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Flexibler Entscheidungsalgorithmus zum innerklinischen stationären
Patient*innen-Management unter wechselnden Anforderungen der SARS-CoV-2-Pandemie
#MMPMID32837302
Waydhas C
; Hosbach I
; Bockelmann-Jung S
; Hamsen U
; Kaufmann P
; Knop-Hammad V
; Köditz R
; Kronsbein J
; Zahn P
; Auhuber T
Notf Rett Med
2020[]; 23
(5
): 356-363
PMID32837302
show ga
After the initial fulminant outbreak, the SARS-CoV?2 pandemic has now taken
a more protracted course which, nevertheless, challenges hospitals in returning
to a "normal" mode and in preparing for a worst-case scenario of a second wave.
Not only the organization of the first contact with the patient and the admission
in the emergency department but also the admission as an in-patient and the
subsequent management requires both flexibility and clear directions of action
for the medical personnel involved. The aim of the algorithm was to develop
a structured, easy to implement and easy to follow guideline while simultaneously
preserving resources. The algorithm covers some key points of decision making
such as clinical signs, first contact, admission for in-patient treatment,
consequences of swab and computed tomography (CT) results, and allocation and
isolation measures within the hospital. The algorithm is not intended to guide
diagnostics, decisions and treatment in the narrower medical sense but to provide
more general instructions for the management of in-patients considering specific
aspects of SARS-CoV?2.
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