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2020 ; 29
(9
): 105059
Nephropedia Template TP
gab.com Text
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English Wikipedia
Acute stroke care algorithm in a private tertiary hospital in the Philippines
during the COVID-19 pandemic: A third world country experience
#MMPMID32807464
J Stroke Cerebrovasc Dis
2020[Sep]; 29
(9
): 105059
PMID32807464
show ga
BACKGROUND AND PURPOSE: Since the declaration of the Novel Coronavirus Disease
(COVID-19) pandemic, ensuring the safety of our medical team while delivering
timely management has been a challenge. Acute stroke patients continue to present
to the emergency department and they may not have the usual symptoms of COVID-19
infection. Stroke team response and management must be done within the shortest
possible time to minimize worsening of the functional outcome without
compromising safety of the medical team. METHODS: Infection control
recommendations, emergency department protocols and stroke response pathways
utilized prior to the COVID 19 pandemic within our institution were evaluated by
our stroke team in collaboration with the multidisciplinary healthcare services.
Challenges during the COVID-19 scenario were identified, from which a revised
acute stroke care algorithm was formulated to adapt to this pandemic. RESULTS: We
formulated an algorithm that incorporates practices from internationally devised
protocols while tailoring certain aspects to suit the available resources in our
system locally. We highlighted the significance of the following: team role
designation, coordination among different subspecialties and departments, proper
use of personal protective equipment and resources, and telemedicine use during
this pandemic. CONCLUSIONS: This pandemic has shaped the stroke team's approach
in the management of acute stroke patients. Our algorithm ensures proper resource
management while optimizing acute stroke care during the COVID-19 pandemic in our
local setting. This algorithm may be utilized and adapted for local practice and
other third world countries who face similar constraints.