首页|Impact of COVID-19 on emergency department management of stroke and STEMI. A narrative review

Impact of COVID-19 on emergency department management of stroke and STEMI. A narrative review

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? 2022 Elsevier Inc.The novel coronavirus of 2019 (COVID-19) has resulted in a global pandemic; COVID-19 has resulted in significant challenges in the delivery of healthcare, including emergency management of multiple diagnoses, such as stroke and ST-segment myocardial infarction (STEMI). The aim of this study was to identify the impacts of the COVID-19 pandemic on emergency department care of stroke and STEMI patients. In this study a review of the available literature was performed using pre-defined search terms, inclusion criteria, and exclusion criteria. Our analysis, using a narrative review format, indicates that there was not a significant change in time required for key interventions for stroke and STEMI emergent management, including imaging (door-to-CT), tPA administration (door-to-needle), angiographic reperfusion (door-to-puncture), and percutaneous coronary intervention (door-to-balloon). Potential future areas of investigation include how emergency department (ED) stroke and STEMI care has adapted in response to different COVID-19 variants and stages of the pandemic, as well as identifying strategies used by EDs that were successful in providing effective emergency care in the face of the pandemic.

Covid-19 pandemicCVAEmergency departmentST-segment elevation myocardial infarctionSTEMIStroke

Banfield W.H.、Elghawy O.、Dewanjee A.、Brady W.J.

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University of Virginia School of Medicine

Department of Emergency Medicine University of Virginia Health Systems

2022

The American journal of emergency medicine

The American journal of emergency medicine

ISSN:0735-6757
年,卷(期):2022.57
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