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논문 기본 정보

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학술저널
저자정보
Cho Soo Im (Department of Emergency Medicine National Medical Center Seoul Korea.) Ko Jung-In (Department of Emergency Medicine National Medical Center Seoul Korea.) Kim Yeonjae (Division of Infectious Diseases National Medical Center Seoul Korea.) Yeo Woonhyung (Department of Emergency Medicine Seongnam Citizens Medical Center Seongnam Korea.) Lee Kangeui (Department of Emergency Medicine National Medical Center Seoul Korea.) Cho Wonjin (Department of Emergency Medicine National Medical Center Seoul Korea.) Moon Sungwoo (National Emergency Medical Center National Medical Center Seoul Korea.Department of Emergency Medic) Park Taejin (Department of Emergency Medicine National Medical Center Seoul Korea.)
저널정보
대한감염학회 Infection and Chemotherapy Infection and Chemotherapy 제53권 제1호
발행연도
2021.1
수록면
84 - 95 (12page)

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Background According to the recent coronavirus disease 2019 (COVID-19) pandemic experience, many emergency departments experience difficulties in responding to emerging infectious diseases and this has led to a public health crisis. Our emergency department (ED) is designed to respond to mass outbreaks of infection. Three major preparations were taken to respond to infectious disease; first, to improve the emergency department facilities; second, to created programs to respond to each phase of an epidemic of COVID-19; lastly, to implemented education and training to promote the safety of medical staff. We would like to share the actual responses and statistics of patients visiting emergency department during COVID-19 periods of pandemic. Materials and Methods This research was conducted through a retrospective chart analysis provided by a public medical center with 502 beds since the first report of a COVID-19 confirmed case on January 19, 2020 to June 15, 2020 in Seoul, the capital of Korea. Our emergency department was designed based on Korean Regional Emergency Center Facility Standards, and modified throughout each phases of COVID-19 outbreak. Patients suspected to be infectious are screened in the triage, separating them from general patients, and then receive isolation treatment in isolated wards. Results A total of 4,352 patients visited the ED. 3,202 screenings were conducted with 5 confirmed cases. Another 1,150 patients were treated with general emergent symptoms. There were no problems such as closure of the emergency department or isolation of medical staff while managing COVID-19 confirmed patients. Conclusion Improving emergency department facilities, create an operational program to respond to each phase of COVID-19 outbreak and implement educational programs enabled large number of screening tests and hospitalization for COVID-19 suspected patients while maintaining general medical services. Research in emergency department designs and operational programs should increase to combine research data with better ideas to respond not only during regular periods but also during periods of pandemic.
#COVID-19 pandemic #Infectious disease #Emergency department #Triage

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참고문헌 (12)

참고문헌 신청
Wilder-Smith A / 2020 / Can we contain the COVID-19 outbreak with the same measures as for SARS / Lancet Infect Dis 20:e102~e107 google schola LeDuc JW / 2004 / SARS, the first pandemic of the 21st century / Emerg Infect Dis 10:e26 google schola World Health Organization (WHO) / Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia google schola Park JW / 2017 / Nam HS. Hospital outbreaks of middle east respiratory syndrome, Daejeon, South Korea, 2015 / Emerg Infect Dis 23:898~905 google schola Myoung-don Oh / 2018 / Middle East respiratory syndrome: what we learned from the 2015 outbreak in the Republic of Korea / The Korean Journal of Internal Medicine 33(2):233~246 Crossref

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