Organization of Emergency Departments and Changing Patient Profile During COVID-19 Outbreak: A University Hospital Experience in Turkey
DOI:
https://doi.org/10.17986/blm.2020.v25i.1410Keywords:
COVID-19, Pandemic, Emergency Department, Organization, Emergency Patient, Forensic CaseAbstract
During the COVID-19 epidemic, emergency departments played an important role in identifying patients, isolating, preventing in-hospital infections, and informing public health authorities. It is necessary to identify the possible patients quickly and isolate them from others.
It was necessary to reorganize the emergency departments, which will be the first place of admission for the majority of patients. Emergency patient care should continue in emergency departments even in disasters, and in many countries, emergency departments operate at maximum capacity in their normal routines. For all these reasons, policies are required to prevent crowding in health centers and to control them, especially in emergency departments identify patients before hospital admission if possible.
In this study, we explain that how the organization of a university hospital emergency department with the COVID-19 pandemic, and how to organization the infected patients, emergency patients and forensic cases in emergency department.
Downloads
References
Jee Y. WHO International Health Regulations Emergency Committee for the COVID-19 outbreak. Epidemiol Health. 2020;42:e2020013. http://doi.org/10.4178/epih.e2020013 DOI: https://doi.org/10.4178/epih.e2020013
Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 15-21 February; 395(10223): 497–506. http://doi.org/10.1016/S0140-6736(20)30183-5. DOI: https://doi.org/10.1016/S0140-6736(20)30183-5
The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19)—China, 2020. China CDC Weekly, 2(8), 113-122. DOI: https://doi.org/10.46234/ccdcw2020.032
World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. https://www.who.int/dg/speeches/detail/ who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—11- march-2020. Accessed May 7, 2020.
Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hosp Infect. 2020 May;105(1):100-101. http://doi.org/10.1016/j.jhin.2020.03.002. DOI: https://doi.org/10.1016/j.jhin.2020.03.002
Guan W, Ni Z, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708-1720. http://doi.org/10.1056/NEJMoa2002032 DOI: https://doi.org/10.1056/NEJMoa2002032
WHO Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected: Interim guidance 25 January 2020. Available At:https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when- novel-coronavirus-(ncov)-infection-is-suspected-20200125. Accessed May 8, 2020.
Chavez S, Long B, Koyfman A, Liang SY. Coronavirus Disease (COVID-19): A primer for emergency physicians. Am J Emerg Med. 2020 Mar 24. http://doi.org/ 10.1016/j.ajem.2020.03.036 DOI: https://doi.org/10.1016/j.ajem.2020.03.036
Cao Y, Li Q, Chen J, Guo X, Miao C, Yang H, et al. Hospital emergency management plan during the COVID‐19 epidemic. Academic Emergency Medicine, 27(4), 309-311. Acad Emerg Med. 2020 Apr; 27(4): 309–311. http://doi.org/ 10.1111/acem.13951 DOI: https://doi.org/10.1111/acem.13951
Glauser W. Proposed protocol to keep COVID-19 out of hospitals. CMAJ. 2020 Mar 9; 192(10): E264–E265. http://doi.org/ 10.1503/cmaj.1095852 DOI: https://doi.org/10.1503/cmaj.1095852
Freund Y. The challenge of emergency medicine facing the COVID-19 outbreak. Eur J Emerg Med. 2020 May 4. http://doi.org/ 10.1097/MEJ.0000000000000699. DOI: https://doi.org/10.1097/MEJ.0000000000000699
COVID-19 (SARS-CoV-2 infection) Klavuzu. Bilimsel Kurul Çalışması. Türkiye Cumhuriyeti Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. Erişim: https://covid19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_Rehberi.pdf?type=file. Güncelleme April 14,2020.Son erişim 8 Mayıs, 2020
TC Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü Genelgesi. 20.03.2020. Erişim: https://dosyamerkez.saglik.gov.tr/Eklenti/36907,pandemi-hastaneleripdf.pdf?0
Türkiye’de Güncel Durum. Türkiye Cumhuriyeti Sağlık Bakanlığı. Son Güncelleme: May 09,2020. Erişim: https://covid19.saglik.gov.tr. Son Erişim 9 Mayıs, 2020.
Emergency Medicine Association of Turkey (EMAT); ED Triage Algorithm for Possible COVID-19 patients.Version 1. Updated April 14,2020. Accessed May 8, 2020. https://tatd.org.tr/uploads/files/Olası%20COVID-19%20Algoritması.pdf
Kamu Hastaneleri İstatistik Raporu, 2017. Türkiye Sağlık Bakanlığı, Türk Kamu Hastaneleri Genel Müdürlüğü.Ankara, 2018. Erişim: https://dosyamerkez.saglik.gov.tr/Eklenti/25828,2017pdf.pdf?0. Son erişim 8 Mayıs, 2020.
Giwa AL, Desai A, Duca A. Novel 2019 coronavirus SARS-CoV-2 (COVID-19): An overview for emergency clinicians. Emerg Med Pract. 2020 May 1;22(5):1-28
Long C, Xu H, Shen Q, et al. Diagnosis of the Coronavirus disease (COVID-19): rRT-PCR or CT?. Radiol. 2020 May;126:108961. http://doi.org/10.1016/j.ejrad.2020.108961 DOI: https://doi.org/10.1016/j.ejrad.2020.108961
Chen TY, Lai HW, Hou IL, Lin CH, Chen MK, Chou CC, Lin YR. Buffer areas in emergency department to handle potential COVID-19 community infection in Taiwan. Travel Med Infect Dis. 2020 Mar 20:101635. http://doi.org/ 10.1016/j.tmaid.2020.101635. DOI: https://doi.org/10.1016/j.tmaid.2020.101635
Scalinci SZ, Trovato Battagliola E. Conjunctivitis can be the only presenting sign and symptom of COVID-19. IDCases. 2020;20:e00774. http://doi.org 10.1016/j.idcr.2020.e00774. DOI: https://doi.org/10.1016/j.idcr.2020.e00774
Alkeridy WA, Almaglouth I, Alrashed R, Alayed K, Binkhamis K, Alsharidi A, Liu-Ambrose T. A Unique Presentation of Delirium in a Patient with Otherwise Asymptomatic COVID-19. J Am Geriatr Soc. 2020 May 8. http://doi.org/10.1111/jgs. 16536 DOI: https://doi.org/10.1111/jgs.16536
CDC. Coronavirus Disease 2019 (COVID-19) Interim Infection Prevention and Con- trol Recommendations. Centers for Disease Control and Prevention. https://www. cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html. Published February 11, 2020. Accessed May 8, 2020.
Zhan M, Qin Y, Xue X, Zhu S. Death from Covid-19 of 23 Health Care Workers in China. N Engl J Med. 2020 Apr 15. http://doi.org/10.1056/NEJMc2005696 DOI: https://doi.org/10.1056/NEJMc2005696
Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing? Eur J Emerg Med. 2020 May 4. http://doi.org/10.1097/MEJ.0000000000000718. DOI: https://doi.org/10.1097/MEJ.0000000000000718
Şimşek P, Gürsoy A. Turkish health care providers' views on inappropriate use of emergency department: who, when and why? Int Emerg Nurs. 2015;27:31–36. DOI: https://doi.org/10.1016/j.ienj.2015.11.004
Korona dışında acil servisler boş kaldı. Yayın: 18.04.2020. Erişim: https://www.hurriyet.com.tr/gundem/acil-servisler-bos-kaldi-41497470. Son erişim: 11.05.2020.
Koronavirüs salgını: Covid-19 dışındaki hastalıkların tedavisi aksıyor. Yayın: 14 Nisan 2020. Erişim: https://www.bbc.com/turkce/haberler-turkiye-52280042. Son erişim: 11.05.2020.
Balcı Y. , Ünüvar Göçeoğlu Ü. , Türkiye Klinikleri Adli Tıp ve Adli Bilimler Dergisi, COVİD- 19 Enfeksiyonu Olan Sağlık Çalışanı ve Adli Tıp Yaklaşımı, https://doi.org/10.5336/forensic.2020- 75467, 2020
Cattaneo C. Forensic Medicine in the time of COVİD 19: an Editorial from Milano, Forensic Science İnternational Journal Pre- proof, 2020 DOI: https://doi.org/10.1016/j.forsciint.2020.110308
N. van Gelder, A. Peterman, A. Potts, M.O’ Donnell , K. Thompson, N. Shah, S. Oertelt- Prigione, Eclinical Medicine, COVİD- 19: Reducing the risk of infection might increase the risk of intimate partner violence, 2020 DOI: https://doi.org/10.1016/j.eclinm.2020.100348
Tang K. Goashan J., Ahonsi B. Sexual and reproductive health: a key issue in the emergency response to the coronavirus disease outbreak. Reproductive Health, DOİ:https://doi.org/10.1186/12978- 020-0900- 9, 2020.
Green P. Risks to children and young people during COVID-19 pandemic. BMJ 2020; 369: m1669 https://doi.org/10.1136/bmj.m1669 ( Published 28 April 2020) DOI: https://doi.org/10.1136/bmj.m1669
Downloads
Published
Issue
Section
License
Copyright (c) 2020 The Bulletin of Legal Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.