About: Reorganising the emergency department to manage the COVID-19 outbreak

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About: Reorganising the emergency department to manage the COVID-19 outbreak Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Reorganising the emergency department to manage the COVID-19 outbreak
Creator	Li, Juan Wong, Evelyn Venkataraman, Anantharaman Lim, Chin Wee, Jeremy Chan, Shi-En Chua, Ying Fua, Tzay-Ping Kiat, Boon Nadarajan, Gayathri Peng, Choon Quah, Tan, Kenneth Teo, Lin Wan, Paul Zakaria, Nur
Source	Medline; PMC
abstract	BACKGROUND: The COVID-19 disease outbreak that first surfaced in Wuhan, China, in December 2019, has taken the world by storm and ravaged almost every country in the world. Emergency departments (ED) in hospitals are on the frontlines, serving an essential function in identifying these patients, isolating them early whilst providing urgent medical care. This outbreak has reinforced the role of Emergency Medicine in public health. This paper documents the challenges faced and measures taken by a tertiary hospital’s ED in Singapore, in response to the outbreak. MAIN BODY: The ED detected the first case of COVID-19 in Singapore on 22 January 2020 in a Chinese tourist and also the first case of locally transmitted COVID-19 on 3 February 2020. The patient journeys through the patient reception area in the ED and undergoes fever screening before being shunted to isolation areas within the ED. Management and disposition of suspect COVID-19 patients are guided by a close-knit collaboration between ED and department of infectious diseases. With increasing number of patients, back-up plans for expansion of space and staff augmentation have been enacted. Staff safety is also of utmost importance, with provision and guidelines for personal protective equipment and team segregation to ensure no cross-contamination across staff. These have been made possible with an early setup of an operational command and control structure within the ED, managing manpower, logistics, operations, communication and information management and liaison with other clinical departments. CONCLUSION: With the large numbers of undifferentiated patients managed by the ED to date, more than 820 patients with COVID-19 have been identified in the hospital. Not a single member of the staff of the SGH Emergency Department has come down with the illness. The various measures undertaken by the department have helped to ensure good staff morale and strict adherence to safety procedures. We share the lessons learnt so that others who manage EDs around the world can benefit from our experience.
has issue date	2020-06-17(xsd:dateTime)
bibo:doi	10.1186/s12245-020-00294-w
bibo:pmid	32552659
has license	cc-by
sha1sum (hex)	f246edca8a8ae634dfcdc3306e9b0450189f1312
schema:url	https://doi.org/10.1186/s12245-020-00294-w
resource representing a document's title	Reorganising the emergency department to manage the COVID-19 outbreak
has PubMed Central identifier	PMC7298444
has PubMed identifier	32552659
schema:publication	Int J Emerg Med
resource representing a document's body	covid:f246edca8a8ae634dfcdc3306e9b0450189f1312#body_text
is schema:about of	named entity 'ravaged' named entity 'function' named entity 'response' named entity 'COVID-19' named entity 'enacted' named entity 'procedures' named entity 'space' named entity 'provision' named entity 'case' named entity 'fever' named entity 'MEMBER OF' named entity 'BODY' named entity 'COLLABORATION' named entity 'ENSURE' named entity 'ALMOST' named entity 'DOCUMENTS' named entity 'BACKGROUND' named entity 'CONCLUSION' named entity 'transmitted' named entity 'areas' named entity 'patients' named entity 'strict' named entity 'manage' named entity 'patients' named entity 'Management' named entity '2019' named entity 'command' named entity 'personal protective equipment' named entity 'adherence' named entity 'disease' named entity 'area' named entity 'tertiary hospital' named entity 'SGH' named entity 'information management' named entity 'tertiary hospital' named entity 'COVID-19' named entity 'command and control' named entity 'outer atmosphere' named entity 'ambulance' named entity 'Wuhan' named entity 'COVID' named entity 'PPE' named entity 'pharmacy' named entity 'COVID' named entity 'COVID-19 pandemic' named entity 'outpatient clinics' named entity 'self-quarantine' named entity 'medical alerts' named entity 'Emergency Medicine' named entity 'PPE' named entity 'FSA' named entity 'SGH' named entity 'China' named entity 'infection' named entity 'healthcare staff' named entity 'respiratory infection' named entity 'COVID-19' named entity 'patient care assistant' named entity 'infection' named entity 'coronavirus' named entity 'infectious disease' named entity 'SARS outbreak' named entity 'terminal cleaning' named entity 'COVID-19' named entity 'X-rays' named entity '2 January'

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