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Home My WebLink Aboutcoronavirus-memo-1-31-20 Colleen Chawla, HCSA Director Lauri McFadden, EMS Director Karl Sporer, MD, Medical Director Main: (510) 618-2050 Fax: (510) 618-2099 ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY Emergency Medical Services Agency 1000 San Leandro Blvd, Suite 200 San Leandro, CA 94577 Novel Coronavirus (2019 nCoV) Outbreak January 31, 2020  All EMS patients with respiratory symptoms should wear a mask  Dispatch will be questioning patients for recent (14 days) travel in China  All patients with respiratory symptoms should be questioned about recent (14 days) travel in China Alameda County Public Health Department is actively monitoring this rapidly evolving situation. The best up-to-date national information can be found at CDC’s 2019-ncov website. For Alameda County specific public health guidance and instructions for reporting, check http://www.acphd.org/  Patients with recent travel history o Persons with fever and lower respiratory symptoms within 14 days of travel from China, OR who were in close contact with a PUI or laboratory- confirmed case of 2019-nCoV OR Persons with fever or lower respiratory symptoms and close contact with a confirmed case of 2019-nCoV within 14 days of symptoms A patient with recent travel history should be sent to a health care setting that has an Airborne Infection Isolation Room and by health care providers using personal protective equipment for airborne, contact, eye protection, and standard precautions. EMS Scenarios Patient with recent travel history and Alameda County Public Health is involved  Have the patient wear a mask  Use standard, contact, airborne and eye protection o Gloves, gown, and eye protection (goggles or face shield)  Providers should use a fit-tested N-95 or P-100 mask  Contact your supervisor  Minimize the use of aerosolizing generating procedures (nebulized medications) or interventions that heighten the risk of exposure (intubation, suctioning, etc.), but if these procedures are necessary for patient care, a P-100 mask should be worn  Transport the patient as directed by Alameda Public Health  Properly doff and dispose of PPE  Use standard decontamination procedures after the call is completed Possible Patient with recent travel history and Alameda County Public Health is not involved  Same standards as above  Contact the EMS Duty Officer via ACRECC  Clinical or destination decisions will be made by the EMS On Duty Officer in consultation with Alameda Public Health