Thairath Online
25 Mar. 2022 6:50 PM.
Doctor Nithipat reveals more severe symptoms of Covid-19 patients Expected to be the result of erysipelas from Bangkok to other places, indicating that most critically ill patients are the result of underlying diseases. not vaccinated More than violence from Omikron BA.2
On March 25, 2022, Assoc. Prof. Dr. Nithipat Jearakul, Head of the Department of Respiratory Disease and Tuberculosis Department of Internal Medicine Faculty of Medicine Siriraj Hospital Mahidol University Post a note saying Still going up for the number of severe patients Making the mark to see the statistics here start to drop tomorrow may not be true anymore. Probably the result of erysipelas away from Bangkok and its vicinities to all areas. And most serious cases are the result of underlying disease and not being vaccinated. More than the violence from the Omikron BA.2 that dominates the main area in our home now.
Thailand is preparing, like many other countries. to adjust to the system of disease control and treatment of COVID-19 as other seasonal infectious diseases such as influenza or dengue The medical sector is divided into 4 areas as follows:
- The disease control in the community does not cause widespread outbreaks.
- Hospital care in case of severe disease or other underlying disease exacerbated
- The legal side prepares for the transition from using The Emergency Decree became Communicable Disease Control Act
- In terms of communication, understanding society and people both during the transition period and the period of reaching the destination.
Part of the work in the medical sector is Combining COVID-19 patients with general hospital care by specifying a specific area for those infected with COVID in that ward There will be a system to protect personnel and other patients to meet the standards to reduce the chance of spreading the infection, such as a patient with a broken leg who has been diagnosed with coronavirus. It is to be admitted in the orthopedic ward in a specific area (cohort zone). But if the patient is in need of enhanced aerosol diffusion treatment (AGPs) or has severe coronavirus pneumonia requiring high-flow oxygen or higher will be moved to continue care in the isolation ward
Simply put, doctors in every department must take care of patients in their departments who initially contracted COVID-19. and if the symptoms are severe enough to become a patient with COVID Therefore, it is the duty of the internal medicine physician to take care of the wood in the isolation ward. Other details of care and prevention of infection to personnel and people around them Experts are brainstorming further details as well as child legislation preparing for next year’s general elections.
Two days ago, we talked about improving the guidelines for the care of patients with COVID-19. The latest issue of our home In the UK, infection prevention and control documents were issued on 15 March. by combining measures to deal with covids with seasonal influenza Some of the content has caused concern to medical personnel.
For reshaping the guidelines for the use of personal protective equipment (PPE) during hospital care. In particular, medical masks, UK Health Security Agency. Infection prevention and control for seasonal respiratory infections in health and care settings (including SARS-CoV-2) for winter 2021 to 2022. Mar 2022.
In his latest advice Healthcare workers caring for COVID-19 patients should use FFP3 masks (99% effective filtration 0.3 micron particles, 95% if N95) only if aerosol-inducing procedures (AGPs) are required.
other cases Use only a mask. which the medical authorities think is unsafe It’s like a retrograde to an era where it wasn’t believed that COVID was spread in airborne under certain conditions. Especially in the omicron era BA.2 or BA2.2 that is easily spread through the previously mentioned short-range aerosols. Therefore, the care of patients in the near term, even if they do not do AGPs, but if the patient coughs or sneezes a lot Using just a mask is probably not enough. Our own home has not yet issued advice that is as brave as the workers in front of us. And I hope it doesn’t turn out like that. Especially during the time when the workers in front of the event are already depleted from the covids themselves.
Information from fan page Nithipat Jearakul
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