Critical Care Surge During the COVID-19 Pandemic: Implementation and Feedback From Frontline Providers
| Autor: | Deborah Orsi, Manoj Karwa, Michelle N. Gong, Daniel M. Fein, Arieil L. Shiloh, Adam Keene, Lewis A. Eisen, Jay Berger |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
2019-20 coronavirus outbreak Critical Care Coronavirus disease 2019 (COVID-19) Critical Illness Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 0603 philosophy ethics and religion Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Pandemic Humans Medicine 030212 general & internal medicine Pandemics Retrospective Studies Surge Capacity SARS-CoV-2 Critically ill business.industry COVID-19 06 humanities and the arts medicine.disease Intensive Care Units Female New York City 060301 applied ethics Medical emergency business |
| Zdroj: | Journal of Intensive Care Medicine. 36:233-240 |
| ISSN: | 1525-1489 0885-0666 |
| DOI: | 10.1177/0885066620973175 |
| Popis: | Purpose: Montefiore Medical Center (MMC) in the Bronx, New York, was subjected to an unprecedented surge of critically ill patients with COVID-19 disease during the initial outbreak of the pandemic in New York State in the spring of 2020. It is important to describe our experience in order to assist hospitals in other areas of the country that may soon be subjected to similar surges. Materials and Methods: We retrospectively reviewed the expansion of critical care medicine services at Montefiore during the COVID-19 surge in terms of space, staff, stuff, and systems. In addition, we report on a debriefing session held with a multidisciplinary group of frontline CCM providers at Montefiore. Findings: The surge of critically ill patients from COVID-19 disease necessitated a tripling of critical care bed capacity at (MMC), with attendant increased needs for staffing, equipment, and systematic innovations to increase efficiency and effectiveness. Feedback from a multidisciplinary group of frontline providers revealed multiple opportunities for improvement for the next potential surge at MMC as well as guidance for other hospitals. Conclusions: Given increasing cases and burden of critical illness from COVID-19 across the US, engineering safe and effective expansions of critical care capacity will be crucial. We hope that our description of what worked and what did not at MMC will help guide other hospitals in their pandemic preparedness. |
| Databáze: | OpenAIRE |
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