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Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Am+Coll+Surg 2020 ; 230 (6): 1080-1091.e3 Nephropedia Template TP
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Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19) #MMPMID32240770
Ross SW; Lauer CW; Miles WS; Green JM; Christmas AB; May AK; Matthews BD
J Am Coll Surg 2020[Jun]; 230 (6): 1080-1091.e3 PMID32240770show ga
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.