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10.5811/westjem.2020.12.49237 http://scihub22266oqcxt.onion/10.5811/westjem.2020.12.49237 34125035!8203027!34125035     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       West+J+Emerg+Med 2021 ; 22 (3): 608-613 Nephropedia Template TP {{tp|p=34125035|t=2021. Establishment of an Alternate Care Site (ACS) in Imperial County During COVID-19 |pdf=|usr=}}{{34125035}} gab.com Text Establishment of an Alternate Care Site (ACS) in Imperial County During COVID-19 JO: West J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=34125035 #FOAvip Imperial County is in southern California, one of the state's two counties at the international United States-Mexico border. The county is one of the most resource-limited in the state, with only two hospitals serving its 180,000 citizens, and no tertiary care centers. A significant portion of the population cared for at the local hospitals commutes from Mexicali, a large city of 1.2 million persons, just south of Imperial County's ports of entry. Since May 2020, following an outbreak in Mexicali, Imperial County has seen a significant increase in the number of COVID-19 patients, quickly outpacing its local resources. In response to this surge an alternate care site (ACS) was created as part of a collaboration between the California State Emergency Medical Service Authority (EMSA) and the county. In the first month of operations (May 26-June 26, 2020) the ACS received 106 patients with an average length of stay of 3.6 days. The average patient age was 55.5 years old with a range of 19-95 years. Disposition of patients included 25.5% sent to the emergency department for acute care needs, 1.8% who left against medical advice, and 72.7% who were discharged home or to a skilled nursing facility. There were no deaths on site. This study shares early experiences, challenges, and innovations created with the implementation of this ACS. Improving communication with local partners was the single most significant step in overcoming initial barriers. Twit Text FOAVip Establishment of an Alternate Care Site (ACS) in Imperial County During COVID-19 ????West J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=34125035 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34125035 #FOAvip English Wikipedia <ref>{{Cite pmid|34125035}}</ref> Establishment of an Alternate Care Site (ACS) in Imperial County During COVID-19 #MMPMID34125035 Breyre AM; Sloane B; Herring C; Backer H; McGinnis T; Staats K West J Emerg Med 2021[Mar]; 22 (3): 608-613 PMID34125035show ga Imperial County is in southern California, one of the state's two counties at the international United States-Mexico border. The county is one of the most resource-limited in the state, with only two hospitals serving its 180,000 citizens, and no tertiary care centers. A significant portion of the population cared for at the local hospitals commutes from Mexicali, a large city of 1.2 million persons, just south of Imperial County's ports of entry. Since May 2020, following an outbreak in Mexicali, Imperial County has seen a significant increase in the number of COVID-19 patients, quickly outpacing its local resources. In response to this surge an alternate care site (ACS) was created as part of a collaboration between the California State Emergency Medical Service Authority (EMSA) and the county. In the first month of operations (May 26-June 26, 2020) the ACS received 106 patients with an average length of stay of 3.6 days. The average patient age was 55.5 years old with a range of 19-95 years. Disposition of patients included 25.5% sent to the emergency department for acute care needs, 1.8% who left against medical advice, and 72.7% who were discharged home or to a skilled nursing facility. There were no deaths on site. This study shares early experiences, challenges, and innovations created with the implementation of this ACS. Improving communication with local partners was the single most significant step in overcoming initial barriers. |Adult[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19/*epidemiology[MESH] |California[MESH] |Emergency Medical Services/*organization & administration[MESH] |Female[MESH] |Humans[MESH] |Male[MESH] |Medically Underserved Area[MESH] |Middle Aged[MESH] |SARS-CoV-2[MESH]Establishment of an Alternate Care Site (ACS) in Imperial County Durin(epmc).pdf DeepDyve Pubget Overpricing