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      Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic


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          The COVID-19 pandemic is an unprecedented challenge for society. Supporting the mental health of medical staff and affiliated healthcare workers (staff) is a critical part of the public health response. This paper details the effects on staff and addresses some of the organisational, team and individual considerations for supporting staff (pragmatically) during this pandemic. Leaders at all levels of health care organisations will find this a valuable resource.

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          Most cited references 13

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          Managing mental health challenges faced by healthcare workers during covid-19 pandemic

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            Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak

            Background A number of publications focusing on health care workers (HCWs) during a severe acute respiratory syndrome (SARS) outbreak have suggested that HCWs experienced psychological distress, particularly increased levels of posttraumatic stress symptomatology (PTSS). Factors contributing to increased distress in HCWs working in high-risk areas treating patients with SARS have not been fully elucidated. The goal of this study was to quantify the psychological effects of working in a high-risk unit during the SARS outbreak. Methods HCWs in a Toronto hospital who worked in high-risk areas completed a questionnaire regarding their attitude toward the SARS crisis along with the Impact of Event Scale—Revised, which screens for PTSS. The comparison group consisted of clinical units that had no contact with patients infected with SARS. Results Factors that were identified to cause distress in the 248 respondent HCWs were the following: (a) perception of risk to themselves, (b) impact of the SARS crisis on their work life, (c) depressive affect, and (d) working in a high-risk unit. In addition, HCWs who cared for only one SARS patient in comparison to those caring for multiple SARS patients experienced more PTSS. Conclusions As expected, HCWs who were working in high-risk units experienced greater distress. Contrary to expectations, HCWs who experienced greater contact with SARS patients while working in the high-risk units were less distressed. This suggests that HCW experience in treating patients infected with SARS may be a mediating factor that could be amenable to intervention in future outbreaks.
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              Case-Fatality Risk Estimates for COVID-19 Calculated by Using a Lag Time for Fatality

              We estimated the case-fatality risk for coronavirus disease cases in China (3.5%); China, excluding Hubei Province (0.8%); 82 countries, territories, and areas (4.2%); and on a cruise ship (0.6%). Lower estimates might be closest to the true value, but a broad range of 0.25%–3.0% probably should be considered.

                Author and article information

                Eur Heart J Acute Cardiovasc Care
                Eur Heart J Acute Cardiovasc Care
                European Heart Journal. Acute Cardiovascular Care
                SAGE Publications (Sage UK: London, England )
                28 April 2020
                [1 ]Northwick Park Hospital (Accident and Emergency Department), London North West University Healthcare NHS Trust, UK
                [2 ]Centre for Medical Education, Barts and The London School of Medicine & Dentistry, Queen Mary University of London, UK
                [3 ]London’s Air Ambulance, Royal London Hospital, UK
                Author notes
                [*]Michael D Christian, London’s Air Ambulance, Royal London Hospital, Bart’s NHS Health Trust, Whitechapel Road, Whitechapel, London E1 1FR, UK. Email: m.christian@ 123456londonsairambulance.org.uk
                © The European Society of Cardiology 2020

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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