Emergency Service Response Plan for Covid-19 Pandemic in Resource Limited Settings

  • Ramesh Kumar Maharjan MD GP, DM Emergency Medicine
  • Jukel Shrestha DM Emergency Medicine Resident
  • Yogendra Man Shakya Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu
  • Ramesh Prasad Aacharya Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu
  • Pratap Narayan Prasad Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu
Keywords: emergency response, Covid-19, resource limited, TUTH, Nepal

Abstract

Emergency workers carry a huge responsibility in Covid 19 pandemic. Emergency staff have to provide prehospital care, early triage and management of patients with suspected or confirmed infection. More importantly, emergency care givers have to do everything to prevent emergency room from spread of the infection, to other patients. Access blocks following increasing flow of patients with suspicion of infection, causes overwhelming patients leading to delayed care and resource shortage to patients with chronic and acute diseases. This surge has put emergency workers at risk: risk from a potential contamination and risk from the effect of extended shifts work in the hospital. At this stage, the major challenges while performing emergency service has been managing triage, human resources, limited stock of personal protective equipment (PPE), proper management of infection prevention and limited laboratories for testing.

Due to lack of those requirements, certain guidelines and running the service without such guidelines making the emergency service in difficult situation during such crisis period.

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Author Biographies

Ramesh Kumar Maharjan, MD GP, DM Emergency Medicine

Associate Professor

Jukel Shrestha, DM Emergency Medicine Resident

MD GP

Yogendra Man Shakya, Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu

Professor, Head of Department

Ramesh Prasad Aacharya, Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu

MD GP, MMEthic

Pratap Narayan Prasad, Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu

MD GP, Chief, MMC, IOM, TU

Published
2020-09-27
How to Cite
Maharjan, R., Shrestha, J., Shakya, Y., Aacharya, R., & Prasad, P. (2020). Emergency Service Response Plan for Covid-19 Pandemic in Resource Limited Settings. Tribhuvan University Journal, 34, 33-50. https://doi.org/10.3126/tuj.v34i0.31537