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2020 ; 21
(3
): 484-489
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Alternative Care Sites: An Option in Disasters
#MMPMID32302285
Iserson KV
West J Emerg Med
2020[Apr]; 21
(3
): 484-489
PMID32302285
show ga
During the current COVID-19 pandemic, the limited surge capacity of the
healthcare system is being quickly overwhelmed. Similar scenarios play out when
an institution's systems fail, or when local or regional disasters occur. In
these situations, it becomes necessary to use one or more alternative care sites
(ACS). Situated in a variety of non-healthcare structures, ACS may be used for
ambulatory, acute, subacute, or chronic care. Developing alternative care
facilities is the disaster-planning step that moves communities from talking to
doing. This commitment pays real dividends if a disaster of any magnitude
strikes. This paper discusses the basic criteria for selecting, establishing and
ultimately closing an ACS, difficulties of administration, staffing, security,
and providing basic supplies and equipment.