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Interim guidance for emergency medical services (EMS) systems and 911 public safety answering points (PSAPs) for 2019-nCoV in the United States
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February 6, 2020
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Series: 2019 novel coronavirus
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Description:Emergency medical services (EMS) play a vital role in responding to requests for assistance, triaging patients, and providing emergency medical treatment and transport for ill persons. However, unlike patient care in the controlled environment of a healthcare facility, care and transports by EMS present unique challenges because of the nature of the setting, enclosed space during transport, frequent need for rapid medical decision-making, interventions with limited information, and a varying range of patient acuity and jurisdictional healthcare resources.
When preparing for and responding to patients with confirmed or possible 2019-Novel Coronavirus (2019-nCov) infection, close coordination and effective communications are important among 911 Public Safety Answering Points (PSAPs)— commonly known as 911 call centers, the EMS system, healthcare facilities, and the public health system. Each PSAP and EMS system should seek the involvement of an EMS medical director to provide appropriate medical oversight. For the purposes of this guidance, “EMS clinician” means prehospital EMS and medical first responders. When 2019-nCoV is suspected in a patient needing emergency transport, prehospital care providers and healthcare facilities should be notified in advance that they may be caring for, transporting, or receiving a patient who may have 2019-nCoV infection.
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Content Notes:Background -- Recommendations for 911 PSAPs -- Modified Caller Queries -- Recommendations for EMS Clinicians and Medical First Responders -- Recommended Personal Protective Equipment (PPE) -- Precautions for Aerosol-Generating Procedures -- EMS Transport of a PUI or Patient with Confirmed 2019-nCoV to a Healthcare Facility (including interfacility transport) -- Documentation of patient care -- Cleaning EMS Transport Vehicles after Transporting a PUI or Patient with Confirmed 2019-nCoV -- Follow-up and/or Reporting Measures by EMS Clinicians After Caring for a PUI or Patient with Confirmed 2019-nCoV -- EMS Employer Responsibilities -- Additional Resources.
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