Risultati per: COVID-19, nuova guida per gastroenterologi

BackgroundTRIM is an evaluation of the triage models used by emergency ambulance services caring for patients with suspected COVID-19 during the pandemic’s first wave in 2020. We aimed to understand experiences and concerns of staff about implementation of triage protocols.MethodResearch paramedics interviewed stakeholders from four ambulance services (call handlers, clinical advisors, paramedics, managers) and ED clinical staff from receiving hospitals. Interviews (n=23) were conducted remotely using MS Teams, recorded, and transcribed in full. Analysis generated themes from implicit and explicit ideas within participants’ accounts (Braun and Clarke 2021), conducted by researchers and PPI partners working together.ResultsWe identified the following themes:Constantly changing guidelines – at some points, updated several times a day.The ambulance service as part of the wider healthcare system – changes elsewhere in the system left ambulance services as the default.Peaks and troughs of demand – fluctuating greatly over time, and varying across the staff groups.A stretched system – resources were overextended by staff sickness and isolation, longer job times, and increased handover delays at ED.Emotional load of responding to the pandemic – including call centre staff. Doing the best they can in the face of uncertainty – a rapidly evolving situation unlike any which ambulance services had faced before.ConclusionImplementing triage protocols in response to the COVID-19 pandemic was complex and had to be actively managed by a range of frontline staff, dealing with external pressures and a heavy emotional load.Conflict of interestNone.FundingUKRI-DHSC Covid-19 Rapid Response Funding.

BackgroundThe COVID-19 Ambulance Response Assessment (CARA) study was a prospective, longitudinal survey of UK ambulance staff during the first wave of the COVID-19 pandemic. CARA aimed to evaluate perceptions of preparedness and wellbeing, and to collect staff suggestions to benefit working practices and conditions.MethodThree online questionnaires were presented, coinciding with the acceleration, peak and deceleration phases of the first COVID-19 wave in 2020. Inductive thematic analysis was employed to represent 14,237 free text responses from 3,717 participants to 18 free-text questions overall. This report focuses on experiences of IPC practices.ResultsMany participants lacked confidence in using PPE because of low familiarity, an inadequate evidence-base and changing policy. Some experienced insufficient supply, items of poor quality and suboptimal fit-testing procedure. PPE use was further influenced by discomfort, urgency, and perceptions of risk. Various suggestions were made to improve IPC practices, including decontamination personnel, staff ‘bubbles’ and limiting exposure through public education and remote triage improvements.ConclusionRepeated poor experiences of implementing IPC practices1 2 demand that lessons are learnt from this pandemic. PPE developed with specific regard for ambulance staff’s unique working environment and for them to receive regular familiarization training in its use would likely benefit performance and confidence. Overall, ambulance staff emphasised the need for IPC policies to be pragmatic, evidence-based and communicated with clarity.ReferencesBillings J, Ching B C F, Gkofa V, Greene T, & Bloomfield M. (2020). Healthcare workers experiences of working on the frontline and views about support during COVID-19 and comparable pandemics: A rapid review and meta-synthesis. MedRxiv. https://www.medrxiv.org/content/10.1101/2020.06.21.20136705v1.full-textHoughton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, Chan XHS, Devane D. & Biesty L M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (4).Conflict of interestNone.FundingCollege of Paramedics.

BackgroundThe COVID-19 pandemic has created challenges and led to the massive closure of in-person CPR trainings globally. We developed a mobile application-based real-time CPR training solution named HEROS-Remote, which combines instructors, learners, training contents, and CPR feedback in just one app. In this study, we investigated the usability, acceptability, and feasibility of the HEROS-Remote CPR training solution among community lay people.MethodFrom August to November 2021, HEROS Remote pilot study was conducted in Seoul, Korea. During the study period, 164 learners participated in 22 HEROS-Remote sessions. Before the training, CPR training material, including Little Anne QCPR manikin, was delivered to the individual learner. After one-hour chest compression-only HEROS Remote online training, the learners participated in-depth survey on their experiences of HEROS Remote online training.ResultsA total 152 learners (92.7%) responded to the survey. Overall, 88.1% of the learners were satisfied with the HEROS Remote training and 85.5% responded that they would recommend online training to others. Majority of the learners (37.3% strongly agree; 41.3% agree) also agreed with the easiness of using the HEROS Remote app. Manikin delivery service was highly satisfactory (97%). However, major challenge for this online solution was that the quality of the training highly depended on internet connectivity.ConclusionThis study provides evidence of the feasibility and acceptability of a novel online, real-time CPR training solution. Further research is needed to investigate the effectiveness of online CPR training versus face-to-face training.Conflict of interestSYJK, HM, TSB are employees of Laerdal Medical.FundingSeoul Metropolitan Government.

L’aumento delle infezioni sembra essere guidato dalle sottovarianti Omicron BA.4 – appena isolata anche in Italia – e BA.5, più trasmissibili rispetto alla precedente BA.2

Era il 31 gennaio quando secondo la flash survey dell’Iss questa variante registrava una prevalenza stimata al 99%.

In Africa siamo solo al 15%. Le case farmaceutiche sottolineano: il problema non è nella disponibilità, ma nella logistica della somministrazione

L’Agenzia del farmaco dovrebbe dare il via libera alla semplificazione per l’impiego degli antivirali nei pazienti che rischiano il Covid severo

Le prime evidenze scientifiche mostrano che per questa categoria di fragili c’è bisogno di una nuova protezione con la vaccinazione

Stroke, Ahead of Print. BACKGROUND:Data from the early pandemic revealed that 0.62% of children hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had an acute arterial ischemic stroke (AIS). In a larger cohort from June 2020 to December 2020, we sought to determine whether our initial point estimate was stable as the pandemic continued and to understand radiographic and laboratory data that may clarify mechanisms of pediatric AIS in the setting of SARS-CoV-2.METHODS:We surveyed international sites with pediatric stroke expertise to determine numbers of hospitalized SARS-CoV-2 patients

Il libro di Agnese Codignola per la prima volta cerca di inserire in un quadro organico una sindrome molto articolata, che secondo alcune stime interessa già un milione di italiani

Comunicato del 29/03/2022 n°17

Concluso il progetto pilota messo a punto da Maior-Ama in collaborazione con l’Asl di Teramo per ridurre stress, ansia e burnout