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2020 ; 51
(6
): 1891-1895
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Protected Code Stroke: Hyperacute Stroke Management During the Coronavirus
Disease 2019 (COVID-19) Pandemic
#MMPMID32233980
Khosravani H
; Rajendram P
; Notario L
; Chapman MG
; Menon BK
Stroke
2020[Jun]; 51
(6
): 1891-1895
PMID32233980
show ga
Background and Purpose- Hyperacute assessment and management of patients with
stroke, termed code stroke, is a time-sensitive and high-stakes clinical
scenario. In the context of the current coronavirus disease 2019 (COVID-19)
pandemic caused by the SARS-CoV-2 virus, the ability to deliver timely and
efficacious care must be balanced with the risk of infectious exposure to the
clinical team. Furthermore, rapid and effective stroke care remains paramount to
achieve maximal functional recovery for those needing admission and to triage
care appropriately for those who may be presenting with neurological symptoms but
have an alternative diagnosis. Methods- Available resources, COVID-19-specific
infection prevention and control recommendations, and expert consensus were used
to identify clinical screening criteria for patients and provide the required
nuanced considerations for the healthcare team, thereby modifying the
conventional code stroke processes to achieve a protected designation. Results- A
protected code stroke algorithm was developed. Features specific to
prenotification and clinical status of the patient were used to define precode
screening. These include primary infectious symptoms, clinical, and examination
features. A focused framework was then developed with regard to a protected code
stroke. We outline the specifics of personal protective equipment use and
considerations thereof including aspects of crisis resource management impacting
team role designation and human performance factors during a protected code
stroke. Conclusions- We introduce the concept of a protected code stroke during a
pandemic, as in the case of COVID-19, and provide a framework for key
considerations including screening, personal protective equipment, and crisis
resource management. These considerations and suggested algorithms can be
utilized and adapted for local practice.
|Algorithms
[MESH]
|Betacoronavirus
[MESH]
|COVID-19
[MESH]
|Coronavirus Infections/epidemiology/*prevention & control
[MESH]
|Emergency Medical Services/methods
[MESH]
|Humans
[MESH]
|Pandemics/*prevention & control
[MESH]
|Personal Protective Equipment
[MESH]
|Pneumonia, Viral/epidemiology/*prevention & control
[MESH]