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10.1136/emermed-2020-209634 http://scihub22266oqcxt.onion/10.1136/emermed-2020-209634 32321705!ä!32321705 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Emerg+Med+J 2020 ; 37 (5): 252-254 Nephropedia Template TP {{tp|p=32321705|t=2020. Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department |pdf=|usr=}}{{32321705}} gab.com Text Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department JO: Emerg Med J http://www.kidney.de/pget.php?&tw=1&pmid=32321705 #FOAvip Singapore was one of the earliest countries affected by the coronavirus disease 2019 (COVID-19) pandemic, with more laboratory-confirmed COVID-19 cases in early February 2020 than any other country outside China. This short report is a narrative review of our tertiary paediatric emergency department (ED) perspective and experience managing the evolving outbreak situation. Logistic considerations included the segregation of the ED into physically separate high-risk, intermediate-risk and low-risk areas, with risk-adapted use of personal protective equipment (PPE) for healthcare personnel in each ED area. Workflow considerations included the progressive introduction of outpatient COVID-19 testing in the ED for enhanced surveillance; adapting the admissions process particularly for high-risk and intermediate-risk cases; and the management of unwell accompanying adult caregivers. Manpower considerations included the reorganisation of medical manpower into modular teams to mitigate the risk of hospital transmission of COVID-19. Future plans for a tiered isolation facility should include structural modifications for the permanent isolation facility such as anterooms for PPE donning/doffing; replication of key ED functions in the tent facility such as a separate resuscitation room and portable X-ray room; and refresher PPE training. Dynamic reassessment of ED workflow processes, in conjunction with the hospital and national public health response, may help in managing this novel disease entity. Twit Text FOAVip Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department ????Emerg Med J http://www.kidney.de/pget.php?&tw=1&pmid=32321705 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32321705 #FOAvip English Wikipedia <ref>{{Cite pmid|32321705}}</ref> Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department #MMPMID32321705 Tan RMR; Ong GY; Chong SL; Ganapathy S; Tyebally A; Lee KP Emerg Med J 2020[May]; 37 (5): 252-254 PMID32321705show ga Singapore was one of the earliest countries affected by the coronavirus disease 2019 (COVID-19) pandemic, with more laboratory-confirmed COVID-19 cases in early February 2020 than any other country outside China. This short report is a narrative review of our tertiary paediatric emergency department (ED) perspective and experience managing the evolving outbreak situation. Logistic considerations included the segregation of the ED into physically separate high-risk, intermediate-risk and low-risk areas, with risk-adapted use of personal protective equipment (PPE) for healthcare personnel in each ED area. Workflow considerations included the progressive introduction of outpatient COVID-19 testing in the ED for enhanced surveillance; adapting the admissions process particularly for high-risk and intermediate-risk cases; and the management of unwell accompanying adult caregivers. Manpower considerations included the reorganisation of medical manpower into modular teams to mitigate the risk of hospital transmission of COVID-19. Future plans for a tiered isolation facility should include structural modifications for the permanent isolation facility such as anterooms for PPE donning/doffing; replication of key ED functions in the tent facility such as a separate resuscitation room and portable X-ray room; and refresher PPE training. Dynamic reassessment of ED workflow processes, in conjunction with the hospital and national public health response, may help in managing this novel disease entity. |*Coronavirus[MESH] |*Coronavirus Infections/diagnosis/epidemiology/prevention & control/therapy[MESH] |*Pneumonia, Viral/diagnosis/epidemiology/prevention & control/therapy[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |COVID-19 Testing[MESH] |Child[MESH] |Clinical Laboratory Techniques[MESH] |Disease Outbreaks/prevention & control[MESH] |Emergency Service, Hospital/*organization & administration[MESH] |Health Personnel[MESH] |Humans[MESH] |Pandemics/*prevention & control[MESH] |Personal Protective Equipment[MESH] |Practice Guidelines as Topic[MESH] |Public Health[MESH] |SARS-CoV-2[MESH]Dynamic adaptation to COVID-19 in a Singapore paediatric emergency dep(epmc).pdf DeepDyve Pubget Overpricing