Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)
Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)
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DOI：
10.1016/j.jamcollsurg.2020.03.019
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发表时间：
2020-06-01
影响因子：
5.2
通讯作者：
Matthews, Brent D.
中科院分区：
文献类型：
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作者：
Ross, Samuel Wade;Lauer, Cynthia W.;Matthews, Brent D.
新型冠状病毒肺炎（COVID-19）于2019年12月在中国武汉首次被确诊，目前已蔓延至全球，并于3月11日被世界卫生组织确认为大流行。这导致美国在3月13日宣布全国进入紧急状态。许多医院、医疗保健网络，特别是外科部门，都在问同样的问题，即如何应对和规划激增能力、人员流失、新的基础设施利用率和资源枯竭。在此，我们提出了一个基于事故指挥级别的外科部门计划的分层计划。这包括急症护理外科医生的部署（考虑到他们在医院的重症护理培训和垂直整合位置），推荐的基础设施和转诊利用，分诊原则，以及教员、住院医生和高级护理医生的部署。(C)2020年由美国外科医师学会发布。Elsevier Inc.出版。版权所有。)
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. ((C)2020 by the American College of Surgeons. Published by Elsevier Inc. All rights reserved.)