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Title: | Management of adult cardiac arrest in the COVID-19 era: consensus statement from the Australasian College for Emergency Medicine. | Austin Authors: | Craig, Simon;Cubitt, Mya;Jaison, Ashish;Troupakis, Steven;Hood, Natalie;Fong, Christina;Bilgrami, Adnan;Leman, Peter;Ascencio-Lane, Juan Carlos;Nagaraj, Guruprasad;Bonning, John;Blecher, Gabriel;Mitchell, Rob;Burkett, Ellen;McCarthy, Sally M;Rojek, Amanda M;Hansen, Kim;Psihogios, Helen;Allely, Peter;Judkins, Simon ;Foong, Lai Heng;Bernard, Stephen;Cameron, Peter A | Affiliation: | Prince Charles Hospital, Brisbane, Queensland, Australia Australasian College for Emergency Medicine, Melbourne, Victoria, Australia Council of Medical Colleges of Aotearoa New Zealand, Wellington, New Zealand Princess Alexandra Hospital, Brisbane, QLD Clinical Excellence Queensland, Brisbane, Queensland, Australia St Andrew's War Memorial Hospital, Brisbane, QLD Bankstown-Lidcombe Hospital, Sydney, NSW University of Western Sydney, Sydney, NSW University of Western Australia, Perth, WA Sir Charles Gairdner Hospital, Perth, WA University of New South Wales, Sydney, NSW Prince of Wales Hospital and Community Health Services, Sydney, NSW South Western Emergency Research Institute, Liverpool Hospital, Sydney, NSW University of New South Wales, Sydney, NSW Royal Hobart Hospital, Hobart, TAS University of Tasmania, Hobart, TAS Fiona Stanley Hospital, Perth, WA University of Western Australia, Perth, WA Monash Health, Melbourne, Victoria, Australia Monash University, Melbourne, Victoria, Australia Centre for Research and Evaluation, Ambulance Victoria, Melbourne, Victoria, Australia Austin Health Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia Royal Melbourne Hospital, Melbourne, Victoria, Australia Centre for Integrated Critical Care, University of Melbourne, Melbourne, Victoria, Australia Monash Medical Centre, Melbourne, Victoria, Australia Epworth HealthCare, Melbourne, Victoria, Australia Surf Life Saving Australia, Sydney, NSW |
Issue Date: | Aug-2020 | Date: | 2020-07-12 | Publication information: | Medical Journal of Australia 2020; 213(3): 126-133 | Abstract: | The global pandemic of coronavirus disease 2019 (COVID-19) has caused significant worldwide disruption. Although Australia and New Zealand have not been affected as much as some other countries, resuscitation may still pose a risk to health care workers and necessitates a change to our traditional approach. This consensus statement for adult cardiac arrest in the setting of COVID-19 has been produced by the Australasian College for Emergency Medicine (ACEM) and aligns with national and international recommendations. In a setting of low community transmission, most cardiac arrests are not due to COVID-19. Early defibrillation saves lives and is not considered an aerosol generating procedure. Compression-only cardiopulmonary resuscitation is thought to be a low risk procedure and can be safely initiated with the patient's mouth and nose covered. All other resuscitative procedures are considered aerosol generating and require the use of airborne personal protective equipment (PPE). It is important to balance the appropriateness of resuscitation against the risk of infection. Methods to reduce nosocomial transmission of COVID-19 include a physical barrier such as a towel or mask over the patient's mouth and nose, appropriate use of PPE, minimising the staff involved in resuscitation, and use of mechanical chest compression devices when available. If COVID-19 significantly affects hospital resource availability, the ethics of resource allocation must be considered. The changes outlined in this document require a significant adaptation for many doctors, nurses and paramedics. It is critically important that all health care workers have regular PPE and advanced life support training, are able to access in situ simulation sessions, and receive extensive debriefing after actual resuscitations. This will ensure safe, timely and effective management of the patients with cardiac arrest in the COVID-19 era. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/23841 | DOI: | 10.5694/mja2.50699 | ORCID: | 0000-0003-2594-1643 0000-0002-8399-7453 0000-0001-8537-2011 |
Journal: | Medical Journal of Australia | PubMed URL: | 32656798 | Type: | Journal Article | Subjects: | COVID-19 Infectious diseases Respiratory tract infections Resuscitation |
Appears in Collections: | Journal articles |
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