Are there basic guidelines for rural/remote sites for airway management while awaiting transport of a COVID-19 patient? 

Posted on April 12, 2020 by Brie Cawston-Grant

Summary

Guidelines specific to airway management while awaiting transport are limited. Related topics are addressed in the react responses: “What patient transport models have been used in rural areas and jurisdictions?” and “For non-ICU rural communities, is there a flowchart/checklist for patients awaiting transport?” 

  • Guidelines specific to airway management while awaiting transport are limited. However, related information regarding PPE, aerosol generating medical procedures (AGMPs), and transporting patients is available.

I.   Related resources are available in the following REAKT responses:

  • “What patient transport models have been used in rural areas and jurisdictions?”
    Addresses airways for transport, how to transport, and PPE for transport.
  • “For non-ICU rural communities, is there a flowchart/checklist for patients awaiting transport?”
    Addresses challenges and solutions for transporting patients, and patient transport guidelines.
  • “What therapies are considered Aerosol-Generating Medical Procedures (AGMPs)?”
    Addresses what are and are not AGMPs.

II.   PPE required for AGMPs by province, as available:

Questions? Comments? Does this need to be updated? Do you have valuable points to add ? Please email ask.reakt@ubc.ca.

References

  1. Public Health Agency of Canada. Infection prevention and control for coronavirus (COVID-29). February 24, 2020 [Online]. https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/health-professionals/interim-guidance-acute-healthcare-settings.html#a4.11 (accessed April 12, 2020).
  2. BC Ministry of Health. Coronavirus COVID-19.  March 6 2020 [Online]. http://www.bccdc.ca/Health-Info-Site/Documents/Respiratory-protection-COVID19.pdf (accessed April 12, 2020).
  3. Alberta Health Services. Interim IPC recommendations COVID-19. April 2, 2020 [Online]. https://www.albertahealthservices.ca/assets/healthinfo/ipc/hi-ipc-emerging-issues-ncov.pdf (accessed April 12, 2020).
  4. Saskatchewan Health Authority. Safety Talk: suspect/confirmed COVID-19 precautions placement and personal protective equipment. March 11, 2020 [Online]. https://saskpharm.ca/document/5859/SafetyTalk-PPECOVID-19.pdf (accessed April 12 2020).
  5. Shared Health Manitoba. Provincial requirements for COVID-19 PPE. April 5, 2020 [Online]. https://sharedhealthmb.ca/files/covid-19-provincial-ppe-guidelines.pdf (accessed April 12 2020).
  6. Public Health Ontario. IPAC Recommendations for use of PPE for care of individuals with suspect or confirmed COVID-19. April 6, 2020 [Online]. https://www.publichealthontario.ca/-/media/documents/ncov/updated-ipac-measures-covid-19.pdf?la=en (accessed April 12, 2020).

Disclaimer

The above is intended to serve as a rapidly-created, accessible source of information curated by medical students and healthcare professionals. It is for educational purposes only and is not a complete reference resource. It is not professional medical advice, and is not a substitute for the discretion, judgment, and duties of healthcare professionals. You are solely responsible for evaluating the information above.