잠시만 기다려 주세요. 로딩중입니다.

Response to the COVID-19 Outbreak in The Emergency Department Designed for Emerging Infectious Diseases in Korea

Infection & Chemotherapy 2021년 53권 1호 p.84 ~ 95
조수임, 고정인, 김연재, 여운형, Lee Kang-Eui, 조원진, 문성우, 박태진,
소속 상세정보
조수임 ( Cho Soo-Im ) - National Medical Center Department of Emergency Medicine
고정인 ( Ko Jung-In ) - National Medical Center Department of Emergency Medicine
김연재 ( Kim Yeon-Jae ) - National Medical Center Department of Internal Medicine
여운형 ( Yeo Woon-Hyung ) - Seongnam Citizens Medical Center Department of Emergency Medicine
 ( Lee Kang-Eui ) - National Medical Center Department of Emergency Medicine
조원진 ( Cho Won-Jin ) - National Medical Center Department of Emergency Medicine
문성우 ( Moon Sung-Woo ) - Korea University College of Medicine Department of Emergency Medicine
박태진 ( Park Tae-Jin ) - National Medical Center Department of Emergency Medicine

Abstract


Background: According to the recent coronavirus disease 2019 (COVID-19) pandemic experience, many emergency departments experience difficulties in responding to emerging infectious diseases and this has led to a public health crisis. Our emergency department (ED) is designed to respond to mass outbreaks of infection. Three major preparations were taken to respond to infectious disease; first, to improve the emergency department facilities; second, to created programs to respond to each phase of an epidemic of COVID-19; lastly, to implemented education and training to promote the safety of medical staff. We would like to share the actual responses and statistics of patients visiting emergency department during COVID-19 periods of pandemic.

Materials and Methods: This research was conducted through a retrospective chart analysis provided by a public medical center with 502 beds since the first report of a COVID-19 confirmed case on January 19, 2020 to June 15, 2020 in Seoul, the capital of Korea. Our emergency department was designed based on Korean Regional Emergency Center Facility Standards, and modified throughout each phases of COVID-19 outbreak. Patients suspected to be infectious are screened in the triage, separating them from general patients, and then receive isolation treatment in isolated wards.

Results: A total of 4,352 patients visited the ED. 3,202 screenings were conducted with 5 confirmed cases. Another 1,150 patients were treated with general emergent symptoms. There were no problems such as closure of the emergency department or isolation of medical staff while managing COVID-19 confirmed patients.

Conclusion: Improving emergency department facilities, create an operational program to respond to each phase of COVID-19 outbreak and implement educational programs enabled large number of screening tests and hospitalization for COVID-19 suspected patients while maintaining general medical services. Research in emergency department designs and operational programs should increase to combine research data with better ideas to respond not only during regular periods but also during periods of pandemic.

키워드

COVID-19 pandemic; Infectious disease; Emergency department; Triage

원문 및 링크아웃 정보

등재저널 정보