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LitCovid-sentences  

PMC:7042184 JSONTXT 23 Projects

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Id Subject Object Predicate Lexical cue
T1 0-131 Sentence denotes Novel coronavirus infection during the 2019–2020 epidemic: preparing intensive care units—the experience in Sichuan Province, China
T2 133-433 Sentence denotes Up to 31 January 2020, there have been 9811 officially reported confirmed cases of 2019-novel coronavirus (nCoV) infection in China since the epidemic began in December 2019 (updated data available at https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6).
T3 434-564 Sentence denotes With the rapid transmission, the epidemic has spread throughout the country, and 177 cases have been reported in Sichuan Province.
T4 565-894 Sentence denotes As nCoV infection is a highly contagious disease with high mortality (3–15%) [1–3] and West China Hospital (WCH) is the largest hospital in the southwest of China and the referral medical center in Sichuan Province, it is our responsibility to prepare for admission of additional critically ill patients as a matter of emergency.
T5 895-1025 Sentence denotes We have held several expert meetings and have reviewed the related literature to develop a plan to respond to the epidemic [4, 5].
T6 1026-1177 Sentence denotes The purpose of the plan is to enable us to provide the maximum level of care to critically ill patients while ensuring the protection of medical staff.
T7 1179-1234 Sentence denotes Novel coronavirus infection special intensive care team
T8 1235-1372 Sentence denotes We set up a special emergency multi-disciplinary intensive care team to discuss the problems that we might encounter and countermeasures.
T9 1373-1553 Sentence denotes Team members include intensive care unit (ICU) physician, infectious disease physician, nurse, respiratory therapist, nosocomial infection control expert, and administrative staff.
T10 1554-1670 Sentence denotes We first evaluated the isolation conditions and the capacity of our department to admit a larger number of patients.
T11 1671-1760 Sentence denotes Second, we specified the protection levels for different types of health care activities.
T12 1761-1958 Sentence denotes Third, we assigned special work such as patient screening, consultation, and transfer to designated staff to minimize the number of health workers who had contact with patients with nCoV infection.
T13 1960-1997 Sentence denotes Bed and medical equipment preparation
T14 1998-2079 Sentence denotes WCH is a teaching hospital with 4300 total beds and 8 ICUs of total 206 ICU beds.
T15 2080-2143 Sentence denotes Under normal conditions, the ICU bed usage is always above 90%.
T16 2144-2354 Sentence denotes It was not appropriate to treat 2019-nCoV-infected patients in the central area because the large stream of people would have a negative impact on infection control measures to curb the spread of the infection.
T17 2355-2595 Sentence denotes The hospital authorities decided to vacate 402 beds belonging to the Center of Infectious Disease and the adjacent Fifth Inpatient Building so that both are separated from the rest of the inpatient buildings in WCH (Supplementary Figure 1).
T18 2596-2787 Sentence denotes Based on the initial data [1, 2] and taking into consideration the surge of critically ill patients, we plan to equip 50 ICU beds initially and adjust on the number of patients, as necessary.
T19 2788-3008 Sentence denotes We made a list of requirements for other special medical equipment, such as ventilators, bronchoscopes, hemodialysis machines, ultrasound machines, standard personal protective equipment (PPE), and sterilizing equipment.
T20 3009-3163 Sentence denotes During this epidemic period, a large amount of certified PPE, including medical masks, goggles, face shields, and waterproof isolation gowns, is required.
T21 3164-3329 Sentence denotes Manufactures of the items on the requirement list were contracted and we drew up an advertisement to the society calling for donations to ensure sufficient supplies.
T22 3331-3362 Sentence denotes Education and training of staff
T23 3363-3516 Sentence denotes It is very important to make all staff aware of the public health significance of the epidemic, and of potential challenges in achieving disease control.
T24 3517-3577 Sentence denotes Strict isolation and protection measures are a top priority.
T25 3578-3741 Sentence denotes Training content includes hand and respiratory hygiene, use of PPE, safe waste management, environmental cleaning, and sterilization of patient-care equipment [6].
T26 3742-3892 Sentence denotes We educate and train staff by means of presentations, short videos, WeChat, and supervision to ensure that staff are following the correct procedures.
T27 3894-3921 Sentence denotes Protection of medical staff
T28 3922-4103 Sentence denotes A special access to patients was set up and a boundary between the ward in which the nCoV patients are being treated and the office and living area of medical staff was established.
T29 4104-4394 Sentence denotes The aim was to minimize the number of medical staff that have contact with a patient at any time, including during daily care, treatment, and transfer; minimize the use of high transmission-risk procedures such as bronchoscopy, manual ventilation, non-invasive ventilation, and tracheotomy.
T30 4395-4457 Sentence denotes We use airborne precautions if these operations are necessary.
T31 4458-4641 Sentence denotes Diagnostic imaging procedures such as X-ray and ultrasound at the bedside are prioritized, restricting computed tomography (CT) scans, because they cannot be performed at the bedside.
T32 4643-4704 Sentence denotes Early case recognition and classification of disease severity
T33 4705-4890 Sentence denotes A physiological parameter-based warning score is used to facilitate early recognition of patients with severe infection and admission decisions according to the severity classification.
T34 4891-5062 Sentence denotes The score is a modified version of the National Early Warning Score (NEWS) with age ≥ 65 years added as an independent risk factor based on recent reports [7, 8] (Fig. 1).
T35 5063-5140 Sentence denotes Fig. 1 Early warning score and rules for 2019-nCoV infected patients. *CCRRT:
T36 5141-5174 Sentence denotes Critical Care Rapid Response Team
T37 5175-5277 Sentence denotes Patients are divided into four risk categories based on the score: low, median, high, and exceptional.
T38 5278-5501 Sentence denotes A specially assigned physician or the special critical care team decides which patients need to be treated in the ICU, taking into consideration the disease severity, opportunity to benefit, and sources of support (Fig. 1).
T39 5503-5540 Sentence denotes Strict restriction of patient contact
T40 5541-5705 Sentence denotes All staff are required to report any history of exposure, respiratory symptoms, and temperature before entering the building in which the nCoV patients are treated.
T41 5706-5794 Sentence denotes Everyone must wear masks, isolation suits, and wash hands if need to be in the building.
T42 5795-5893 Sentence denotes Family members and non-essential medical staff are strictly forbidden from entering the nCoV ward.
T43 5895-5903 Sentence denotes Research
T44 5904-6044 Sentence denotes As nCoV infection is a novel disease, knowledge about it is limited [9, 10], especially regarding the management of critically ill patients.
T45 6045-6269 Sentence denotes We designed a case report form to collect clinical data, proceed with the ethics committee approval of research protocols, and contact with the laboratory that is qualified to conduct research on highly infectious organisms.
T46 6270-6366 Sentence denotes In conclusion, the 2019-nCoV epidemic is a threat, not only to China, but also to global health.
T47 6367-6445 Sentence denotes As ICU physicians, our focus is on the management of the most severe patients.
T48 6446-6616 Sentence denotes We are unable to predict how many critically ill patients we will receive but are doing the best that we can to be prepared and to work together to overcome the epidemic.
T49 6618-6651 Sentence denotes Electronic supplementary material
T50 6653-6712 Sentence denotes Below is the link to the electronic supplementary material.
T51 6713-6746 Sentence denotes Supplementary file1 (JPG 7082 kb)
T52 6748-6764 Sentence denotes Publisher's Note
T53 6765-6883 Sentence denotes Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
T54 6885-6901 Sentence denotes Acknowledgements
T55 6902-6987 Sentence denotes We would like to thank all our team members for their efforts in developing the plan.
T56 6988-7157 Sentence denotes They are Dr. Zhongwei Zhang, Xiaodong Jin, Xiaoqi Xie, Wanhong Yin, Wei Lai, Yao Chen, Xi Zhong, Hao Yang from Department of Critical Care Medicine, West China Hospital.
T57 7158-7473 Sentence denotes Head nurse Pro.Yongming Tian, Ai Ping Du and Lin Cai from Department of Critical Care Medicine, West China Hospital; Infection control expert Shichao Zhu from Department of Infectious Disease; Respiratory therapist Yiyi Yang, Meiling Dong and Aijia Ma from Department of Critical Care Medicine, West China Hospital.
T58 7475-7482 Sentence denotes Funding
T59 7483-7562 Sentence denotes Funding was provided by National Natural Science Foundation of China (Grant no.
T60 7563-7632 Sentence denotes 81701880) and National Natural Science Foundation of China (Grant no.
T61 7633-7643 Sentence denotes 81873929).
T62 7645-7678 Sentence denotes Compliance with ethical standards
T63 7680-7701 Sentence denotes Conflicts of interest
T64 7702-7798 Sentence denotes On behalf of all authors, the corresponding author states that there is no conflict of interest.