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10.1164/rccm.202004-1037CP http://scihub22266oqcxt.onion/10.1164/rccm.202004-1037CP 32298146!7258631!32298146     free     free     free Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Respir+Crit+Care+Med 2020 ; 201 (11): 1337-1344 Nephropedia Template TP {{tp|p=32298146|t=2020. Hospital Preparedness for COVID-19: A Practical Guide from a Critical Care Perspective |pdf=|usr=}}{{32298146}} gab.com Text Hospital Preparedness for COVID-19: A Practical Guide from a Critical Care Perspective JO: Am J Respir Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=32298146 #FOAvip 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 encouraged. Education and communication remained key in our attempts to standardize care, stay apprised on emerging data, and review seminal literature on respiratory failure. Challenges were encountered and overcome through interdisciplinary collaboration and iterative surge planning as ICU admissions rose. Support was provided for both clinical and nonclinical staff affected by the profound impact COVID-19 had on our city. We describe in granular detail the procedures and processes that were developed during a 1-month period while surge planning was ongoing and the need for ICU capacity rose exponentially. The approaches described here provide a potential roadmap for centers that must rapidly adapt to the tremendous challenge posed by this and potential future pandemics. Twit Text FOAVip Hospital Preparedness for COVID-19: A Practical Guide from a Critical Care Perspective ????Am J Respir Crit Care Med http://www.kidney.de/pget.php?&tw=1&pmid=32298146 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32298146 #FOAvip English Wikipedia <ref>{{Cite pmid|32298146}}</ref> Hospital Preparedness for COVID-19: A Practical Guide from a Critical Care Perspective #MMPMID32298146 Griffin KM; Karas MG; Ivascu NS; Lief L Am J Respir Crit Care Med 2020[Jun]; 201 (11): 1337-1344 PMID32298146show ga 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 encouraged. Education and communication remained key in our attempts to standardize care, stay apprised on emerging data, and review seminal literature on respiratory failure. Challenges were encountered and overcome through interdisciplinary collaboration and iterative surge planning as ICU admissions rose. Support was provided for both clinical and nonclinical staff affected by the profound impact COVID-19 had on our city. We describe in granular detail the procedures and processes that were developed during a 1-month period while surge planning was ongoing and the need for ICU capacity rose exponentially. The approaches described here provide a potential roadmap for centers that must rapidly adapt to the tremendous challenge posed by this and potential future pandemics. |*Hospitals[MESH] |*Surge Capacity[MESH] |Airway Management[MESH] |Betacoronavirus[MESH] |COVID-19[MESH] |Coronavirus Infections/*epidemiology[MESH] |Critical Illness[MESH] |Health Resources/*supply & distribution[MESH] |Hospitalization[MESH] |Humans[MESH] |Infection Control/organization & administration[MESH] |Intensive Care Units[MESH] |New York City/epidemiology[MESH] |Pandemics[MESH] |Pneumonia, Viral/*epidemiology[MESH] |SARS-CoV-2[MESH]Hospital Preparedness for COVID-19: A Practical Guide from a Critical (epmc).pdf DeepDyve Pubget Overpricing