Original Article

Exploring the Rescue Strategy for Cardiac Arrest in Makeshift (FangCang) Hospital Workers during the Pneumonia Outbreak Associated with COVID-19

Abstract

Background: Beginning in Dec 2019, a novel coronavirus, designated SARS-CoV-2, has caused an international outbreak of respiratory illness termed COVID-19. The workers in the FangCang hospital have to work for more than 8 h and the work is high strength. Furthermore, to protect health and prevent serious cross-infection, they need to wear isolation equipment when working in FangCang hospital. These characteristics increase the risk of cardiac arrest (CA), which seriously endangers the lives of workers.

Methods: We participated in the rescue of the patient and workers at first-line in FangCang hospital, and summarized the rescue strategies for workers rescuing.

Results: Workers with CA were rescued in time according our guideline and showed zero dead in FangCang hospital.

Conclusion: This study establishes the strategy for the CA of workers including the establishment of an in-FangCang resuscitation team, the establishment of a dedicated rescue room, and the formulation of rescue measures and procedures for CA of workers in the FangCang hospital. Therefore, we aimed to provide a strategy for the rescue of workers with CA in the FangCang hospital and share the success in rescuing with the world.

 

1. World Health Organization (2020), WHO Director-General’s Remarks at the Media Briefing on 2019-nCoV on 11 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020
2. Zhou P, Yang XL, Wang XG et al (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579(7798):270-273.
3. World Health Organization (2020), Corona-virus Disease 2019 (COVID-19) Situation Report-12. https://www.who.int/docs/default-source/searo/timor-leste/20-02-2020-tls-sitrep-12-ncov-eng.pdf?sfvrsn=5a0b21c5_2
4. Narayan SM, Wang PJ, Daubert JP (2019). New concepts in sudden cardiac arrest to address an intractable epidemic: JACC state-of-the-art review. J Am Coll Cardiol, 73(1): 70-88.
5. Kronick SL, Kurz MC, Lin S et al (2015). Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circula-tion, 2015,132:S397-413.
6. Kleinman ME, Brennan EE, Goldberger ZD et al. Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovas-cular Care. Circulation, 132:S414-35.
7. Link MS, Berkow LC, Kudenchuk PJ et al (2015). Part 7: Adult Advanced Cardio-vascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circula-tion, 2015,132:S444-64.
8. Panchal AR, Berg KM, Hirsch KG et al (2019). 2019 American Heart Association Focused Update on Advanced Cardio-vascular Life Support: Use of Advanced Airways, Vasopressors, and Extracorpo-real Cardiopulmonary Resuscitation dur-ing Cardiac Arrest: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circula-tion, 2019,140:e881-e894.
9. Duff JP, Topjian AA, Berg MD et al (2020). 2019 American Heart Association Fo-cused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardio-pulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics, 145(1): pii: e20191361.
10. Tran K, Cimon K, Severn M et al (2012). Aerosol generating procedures and risk of transmission of acute respiratory in-fections to healthcare workers: a system-atic review. PLoS One, 7:e35797.
11. Johnson M, Inaba K, Byerly S et al (2016). Intraosseous Infusion as a Bridge to De-finitive Access. Am Surg, 82(10):876-880.
12. Andersen LW, Kurth T, Chase M et al (2016). Early administration of epineph-rine (adrenaline) in patients with cardiac arrest with initial shockable rhythm in hospital: propensity score matched analy-sis. BMJ, 353:i1577.
13. Wang L, Shi Y, Xiao T et al (2020). Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel corona-virus infection (First Edition). Ann Transl Med, 8(3):47.
Files
IssueVol 49 No Supple 1 (2020) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v49iS1.3672
Keywords
COVID-19; Workers Cardiac arrest China

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
FENG K, MEI B, CHEN Z, FU X. Exploring the Rescue Strategy for Cardiac Arrest in Makeshift (FangCang) Hospital Workers during the Pneumonia Outbreak Associated with COVID-19. Iran J Public Health. 2020;49(Supple 1):76-81.