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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Rev+Med+Suisse 2020 ; 16 (N degrees 691-2): 869-874 Nephropedia Template TP
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Impacts organisationnels et defis cliniques de la pandemie COVID-19 pour un service hospitalier de medecine interne universitaire #MMPMID32348056
Garnier A; Vaucher J; Bianchi C; Kraege V; Mean M; Castioni J; Bart PA; Champier V; Eggimann P; Gachoud D; Jovanovic M; Lamy O; Marques-Vidal P; Monti M; Perier A; Robert S; Roulet G; Sartori C; Waeber G; Vollenweider P
Rev Med Suisse 2020[Apr]; 16 (N degrees 691-2): 869-874 PMID32348056show ga
The rapid progression of COVID-19 is an organizational challenge for all hospitals. To secure the patient overflow, the Department internal medicine of the University Hospital of Lausanne increased nurse and medical workforces as well as bed capacity by 65 %, with extraordinary help from other departments. The implemented crisis management stood upon three pillars : a crisis management team, steering documents and internal communication. In this new form, the Department had already taken care of 442 COVID-19 admissions by April 16, 2020. Alongside organizational challenges, clinical issues such as rapid respiratory distress, clinical suspicions with negative PCR and treatment uncertainties in the absence of sufficient evidence were overcome. Despite the peak of the pandemic appearing to have passed, the next phase could be just as complicated.