Hospital Preparedness for COVID-19: A Practical Guide from a Critical Care Perspective.

ABSTRACT: In response to the estimated potential impact of coronavirus disease (COVID-19) on New York City hospitals, our institution prepared for an influx of critically ill patients. Multiple areas of surge planning progressed, simultaneously focused on infection control, clinical operational challenges, ICU surge capacity, staffing, ethics, and maintenance of staff wellness. The protocols developed focused on clinical decisions regarding intubation, the use of high-flow oxygen, engagement with infectious disease consultants, and cardiac arrest. Mechanisms to increase bed capacity and increase efficiency in ICUs by outsourcing procedures were implemented. Novel uses of technology to minimize staff exposure to COVID-19 as well as to facilitate family engagement and end-of-life discussions were enco

SUBMITTER: Griffin KM 

PROVIDER: S-EPMC7258631 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature