Trauma center activity and surge response during the early phase of the COVID-19 pandemic-the Philadelphia story
Trauma center activity and surge response during the early phase of the COVID-19 pandemic-the Philadelphia story
复制标题
DOI：
10.1097/ta.0000000000002859
复制
发表时间：
2020-10-01
影响因子：
3.4
通讯作者：
Cannon, Jeremy W.
中科院分区：
文献类型：
--
作者：
Qasim, Zaffer;Sjoholm, Lars O.;Cannon, Jeremy W.
2019冠状病毒病大流行给医疗保健服务的各个方面带来了压力。创伤中心是高敏度患者的区域资源站点；因此，在传染性大流行期间，需要仔细规划以保持获得创伤护理的机会。美国外科医师学会创伤委员会（ACS-COT）的指南为应对大流行提供了一个总体框架，但这些原则必须与当地和区域因素相结合。费城的一级创伤中心合作实施了这一指导方针，并在大流行的整个早期阶段分享了见解。在本报告中，我们检查了大流行期间出现创伤患者的数量、急性程度和机制，以及COVID-19入院的数量和急性程度。我们还评估了枪支事件与COVID-19病例密度之间的地理空间关系。最后，我们整理了为保持创伤通道和团队安全而采取的协作措施，并评估了这些措施的效果。
The COVID-19 pandemic has stressed all facets of healthcare delivery. Trauma centers serve as regional resource sites for high-acuity patients; so careful planning is required to maintain access to trauma care during an infectious pandemic. Guidance from the American College of Surgeons Committee on Trauma (ACS-COT) provides a general framework for the pandemic response, but these precepts must be contextualized to local and regional factors. The Level I trauma centers in Philadelphia collaborated to implement this guidance and to share insights throughout the early phase of the pandemic. For this report, we examined the volume, acuity, and mechanisms of presenting trauma patients and the number and acuity of COVID-19 admissions during the pandemic. We also assessed the geospatial relationship between firearm incidents and COVID-19 case density. Finally, we collated the collaborative measures taken to maintain trauma access and team safety and evaluated the effect of these measures.