El Gobierno Nacional publicó una Guía rápida de Telesalud para evaluación de pacientes COVID-19, en ella explica de manera detallada en 5 pasos prácticos como deben los Profesionales de la salud aplicar esta modalidad para la adecuada consulta médica.
Pasos para el manejo de la Telemedicina
- Preparar: en esta fase el profesional de salud debe preparase y decidir cómo conectarse
- Conectar: Aquí el profesional debe enviar un link para la videollamada si es posible; de lo contrario, debe realizar una llamada telefónica.
- Empezar: en la fase 3 debe evaluar rápidamente si el paciente está muy enfermo o no.
- Historia: Aquí el profesional médico debe realizar registro y adaptar las preguntas al paciente según su historia clínica.
- Examen: en esta etapa es necesario que el profesional, examine las funciones físicas y mentales de la mejor forma que se pueda.
- Decisión y acción: en esta última etapa el profesional de salud debe avanzar y organizar el seguimiento, teniendo en cuenta la capacidad local.
¿A qué pacientes se debe enviar al Hospital?
El profesional de la salud debe reportar la emergencia y remitir al paciente al centro de salud más cercano ante los siguientes hallazgos clínicos:
- Temperatura > 38ºC
- Frec respiratoria > 20/min
- Ritmo cardiaco > 100/min
- confusión
- Saturación de oxígeno ≤ 94% si disponible oximetría para autocontrol.
¿Cuándo debe considerar el Profesional en salud un caso emergencia por Covid-19?
Los profesionales médicos deben estar en alerta ante cualquier posible caso de contagio de la pandemia, sin embargo, en casos en los que el paciente presente complicaciones en su salud como el siguiente, este debe reportar la Urgencia de manera rápida al centro médico más cercano.
Casos de urgencia
- Disnea severa en reposo
- Dificultad para respirar
- Dolor o presión en el pecho
- Piel fría, húmeda o pálida
- Confusión
- Dificultad para despertarse
- Somnolencia
- Oliguria
- Hemoptisis
Otras condiciones como:
- Cuello rígido
- Rash
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