy for university emergency room management at the beginning of an epidemic using COVID-19 as an example].
Due to the increasing number of COVID-19 infections worldwide, all hospitals are faced with the challenge associated with the pandemic. In particular, emergency rooms must prepare and implement completely new workflows. ⋯ In addition, communication and quality and risk management are highly relevant in addition to the clinical aspects. This article uses COVID-19 as an example to describe how emergency rooms can prepare for a pandemic.
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Notfall Rettungsmed · Jan 2020
Review[The German Protection Against Infection Act after entry into force of the German Measles Protection Act].
On 1 March 2020, the amendments to the German Protection Against Infection Act that were introduced by the act to protect against measles and strengthen vaccination prevention (Measles Protection Act) entered into force. The reason for the changes is that the number of individuals with measles has significantly increased in recent years. To protect public health, the Measles Protection Act has implemented regulations requiring that persons in certain institutions must either have adequate protection against measles or have immunity to measles. In this article the current legal situation with regard to health care facilities is presented.
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Notfall Rettungsmed · Jan 2020
Review[Teaching at the paramedics school of the City of Munich during the COVID-19 pandemic].
The ongoing Coronavirus crisis forced both the Berufsfachschule für Notfallsanitäter (emergency paramedic vocational school) of the Munich fire department and all other German schools to quit classroom teaching within just a few days. Similarly, all practical trainings at clinics and on ambulances had to be put on hold. As the apprentices' training objective was acutely endangered by the expected lengthy teaching downtimes, it was of crucial importance to successfully establish homeschooling. ⋯ A survey among students showed that while homeschooling cannot fully replace classroom teaching, it is considered a good alternative in emergency situations. Furthermore, many trainees think that homeschooling could be a valuable addition to normal classroom teaching. Maybe this crisis could turn out to be the beginning of a new complementary teaching strategy.
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Notfall Rettungsmed · Jan 2020
Review[Algorithm for flexible decision-making in the intra-hospital management of patients with the changing requirements of the SARS-CoV-2 pandemic].
After the initial fulminant outbreak, the SARS-CoV‑2 pandemic has now taken a more protracted course which, nevertheless, challenges hospitals in returning to a "normal" mode and in preparing for a worst-case scenario of a second wave. Not only the organization of the first contact with the patient and the admission in the emergency department but also the admission as an in-patient and the subsequent management requires both flexibility and clear directions of action for the medical personnel involved. ⋯ The algorithm covers some key points of decision making such as clinical signs, first contact, admission for in-patient treatment, consequences of swab and computed tomography (CT) results, and allocation and isolation measures within the hospital. The algorithm is not intended to guide diagnostics, decisions and treatment in the narrower medical sense but to provide more general instructions for the management of in-patients considering specific aspects of SARS-CoV‑2.
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After taking a patient's history and physical examination, lung ultrasound can immediately reveal numerous causes and complications in patients suffering from respiratory tract infection and/or dyspnea. It can thus facilitate decisions on further diagnostic and first therapeutic procedures, even in patients with a SARS-CoV‑2 infection who present to the emergency room. This review article highlights the typical findings of lung ultrasound in patients with COVID-19 and discusses its value compared to other imaging methods.