A Pan-Canadian Narrative Review on the Protocols for COVID-19 and Canadian Emergency Departments
Keywords:COVID-19, Canada, Emergency Departments, Pre-hospital care
First described in Wuhan, China, in December 2019, The World Health Organization declared the novel coronavirus disease (COVID-19) a global pandemic on March 11th, 2020. Canada identified its first positive COVID-19 patient on January 25th, 2020. The Canadian government and heath care system immediately started discussing how best to respond to this pandemic. It was hypothesized that potentially positive and confirmed positive COVID-19 patients would present to emergency departments across the country. It has now been over a year since the first positive patient was identified in Canada, and there has yet to be a narrative review that explores how Canadian emergency departments have responded to the novel COVID-19 virus. This narrative review will discuss measures that were taken thus far, including pre-hospital care, the use and implementation of virtual care, the importance of simulation training, protocols regarding patient screening at presentation to the emergency department, the use of personal protective equipment, and lastly rural emergency department response. This narrative review may be beneficial as the COVID-19 pandemic continues, by providing a concise summary of measures that were taken in various emergency departments across Canada to prevent the spread of the virus.
World Health Organization. Coronavirus disease (COVID-19). 2020.
Brondani M, Cua D, Maragha T, Shayanfar M, Mathu-Muju K, von Bergmann H, et al. A Pan-Canadian narrative review on the protocols for reopening dental services during the COVID-19 pandemic. BMC oral health. 2020 Dec;20(1):1-3.
Scarabel F, Pellis L, Bragazzi NL, Wu J. Canada needs to rapidly escalate public health interventions for its COVID-19 mitigation strategies. Infectious Disease Modelling. 2020 Jan 1;5:316-22.
Lin M, Beliavsky A, Katz K, Powis JE, Ng W, Williams V, Groves H, Muller MP, Vaisman A, Hota S, Johnstone J. What can early Canadian experience screening for COVID-19 teach us about how to prepare for a pandemic? CMAJ. 2020 Mar 23;192(12):E314-8.
Devine DV. SARS in Canada: Lessons learned for the blood operator. Transfusion Medicine (Oxford, England). 2020 Jun 1.
Glauser, W. Proposed protocol to keep COVID-19 out of hospitals 2020.
Reece S, Johnson M, Simard K, Mundell A, Terpstra N, Cronin T, Grant V. Use of Virtually Facilitated Simulation to Improve COVID-19 Preparedness in Rural and Remote Canada. 2021. Clinical Simulation in Nursing.
Rosenfield D, Lim R, Tse S. Implementing virtual care in the emergency department: building on the pediatric experience during COVID-19. 2021: E 15-18.
Brittain M, Michel C, Baranowski L, Armour R, Poll A, Helmer J. Community paramedicine in British Columbia: A virtual response to COVID-19. Australasian Journal of Paramedicine. 2020 May 21;17(1).
Chaplin T, McColl T, Petrosoniak A, Hall AK. “Building the plane as you fly”: Simulation during the COVID-19 pandemic. Canadian Journal of Emergency Medicine. 2020 Sep;22(5):576-8.
Marchand-Senécal X, Kozak R, Mubareka S, Salt N, Gubbay JB, Eshaghi A, Allen V, Li Y, Bastien N, Gilmour M, Ozaldin O. Diagnosis and management of first case of COVID-19 in Canada: lessons applied from SARS-CoV-1. Clinical Infectious Diseases. 2020 Oct 15;71(16):2207-10.
Harris A, Beatty L, Sowers N, Campbell SG, Petrie D, Hung D, Kovacs G. Emergency medicine airway leads: a rapid response distributed educational model for emergency department COVID-19 airway management. Canadian Journal of Emergency Medicine. 2021 Jan 4:1-4.
Ravani P, Saxinger L, Chandran U, Fonseca K, Murphy S, Lang E, Manns B. COVID-19 screening of asymptomatic patients admitted through emergency departments in Alberta: a prospective quality-improvement study. 2020. CMAJ open, 8(4), E887.
COVID-19 Patient Screening Guidance Document Version 4.0, June 11, 2020.
Eckbo EJ, Locher K, Caza M, Li L, Lavergne, V, and Charles M. Evaluation of the BioFire® COVID-19 test and Respiratory Panel 2.1 for rapid identification of SARS-CoV-2 in nasopharyngeal swab samples. Diagnostic microbiology and infectious disease. 2021 99(3), 115260.
Savage D, Fisher A, Choudhury S, Ohle R, Strasser R, Orkin A, Mago V. Investigating the implications of COVID-19 for the rural and remote population of Northern Ontario using a mathematical model. medRxiv. 2020 Jan 1.
Walsh A, Warren Z, Robichaud P, Stuart A, Bodie K, Lew J, Moore K. A rural community hospital's response to COVID-19. Canadian Journal of Rural Medicine. 2021 Jan 1;26(1):38.
Fleet R, Turgeon-Pelchat C, Smithman MA, Alami H, Fortin JP, Poitras J, Ouellet J, Gravel J, Renaud MP, Dupuis G, Légaré F. Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada. BMC health services research. 2020 Dec 1;20(1):62.
National Ambulatory Care Reporting System, 2018–2019 to 2020–2021 (open-year data), Canadian Institute for Health Information.
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