Management practices of emergency departments in general hospitals based on blockage of chain of infection during a COVI
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Management practices of emergency departments in general hospitals based on blockage of chain of infection during a COVID‑19 epidemic Xiaojing Hu1 · Si Liu1 · Bo Wang2 · Hui Xiong2 · Ping Wang1 Received: 6 July 2020 / Accepted: 5 September 2020 © Società Italiana di Medicina Interna (SIMI) 2020
Abstract In a Coronavirus disease 2019 (COVID-19) epidemic, management of the emergency department is a difficult task in terms of prevention and control of the disease in general hospitals. On top of meeting urgent needs of patients for medical treatment, the emergency department also has to devote resources into investigation and prevention of COVID-19. At the beginning of the epidemic, with the strategy to intercept the chain of infection, Peking University First Hospital (PKUFH) focused on three important aspects: controlling the source of infection, cutting off the route of transmission, and protecting vulnerable populations, to expeditiously draft scientific and proper management measures for the emergency department, followed by real-time dynamic adjustments based on the development trend of the epidemic. These measures effectively ensured a smooth, orderly and safe operation of the emergency department. As of the writing of this manuscript, there has been no active COVID-19 infection in patients and medical staff in the emergency department, and no infection in patients admitted to PKUFH through the emergency department. This study describes the prevention and control measures in the emergency department of PKUFH during the outbreak of COVID-19, aiming to provide some reference for domestic and international medical institutions. Keywords Coronavirus disease · Coronavirus disease 2019 · Chain of infection · Prevention and control measures · Emergency department management · General hospitals
Introduction
* Hui Xiong [email protected] * Ping Wang [email protected]
Xiaojing Hu [email protected]; [email protected]
Si Liu [email protected] Bo Wang [email protected] 1
Medical Affairs Department, Peking University First Hospital, Beijing, China
Emergency Department, Peking University First Hospital, Beijing, China
2
Since December 2019, cases of Coronavirus Disease 2019 (COVID-19) infections had been emerging in Wuhan, Hubei and many other parts of China. Currently, COVID19 is spreading globally. Researchers on the China Novel Coronavirus Investigation and Research Team first discovered and verified that this reported pneumonia was caused by a novel coronavirus (2019-novel coronavirus, 2019nCoV) [1]. The disease mainly manifests as fever, dry cough, and fatigue. Severe patients have dyspnea and may rapidly progress to acute respiratory distress syndrome, septic shock, multiple organ failure, and even death [2, 3]. The balance between meeting the needs of emergency patients during the epidemic as well as promptly screening and safely transferring high-risk infections to avoid cross-infection among doctors, patients, and medical staff has become an important scientific issue whi
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