Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19).

Abstract:

:The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and specifically, departments of surgery, are asking the same questions about how to cope and plan for surge capacity, personnel attrition, novel infrastructure utilization, and resource exhaustion. Herein, we present a tiered plan for surgical department planning based on incident command levels. This includes acute care surgeon deployment (given their critical care training and vertically integrated position in the hospital), recommended infrastructure and transfer utilization, triage principles, and faculty, resident, and advanced care practitioner deployment.

journal_name

J Am Coll Surg

authors

Ross SW,Lauer CW,Miles WS,Green JM,Christmas AB,May AK,Matthews BD

doi

10.1016/j.jamcollsurg.2020.03.019

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

1080-1091.e3

issue

6

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(20)30263-5

journal_volume

230

pub_type

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