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– In very many cases in this sjukdommen, we can get just as far with the good, basic smitteverntiltaka, says the head of the emergency department at Haukeland universitetssjukehus, Øyvind Østerås.
the Staff at the luftambulansen fighting a battle against the clock. Patient their is almost always badly sick or hurt, and sekunda tel.
But koronaviruset has given luftambulansen a dilemma. They shall use a transportkuvøse to ensure own crew against infection, or should they prioritize the health of the patient?
LETS KUVØSA LIE: Because Covid-19 not spread through the air, but by dropesmitte, well Health Bergen to la kuvøsa lie on the shelf until further.
Photo: Helena Viktoria Johnsen / NRK Ten hours pasientfrakt
In Bergen they have chosen to let the custom-built transportkuvøsa lie, even if it is ready to use.
One of the reasons is that not all luftlegane have training in the use of the incubator, but that the is that the use takes a lot of time, and that good access to acute disease is important to perform the necessary treatment.
– It takes time to use kuvøsa in the right way. Them that are carried with luftambulansen is almost always badly sick and hurt. It is to have access to the patient, and be able to perform the treatment in the pipeline is important, argues Østerås in Bergen.
in Order to perform the treatment, but still kept smittefri, is luftlegane dressed in full smittevernutstyr, with the coat, glasses, gloves and surgical masks.
But it is practiced differently in the rest of the country. The previous weekend, it took ten hours and a koronasmitta man in the Lofoten islands should be brought to the Nordlandssjukehuset in Bodø for the treatment, because he had will be transported in the incubator.
READINESS AT RISK: If staff is out with luftambulansen are suffering, are they so difficult to replace that contingency plans can be in danger to be greatly reduced.
Photo: Elias Håvarstein / NRK
Last Friday was a luftambulanselege from Health Bergen on the incubator course together with the Defense. 330-squadron hasteinnkjøpte recently five such transportkuvøser. Which gave them more knowledge about the effective use of kuvøsa, but will continue with smitteverntiltaka they already have introduced.
– We got confirmed what we believed, that it is complex, time-consuming to use this kuvøsa on a right way, says Østerås.
Can not be replaced
Oslo universitetssjukehus have a separate smitteteam, something also Universitetssjukehuset Northern Norway also has created.
At the Haukeland, there are no plans for a dedicated smitteteam, but they have heva preparedness. Among other things, is the set of two own intensivambulansar that is better suited to handle patients suffering from Covid-19.
– This sjukdommen is about dropesmitte, and kuvøsa was developed to prevent luftsmitte, we have good measures that varetek personnel our, and see it not as necessary with own smitteteam, says Østerås.
He is, nevertheless, clear that the staff at the luftambulansen is highly specialised and thus difficult to replace if they should become sick of the korona.
It can weaken preparedness powerful.
SMITTEVERNUTSTYR: Director Øyvind Thomassen experience to lose much of the contact with the patient when one is dressed in smittevernutstyr. Here, he shows the bag with smittevernutstyr they need on a mission.
Photo: Elias Håvarstein / NRK
Among luftambulanselegane is Øyvind Thomassen. Recently he was on a mission where he had to treat a little child.
– I came with the glasses, coat and face mask, and it is very strange for a at children to see a stranger, person that looks dressed like this, ” explains Thomassen
He thinks any of it vanskelegaste he can be more stranger, when he is fully equipped with protective equipment.
– we have to get used to, and we shall not give worse treatment because of it, but it is to fit on us himself, so that we can go to work the day afterwards, ” he says.
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