EMS Response to the Coronavirus outbreak

Kavsuvb

Forum Lieutenant
140
16
18
OP
Kavsuvb

Kavsuvb

Forum Lieutenant
140
16
18
Dose anyone have any ideas on how EMS is going to respond to the Coronavirus outbreak that is going on in China and around the Globe.

What plans does your EMS Service has if someone has the Coronavirus or has come back from Wuhan China.

Here's the CDC's site on the Coronavirus outbreak;
 

Jim37F

Forum Deputy Chief
3,347
1,911
113
Yeah, there was a notice for patients with fever or flu like symptoms to ask them about any recent (within 2 weeks) travel to China/contact with anyone who has traveled to China.

Otherwise a reminder to wear all our normal PPEs, but no special precautions were identified.
 

Summit

Critical Crazy
2,309
848
113
2019-nCoV PPE per CDC: Gown, Gloves, and either PAPR or N95+Goggles

When is the last time your practiced your donning/doffing order?

A significant number of EMS calls are going to be: "respond to doctors clinic to pick up non-acute patient for transport to facility with negative airflow rooms, airborne and contact precautions.

The reason this is a big deal is that right now there is no immediate threat and the spread is limited which means, if we contain this, it goes away, genie back in the bottle, and only a few hundred die from the outbreak across the globe. Public health measures will secure victory, ala SARS.

If it is not contained and the disease becomes pandemic, the worst case scenario is a global pandemic with overwhelmed health system, disrupted global economy, and death tolls similar to the 1918 flu pandemic.

This bug has no single feature that makes it the worst, but it is the combination: immunologically niave population, high proportion of cases needing hospitalization, 2-3% fatality (vs typical <0.1% for flu), asymptomatic spreaders (like many diseases, while having the contagiousness of flu and potentially the burden of airborne spread.

Criteria to Guide Evaluation of Patients Under Investigation (PUI) for 2019-nCoV
 

Summit

Critical Crazy
2,309
848
113
I think the infections curve is blunting and draconian public health measures are working.
 
OP
Kavsuvb

Kavsuvb

Forum Lieutenant
140
16
18
Here's the Latest from the CDC's HAN (Health Care Action Network) & I suggest everyone get on their Email list cause the CDC publishes out before the Media get's it. https://emergency.cdc.gov/han/han00427.asp
 
OP
Kavsuvb

Kavsuvb

Forum Lieutenant
140
16
18
Here's the Latest from the CDC on the Novel Cornovavirus outbreak and what they are recommending.

Here's the CDC's Clinical guidelines

Here's what the CDC is recommending for Infection control
 
OP
Kavsuvb

Kavsuvb

Forum Lieutenant
140
16
18
And this came down the Line from CDC, DHS and DOD

1,000 US citizens to be quarantined at four stateside military bases due to the Wuhan coronavirus

The 1,000 additional U.S. citizens will be housed until Feb. 29 at the following four U.S. military bases:
  • The 168th Regiment, Regional Training Institute, Fort Carson, Colorado
  • Travis Air Force Base, California
  • Lackland Air Force Base, Texas
  • Marine Corps Air Station Miramar, California
 

RocketMedic

Californian, Lost in Texas
4,563
1,281
113
1580619498374.gif
 

DesertMedic66

Forum Troll
10,410
2,742
113
We have the 200 people who were already flown out of China in our county. 24/7 staffing with supervisors, ALS transport units, county EMS agency, and county public health.
 

Jim37F

Forum Deputy Chief
3,347
1,911
113
We have the 200 people who were already flown out of China in our county. 24/7 staffing with supervisors, ALS transport units, county EMS agency, and county public health.
Aren't they quarantined at March Air Reserve Base?
 

DesertMedic66

Forum Troll
10,410
2,742
113
Aren't they quarantined at March Air Reserve Base?
Yes. At first it was a voluntary quarantine however one of them attempted to leave the base which changed things to a mandatory 14 day quarantine. We have everyone on site just as a precaution. Should anyone need transport for further evaluation/treatment that is where the ALS units come in and there is also already an accepting ED for the patients.
 

Akulahawk

EMT-P/ED RN
Community Leader
4,380
849
113
One of the difficulties of this virus is that we're still learning about it and it's still very early on that we don't quite yet know everything about it. One thing to watch out for is that it appears that infected people are quite infectious during their prodromal period and are still shedding a lot of virus even after the symptoms have subsided. I don't think we know yet exactly how long people are actually infectious. Hopefully this stuff isn't a weaponized virus that found a way into the wild. The good news, if any, is that because there are infected people now outside China, western health agencies (and governments) will have this stuff genetically sequenced fairly quickly and therefore should be able to determine if it's weaponized or if it's "just" a virulent coronavirus. Either way, good early containment should allow this to burn out...
 

Summit

Critical Crazy
2,309
848
113
It's already sequenced and we had the sequence before it was seen outside. Assuming the Chinese weren't lying.

What will be interesting to see is how much it mutates. It is a RNA virus.
 

Akulahawk

EMT-P/ED RN
Community Leader
4,380
849
113
It's already sequenced and we had the sequence before it was seen outside. Assuming the Chinese weren't lying.

What will be interesting to see is how much it mutates. It is a RNA virus.
Trust but verify... If they're not lying about it... great. However as an RNA virus, it can quickly mutate. I just hope it burns itself out before it mutates into something really bad!
 
Top