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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 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.
DOI: 10.5694/mja2.50699
ORCID: 0000-0003-2594-1643
Journal: Medical Journal of Australia
PubMed URL: 32656798
Type: Journal Article
Subjects: COVID-19
Infectious diseases
Respiratory tract infections
Appears in Collections:Journal articles

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