Abstract
A novel, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is causing the COVID-19 pandemic. There are concerns regarding the spread of disease by asymptomatic carriers to healthcare workers who continue to see patients and to perform procedures on them. The infection then could be transmitted through them to other patients who eventually, could infect persons in the community. Further, limitations of existing tests to detect new cases that are negative early in the disease; and the inability to use appropriate personal protection equipment (PPE)also contribute to the spread of infection. This document, from the COVID-19 Working Group of Wellness and Radial Intervention Society, describes considerations for management and care of cardiovascular disease (CVD) patients with the concept of COVID 19 `designated` Vs. enabled` centers for those with symptoms of and/ or confirmed COVID-19 disease Vs. asymptomatic suspects. It also provides guidance to healthcare professionals, hospital administrators, and policymakers in general and to those managing patients with CV and other diseases, regarding the concept of `levels of personal protection` for staff; with suggestions for `equivalent innovative alternatives`, and a` protection plan` for patients to prevent the spread of disease. The guidance can also be broadly applied to surgical branches in general and to other specialties involved with invasive, semi-invasive, and non-invasive procedures such as gastroenterology, urology, anesthesiology, otolaryngology, and ophthalmology which carry a higher risk of exposure for healthcare professionals.
Highlights
Singapore and 62% (95%CI 50-76%) for Tianjin, China [6].A novel human coronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is causing the COVID-19, pandemic [1,2]
This paper aims to do just that; to disseminate information to guide healthcare workers appropriately
This paper suggests the equivalent alternatives (Figure 3) and stresses the need for three levels of cover for various parts of the body of every health care personnel involved in various kinds of services, along with suggested material (Including at least one additional plastic and one additional non-porous fabric in addition to the usual), to safeguard the personnel from risk of infection from COVID-19 patients and suspects (Appendix A-C)
Summary
Singapore and 62% (95%CI 50-76%) for Tianjin, China [6]. A novel human coronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is causing the COVID-19, pandemic [1,2]. On account of its high mortality rate, together with the lack of any specific treatment, and the challenge of treating large numbers of patients in hospitals with fear of overwhelming the existing healthcare facilities, efforts are being focused on containing the disease and preventing spread in the community during this COVID-19 pandemic [3]. This document from the working group for COVID19 of Wellness and Radial Intervention Society presents a strategy of triaging patients to different segregated centers and discusses plans for the protection of patients and doctors and other healthcare personnel with special emphasis on the care of cardiovascular patients
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