Interim Suggestions for Emergency Medical Providers (EMS) Programs and 911 Public Security Answering Factors/Emergency Communication Facilities (PSAP/ECCs) in the USA In the course of the Coronavirus Illness (COVID-19) Pandemic

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Up to date July 15, 2020

Abstract of Key Adjustments for the EMS Steering:

Beneath are modifications to the steering as of July 15, 2020:

  • Reorganized suggestions into 2 sections:
    • Advisable an infection prevention and management (IPC) practices for routine actions in the course of the pandemic.
    • Advisable IPC practices when caring for a affected person with suspected or confirmed SARS-CoV-2 an infection.
  • Added suggestions that have been included in healthcare IPC FAQs addressing:
    • Common use of PPE for healthcare personnel working in communities with average to sustained transmission of SARS-CoV-2, the virus that causes COVID-19
    • Making a course of for responding to SARS-CoV-2 exposures amongst healthcare personnel and others.

Background

This interim steering has been up to date based mostly on at the moment accessible details about COVID-19 and the present scenario in the USA. EMS practices needs to be based mostly on probably the most up-to-date scientific suggestions and data from acceptable public well being authorities and EMS medical route about SARS-CoV-2 an infection. Most suggestions on this up to date steering will not be new (besides as famous within the abstract of modifications above); they’ve been reorganized into the next sections:

  • Advisable an infection prevention and management (IPC) practices for routine healthcare supply in the course of the pandemic.
  • Advisable IPC practices when caring for a affected person with suspected or confirmed SARS-CoV-2 an infection.

EMS play an important function in responding to requests for help, triaging sufferers, and offering emergency medical therapy and transport for unwell or injured individuals. Nonetheless, not like affected person care within the managed setting of a healthcare facility, care and transports by EMS current distinctive challenges due to the character of the setting, enclosed house throughout transport, frequent want for fast medical decision-making, interventions with restricted data, and a various vary of affected person acuity and jurisdictional healthcare assets.

When getting ready for and responding to sufferers with suspected or confirmed SARS-CoV-2 an infection, shut coordination and efficient communications are vital amongst 911 Public Security Answering Factors/Emergence Communication Facilities (PSAP/ECCs)— generally referred to as 911 name facilities, the EMS system, healthcare amenities, and the general public well being system. Every PSAP/ECC and EMS system ought to search the involvement of an EMS medical director to supply acceptable medical oversight. When SARS-CoV-2 an infection is suspected in a affected person needing emergency transport, prehospital care suppliers and healthcare amenities needs to be notified upfront that they might be caring for, transporting, or receiving a affected person who might need SARS-CoV-2 an infection.

This interim steering applies to all EMS personnel (i.e., prehospital EMS and medical first responders concerned in 911 responses or interfacility transfers) throughout a number of EMS fashions together with, however not restricted to, free standing, third-service, fire-based, hospital-based, and associated EMS suppliers. Notice that fireside companies are additionally included as they reply to emergency medical calls and should achieve this with or with out an ambulance.

Extra Key Assets:

1. Advisable an infection prevention and management (IPC) practices for routine healthcare supply in the course of the pandemic

CDC recommends utilizing further an infection prevention and management practices in the course of the COVID-19 pandemic, together with commonplace practices really helpful as part of routine healthcare supply to all sufferers. These practices are supposed to use to all sufferers, not simply these with suspected or confirmed SARS-CoV-2 an infection (See Part 2 for extra practices that needs to be used when caring for sufferers with suspected or confirmed SARS-CoV-2 an infection).

Suggestions for 911 PSAP/ECCs

Municipalities and native EMS authorities ought to coordinate with state and native public well being, PSAP/ECCs, and different emergency name facilities to deal with the necessity for modified caller queries about SARS-CoV-2 an infection, outlined under.

These modified caller queries needs to be developed in collaboration with an EMS medical director and knowledgeable by native, state, territorial, tribal and federal public well being authorities, together with town or county well being division(s), state well being division(s), and CDC.

Modified Caller Queries

911 Public Security Answering Factors/Emergency Communication Facilities (PSAP/ECCs) ought to query callers and decide whether or not the decision issues an individual who might need SARS-CoV-2 an infection (e.g., ask about indicators and signs of COVID-19 or latest shut contact with somebody with SARS-CoV-2 an infection). The question course of ought to by no means supersede the availability of pre-arrival directions to the caller when rapid lifesaving interventions (e.g., CPR or the Heimlich maneuver) are indicated.

Details about a affected person who might need SARS-CoV-2 an infection needs to be communicated instantly to EMS personnel earlier than arrival on scene so as to restrict the variety of EMS personnel uncovered to the affected person and to permit use of acceptable PPE. As a part of pre-arrival directions, PSAP/ECCs ought to encourage the common use of material face coverings for all individuals who’re safely capable of put on them on the scene previous to EMS arrival. PSAP/ECCs ought to make the most of medical dispatch protocols which might be permitted by their EMS medical director in session with the native or state public well being division. These protocols needs to be up to date, as wanted, to accommodate modifications in EMS availability, and/or the redirection of low acuity calls to alternate disposition (e.g., nurse triage line, telemedicine triage line).

PSAP/ECCs and EMS models that reply to requires unwell vacationers at US worldwide airports or different ports of entry to the USA (maritime ports or border crossings) ought to keep up a correspondence with the CDC quarantine station of jurisdiction for the port of entry (see: CDC Quarantine Station Contact Record) for planning steering. They need to notify the quarantine station when responding to that location if a communicable illness is suspected in a traveler. CDC has supplied job aids for this function to EMS models working routinely at US ports of entry. The PSAP/ECCs or EMS unit may name CDC’s Emergency Operations Heart at (770) 488-7100 to be related with the suitable CDC quarantine station.



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