Ressources concernant la protection des travailleurs de la santé
1. Guidelines for patient scheduling: Advance scheduling on the phone or online should be compulsory and walk-in patients should be discouraged. Time gap between the appointments should be evaluated according to the clinic’s features to allow social distancing. Patient should be encouraged to visit the clinic alone, with a mask and their own pen if […]
1. Because of quarantine, sleep quality may be affected by major changes in routines (less physical activity, less exposure to daylight, homeworking and homeschooling), living with uncertainty (for example, about duration of the situation) and with insecurity (for example, about health and financial situation), social isolation and lack of rewarding activity. 2. Insomnia is a […]
Labour Analgesia Early initiation of neuraxial analgesia can help prevent aggravation of respiratory symptoms due to labour pains and can minimize the use of general anesthesia in intrapartum Caesarean section. Neuraxial procedures that involve puncturing dura mater may minimize the need for rescue general anesthesia in cases of urgent Caesarean section; consider CSE or DPE. […]
To decrease the risk of spread of the virus, the use of portable radiographic equipment should be prioritized. Surgical mask should be worn by all patients who need to be taken to the radiology department. Satellite radiography center as well as dedicated radiographic equipment could reduce the risk of transmission as seen with the SARS. […]
Amongst first-line healthcare workers, 97% reported skin damage caused by enhanced infection-prevention measures, the nasal bridge being the most damaged site (83.1%)1 Dryness/tightness was the most frequent symptom (70.3%), and desquamation the most common sign (61.6%)1 Wearing some medical devices for > 6 hours increased skin damage risks(face shields being an exception)1 Skin damage on cheeks, nasal bridge and forehead were respectively related to N95 mask, […]
SARS-CoV-2’s median half-life is : 1 – 1.2 hours in aerosol form; 6 hours on stainless steel; 8 hours on plastic. SARS-CoV-2 is more stable on smooth surfaces. It is viable up to 4 days on glass and paper money and up to 7 days on materials such as plastic and stainless steel […]
Aerosol is a potential mode of transmission from asymptomatic individuals. Surgical masks could reduce the emission of virus particles into the environment in droplets and aerosols. Therefore, they have the potential to reduce onward transmission if worn by symptomatic individuals. Only a minority (35%) of infected participants shed detectable virus in droplets or aerosols, and […]
Recommendations for the health care team include:– training to the use of personal protective equipment (N95 mask, goggles, mobcap, disposable surgical blouse and gloves) when caring for confirmed cases;– self-monitoring symptoms and inform team leader if suspicion of symptoms or contact with confirmed case; stay home if unwell. Recommendations for dialysis patients consist of:– appropriate […]
Mandatory measures have been carried out at the National Cancer Center in China: Multiple on-site temperature tests were be performed (entrances of hospital, outpatient clinic, wards); Online appointments were offered. If not doable, essential personal protective measures were implemented (wearing mask, bringing disinfectant); For patients preparing to be admitted, symptoms that are potentially associated with […]
The most contaminated areas in the hospital were Intensive care unit , the Obstetric Isolation Ward and the Isolation Ward for Novel Coronavirus Pneumonia. Outpatient Lobby, Emergency Department, Obstetric Ward and Clinical Laboratories were also contaminated areas, to a lesser extend. The most contaminated touched surfaces were self-service printers, desktops/keyboard and doorknobs. Both hand sanitizer […]
There is no consensus between the national organisations (SOGC, RCOG) The RCOG states pregnant women with more than 28 weeks of gestation (final trimester) or that have underlying health conditions should avoid direct contact with patients and are recommended to work from home and limit social contact. The SOGC states that pregnant women in essential […]
The recommendations for Minimum Personal Protective Equipment (PPE) depend on several factors: Procedure-related factors: AGMP (Aerosol Generating Medical Procedure) or non-AGMP Patient-related factors: symptomatic or asymptomatic COVID-19 test results: COVID positive, negative or unknown Asymptomatic patients undergoing AGMP should be screened for COVID-19 before the procedure, since the PAPR [Powered Air-Purifying Respirator] is required in […]
When providing direct care to patients with COVID-19 confirmed or patients with respiratory symptoms: medical mask, eye protection (goggles or face shield), gown and gloves. Examination of patients without respiratory symptoms: personal protective equipment (PPE) according to standard precautions and risk assessment. (2) Aerosol-generating procedures: respirators (N95 mask), eye protection, glove and gowns (if not […]
Having a deep understanding of the dangers of COVID-19 leads the health care workers to more anxietyand fear. The infection prevention and control measures can be complicated and exhausting. The medical staff is prone to develop obsessive-compulsive behaviors. A significant number of health care workers have experienced symptoms of depression, anxiety, insomnia, and distress. Young medical personnel, nurses […]
Health-care workers and other patients in ENT departments are especially at high risk of contracting the Covid-19, since most of the procedures involve direct contact with patients’ upper respiratory tract mucosa and can potentially induce patients to sneeze or cough. Nose and throat examinations have the highest risk of contamination and transmission among ENT examinations, […]
Medical masks are primarily meant for public health and infection prevention and control professionals, health workers and managers as well as community health workers. In community, a medical mask is not required for people who are not sick as there is no evidence of its usefulness in protecting them. People at home with suspected COVID-19 […]
The evidence of ocular transmission and manifestations has not been well studied in humans. The novel coronavirus such as the SARS-CoV and the MERS-CoV are zoonotic coronavirus and are known to cause various ocular infections in animals. Many ocular manifestations such as anterior segment pathologies like conjunctivitis and anterior uveitis to some more severe ocular […]
