Experience from a Multi-Disciplinary Team against COVID-19: A Healthcare Perspective

Ong, Alvin Cong Wei; Wee, Clarice Li-Phing; Lee, Wei Lin; Goh, Lee Gan; Lim, Grace

doi:10.3390/ijerph18041678

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…Considering the unknown risk of transmission and severity of disease, the provision of PPE is a crucial component in infection control strategies for EM health care professionals to safely care for suspected and confirmed COVID-19 patients. Importantly, PPE is required for the protection of patients, the public, and the health care community [ 21 , 22 ]. Currently tackling this pandemic, emergency physicians are at grave risk of acquiring COVID-19, especially from aerosolizing procedures such as intubation required by 3.2% of diseased patients [ [23] , [24] , [25] ].…”

Section: Changed Dynamics and Emergency Medicine Physicians’ Perspectivesmentioning

confidence: 99%

Lessons learnt from emergency medicine services during the COVID-19 pandemic: A case study of India and the United States

Sarfraz

et al. 2022

Annals of Medicine &Amp; Surgery

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India and the United States have both witnessed a high burden of COVID-19 infections since the pandemic was declared in early 2020. However, the COVID-19 restrictions have met with mixed responses in India and the US. Despite recommendations to continue social isolation and personal hygiene measures, India has not been able to curb the rise in daily cases. Our findings demonstrate the difference in the manner by which India and the US differ in their emergency handling of patients. We conducted a thorough review of the existing protocols and data concerning emergency responses in India and the US. The triage and care of suspected COVID-19 positive patients is different across India and the US. We find that there is a shortage of oxygenation, vaccination and other essential supplies in India. Further, the US is able to triage patients through telemedicine and EMS before suspected COVID-19 patients arrive, which is less prevalent in India. Our study identifies the importance of the emergency department (ED) as a critical contributor to the prevention and care of suspected and confirmed COVID-19 patients. Hospitals in India have been struggling to accommodate a huge influx of patients during its second wave with the ED playing a key link in their COVID-19 response.

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Section: Changed Dynamics and Emergency Medicine Physicians’ Perspectivesmentioning

confidence: 99%

Lessons learnt from emergency medicine services during the COVID-19 pandemic: A case study of India and the United States

Sarfraz

et al. 2022

Annals of Medicine &Amp; Surgery

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“…The creation of isolation facilities need not draw extensive resources from the health system, but existing infrastructure can be re-purposed and human resource gaps filled by training and deploying retired medical workers, medical and nursing students, and personnel beyond the health system to reduce the effects felt in other areas of the health system. Isolation facilities will also challenge newly formed teams operating in unfamiliar conditions to provide high quality care, which can be alleviated by rigorous simulation exercises and contingency planning 4344…”

Section: Providing Person Centred Care In Isolation Facilitiesmentioning

confidence: 99%

Isolation facilities for covid-19: towards a person centred approach

Foo

Haldane

Jung

et al. 2022

BMJ

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Two years into the covid-19 pandemic, footage from isolation centres in Shanghai showing unrest have raised questions about the safety, utility, and appropriate use of such facilities. 1 Confining people infected with a pathogen in a dedicated facility is not a new idea, nor are debates about the ethical basis or how such policies should be implemented while also safeguarding human rights. 2 3 Historical examples of isolation include patients with tuberculosis, those with influenza in the 1918 pandemic, and typhoid carriers. The use of isolation to limit community spread of infectious diseases has not, however, been consigned to history. Isolation facilities were used in the 2003 severe acute respiratory syndrome (SARS) outbreak, and, on a larger scale, Ebola treatment centres were extensively used in West Africa in 2014-15 to break the chains of Ebola transmission. 4 Governments revisited the idea of isolation facilities in response to covid-19 (box 1), especially in the early stages of the pandemic before vaccines became available, when predominant viral strains were less infectious and generally present in settings with low transmission. 6 One abiding image from early 2020 was the construction of massive health facilities in Wuhan, China, to house, treat and isolate people with covid-19 during the first wave. Other countries followed suit by refurbishing hospitals, re-purposing existing large-scale facilities or expanding capacity at pre-existing purpose-built infectious disease facilities (table 1). Box 1: Isolation facilities for covid-19An isolation facility is a dedicated place where people who test positive for covid-19 receive essential care and are provided with daily necessities, such as food, safe drinking water, and toiletries, as they recover. 5 "Mandatory" isolation means that everyone who meets certain criteria-typically a positive test within a defined period, even if asymptomatic or with mild clinical symptoms that do not require hospital admission-must be confined until they meet the criteria for discharge, are referred to other facilities, or die. This is different from quarantine (which isolates, temporarily, those considered at risk of spreading infection but not known to be infected), but both functions might sometimes be combined, as in New Zealand with its facilities for "managed isolation and quarantine."

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“…Human capacity of healthcare systems will be strained and put to test in dealing with emerging disease outbreak (Lum et al, 2020;Ong et al, 2021). Surge capacity and business continuity planning should include collaboration and partnership with other healthcare providers in the country and from outside the country where feasible.…”

Section: Peoplementioning

confidence: 99%

Preparing for the Next Pandemic: An Asian National Cancer Centers Alliance (ANCCA) Initiative

Gatellier¹,

Ong²,

Matsuda³

et al. 2021

Asian Pac J Cancer Prev

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The COVID-pandemic has shown significant impact on cancer care from early detection, management plan to clinical outcomes of cancer patients. The Asian National Cancer Centres Alliance (ANCCA) has put together the 9 "Ps" as guidelines for cancer programs to better prepare for the next pandemic. The 9 "Ps" are Priority, Protocols and Processes, Patients, People, Personal Protective Equipments (PPEs), Pharmaceuticals, Places, Preparedness, and Politics. Priority: to maintain cancer care as a key priority in the health system response even during a global infectious disease pandemic. Protocol and processes: to develop a set of Standard Operating Procedures (SOPs) and have relevant expertise to man the Disease Outbreak Response (DORS) Taskforce before an outbreak. Patients: to prioritize patient safety in the event of an outbreak and the need to reschedule cancer management plan, supported by tele-consultation and use of artificial intelligence technology. People: to have business continuity planning to support surge capacity. PPEs and Pharmaceuticals: to develop plan for stockpiles management, build local manufacturing capacity and disseminate information on proper use and reduce wastage. Places: to design and build cancer care facilities to cater for the need of triaging, infection control, isolation and segregation. Preparedness: to invest early on manpower building and technology innovations through multisectoral and international collaborations. Politics: to ensure leadership which bring trust, cohesion and solidarity for successful response to pandemic and mitigate negative impact on the healthcare system.

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Experience from a Multi-Disciplinary Team against COVID-19: A Healthcare Perspective

Cited by 6 publications

References 19 publications

Lessons learnt from emergency medicine services during the COVID-19 pandemic: A case study of India and the United States

Lessons learnt from emergency medicine services during the COVID-19 pandemic: A case study of India and the United States

Isolation facilities for covid-19: towards a person centred approach

Preparing for the Next Pandemic: An Asian National Cancer Centers Alliance (ANCCA) Initiative

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