Source avec lien : Emergency Medicine Journal, 38(5), . 10.1136/emermed-2020-209639
Anticipant le besoin d’un centre de traitement du COVID-19 en Israël, un établissement désigné a été créé au Sheba Medical Center – un centre de référence quaternaire. Les objectifs étaient le diagnostic et le traitement des patients atteints de COVID-19 tout en protégeant les patients et le personnel de l’infection et en assurant la continuité opérationnelle et le traitement des patients non atteints de COVID. Les options envisagées comprenaient l’adaptation des salles existantes, la construction d’une installation sous tente et la conversion d’une structure non médicale.
Anticipating the need for a COVID-19 treatment centre in Israel, a designated facility was established at Sheba Medical Center—a quaternary referral centre. The goals were diagnosis and treatment of patients with COVID-19 while protecting patients and staff from infection and ensuring operational continuity and treatment of patients with non-COVID. Options considered included adaptation of existing wards, building a tented facility and converting a non-medical structure. The option chosen was a non-medical structure converted to a hospitalisation facility suited for COVID-19 with appropriate logistic and organisational adaptations. Operational principles included patient isolation, unidirectional workflow from clean to contaminated zones and minimising direct contact between patients and caregivers using personal protection equipment (PPE) and a multimodal telemedicine system. The ED was modified to enable triage and treatment of patients with COVID-19 while maintaining a COVID-19-free environment in the main campus. This system enabled treatment of patients with COVID-19 while maintaining staff safety and conserving the operational continuity and the ability to continue delivery of treatment to patients with non-COVID-19.