Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED
Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED
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DOI：
10.1136/emermed-2020-209645
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发表时间：
2020-06-01
影响因子：
3.1
通讯作者：
Bhakta, Toral
中科院分区：
文献类型：
--
作者：
Chou, Eric;Hsieh, Yu-Lin;Bhakta, Toral
冠状病毒（严重急性呼吸道综合征冠状病毒2型）爆发是一种突发公共卫生事件和全球大流行。在目前的冠状病毒病（COVID-19）危机期间，远程医疗被推荐用于筛查疑似患者，以限制暴露风险并最大限度地保护医务人员。我们利用远程医疗技术构建防护性物理屏障，限制ED中的COVID-19暴露。我院是一家城市社区医院，每年艾德患者量约为50 000例。我们为患者检查室配备了对讲机和iPad，用于远程通信。基于我们的远程医疗筛查协议，医生可以通过对讲机或视频会议对稳定的患者进行目视体检。远程医疗最初用于克服病人和医生之间的物理障碍。然而，我们的方案旨在建立一个保护性的物理屏障，以保护医护人员并提高ED的效率。该方案的实施可能是一个有前途的方案，使艾德护理在COVID-19大流行期间及以后更具成本效益和效率。
Coronavirus (severe acute respiratory syndrome coronavirus 2) outbreak is a public health emergency and a global pandemic. During the present coronavirus disease (COVID-19) crisis, telemedicine has been recommended to screen suspected patients to limit risk of exposure and maximise medical staff protection. We constructed the protective physical barrier with telemedicine technology to limit COVID-19 exposure in ED. Our hospital is an urban community hospital with annual ED volume of approximately 50 000 patients. We equipped our patient exam room with intercom and iPad for telecommunication. Based on our telemedicine screening protocol, physician can conduct a visual physical examination on stable patients via intercom or videoconference. Telemedicine was initially used to overcome the physical barrier between patients and physicians. However, our protocol is designed to create a protective physical barrier to protect healthcare workers and enhance efficiency in ED. The implementation can be a promising protocol in making ED care more cost-effective and efficient during the COVID-19 pandemic and beyond.