GlobalMediXChange-COVID19英文版

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Handbook of COVID-19 Prevention and TreatmentForewordThis is an unprecedented global war, and mankind is facing the same enemy, the novel coronavirus.And the first battlefield is the hospital where our soldiers are the medical workers.To ensure that this war can be won, we must first make sure that our medical staff is guaranteedsufficient resources, including experience and technologies. Also, we need to make sure that thehospital is the battleground where we eliminate the virus, not where the virus defeats us.Therefore, Jack Ma Foundation and Alibaba Foundation have convened a group of medicalexperts who have just returned from the frontlines of fighting the pandemic. With the support ofThe First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU), they quicklypublished a guidebook on the clinical experience of how to treat this new coronavirus. Thetreatment guide offers advice and reference against the pandemic for medical staff around theworld who are about to join the war.Thanks to the medical staff from FAHZU. While taking huge risks in treating COVID-19 patients,they wrote down their treatment experience day and night in this Handbook.Over the past 50 days, 104 confirmed patients have been admitted to FAHZU, including 78 severeand critically ill ones. Thanks to the pioneering efforts of medical staff and the application ofnew technologies, to date, we have witnessed a miracle. No staff is infected, and there is nomissed diagnosis or patient deaths.Today, with the spread of the pandemic, these experiences are the most valuable sources ofinformation and the most important weapon for medical workers on the battlefield. This is abrand-new disease, and China was the first to suffer from the pandemic. Isolation, diagnosis,treatment, protective measures, and rehabilitation have all been started from scratch, but wehope that with the advent of this Handbook doctors and nurses in other affected areas can learnfrom our experience when entering the battlefield and they won't have to start from zero.This pandemic is a common challenge faced by mankind in the age of globalization. At thismoment, sharing resources, experiences and lessons, regardless of who you are, is our onlychance to win. Because the real remedy for epidemics is not isolation, but cooperation.This war has just begun.
Handbook of COVID-19 Prevention and TreatmentContentsPart One Prevention and Control ManagementI. Isolation Area Management......................................................................................................1II. Staff Management..................................................................................................................4III. COVID-19 Related Personal Protection Management.............................................................5IV. Hospital Practice Protocols during COVID-19 Epidemic...........................................................6V. Digital Support for Epidemic Prevention and Control..............................................................16Part Two Diagnosis and TreatmentI. Personalized, Collaborative and Multidisciplinary Management.............................................18II.Etiology and Inflammation Indicators.....................................................................................19III. Imaging Findings of COVID-19 Patients................................................................................21IV. Application of Bronchoscopy in the Diagnosis and Management of COVID-19 Patients........22V. Diagnosis and Clinical Classification of COVID-19..................................................................22VI. Antiviral Treatment for Timely Elimination of Pathogens......................................................23VII. Anti-shock and Anti-hypoxemia Treatment..........................................................................24VIII. The Rational Use of Antibiotics to Prevent Secondary Infection...........................................29IX. The Balance of Intestinal Microecology and Nutritional Support...........................................30X. ECMO Support for COVID-19 Patients.....................................................................................32XI. Convalescent Plasma Therapy for COVID-19 Patients............................................................35XII. TCM Classification Therapy to Improve Curative Efficacy.......................................................36XIII. Drug Use Management of COVID-19 Patients......................................................................37XIV. Psychological Intervention for COVID-19 Patients................................................................41XV. Rehabilitation Therapy for COVID-19 Patients.......................................................................42XVI. Lung Transplantation in Patients with COVID-19.................................................................44XVII. Discharge Standards and Follow-up Plan for COVID-19 Patients........................................45Part Three NursingI. Nursing Care for Patients Receiving High-Flow Nasal Cannula (HFNC) Oxygen Therapy..........47II. Nursing Care in Patients with Mechanical Ventilation.............................................................47III. Daily Management and Monitoring of ECMO (Extra Corporeal Membrane Oxygenation).......49IV. Nursing Care of ALSS (Artificial Liver Support System)...........................................................50V. Continuous Renal Replacement Treatment (CRRT) Care..........................................................51VI. General Care.........................................................................................................................52AppendixI. Medical Advice Example for COVID-19 Patients.......................................................................53II. Online Consultation Process for Diagosis and Treatment.......................................................57References..................................................................................................................................................59
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Overview of FAHZUFounded in 1947, T
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