1921
Volume 92, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

As the outbreak of Ebola virus disease (EVD) in West Africa continues, clinical preparedness is needed in countries at risk for EVD (e.g., United States) and more fully equipped and supported clinical teams in those countries with epidemic spread of EVD in Africa. Clinical staff must approach the patient with a very deliberate focus on providing effective care while assuring personal safety. To do this, both individual health care providers and health systems must improve EVD care. Although formal guidance toward these goals exists from the World Health Organization, Medecin Sans Frontières, the Centers for Disease Control and Prevention, and other groups, some of the most critical lessons come from personal experience. In this narrative, clinicians deployed by the World Health Organization into a wide range of clinical settings in West Africa distill key, practical considerations for working safely and effectively with patients with EVD.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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2015-02-04
2017-09-25
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References

  1. World Health Organization (WHO), 2014. Ebola Virus Disease (EVD). Available at: http://www.who.int/csr/disease/ebola/en/. Accessed October 28, 2014.
  2. Medicins Sans Frontieres (MSF), 2014. MSF Reference Books. Available at: http://refbooks.msf.org/msf_docs/en/MSFdocMenu_en.htm. Accessed October 28, 2014.
  3. Centers for Disease Control and Prevention (CDC), 2014. Ebola Virus Disease (EVD). Available at: http://www.cdc.gov/vhf/ebola/index.html. Accessed October 28, 2014.
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  5. Fowler RA, Fletcher T, Fischer WA, 2nd Lamontagne F, Jacob S, Brett-Major D, Lawler JV, Jacquerioz FA, Houlihan C, O'Dempsey T, Ferri M, Adachi T, Lamah MC, Bah EI, Mayet T, Schieffelin J, McLellan SL, Senga M, Kato Y, Clement C, Mardel S, Vallenas Bejar De Villar RC, Shindo N, Bausch D, , 2014. Caring for critically ill patients with Ebola virus disease. Perspectives from west Africa. Am J Respir Crit Care Med 190: 733737.[Crossref]
  6. Jacob ST, Banura P, Baeten JM, Moore CC, Meya D, Nakiyingi L, Burke R, Horton CL, Iga B, Wald A, Reynolds SJ, Mayanja-Kizza H, Scheld WM, Promoting Resource-Limited Interventions for Sepsis Management in Uganda Study Group; , 2012. The impact of early monitored management on survival in hospitalized adult Ugandan patients with severe sepsis: a prospective intervention study. Crit Care Med 40: 20502058.[Crossref]
  7. Fitzpatrick G, Vogt F, Moi Gbabai O, Black B, Santantonio M, Folkesson E, Decroo T, Van Herp M, , 2014. Rapid communications: describing readmissions to an Ebola Case Management Centre (CMC), Sierra Leone, 2014. Euro Surveill 19: 20924.[Crossref]
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  • Received : 24 Nov 2014
  • Accepted : 02 Dec 2014

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