大流行
医学
准备
医疗保健
2019年冠状病毒病(COVID-19)
医疗急救
疾病
创伤中心
重症监护医学
回顾性队列研究
传染病(医学专业)
外科
病理
经济增长
政治学
法学
经济
作者
Joseph Cuschieri,Bryce R. H. Robinson,John B. Lynch,Steve Mitchell,Saman Arbabi,Chloe Bryson,Michael R. Sayre,Ronald V. Maier,Eileen M. Bulger
出处
期刊:Annals of Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2020-12-23
卷期号:273 (6): 1051-1059
被引量:3
标识
DOI:10.1097/sla.0000000000004695
摘要
The emergence of coronavirus disease 2019 (COVID-19) that is caused by the SARS-CoV-2 virus has led to an overwhelming strain on healthcare delivery. This pandemic has created a sustained stress on the modern healthcare system, with unforeseen and potential drastic effects. Although the initial focus during this pandemic has been preparedness and response directed to the pandemic itself, traumatic injury has continued to remain a common problem that requires immediate evaluation and care to provide optimal outcomes. The State of Washington had the first reported case and death related to COVID-19 in the United States. Harborview Medical Center, which serves as the sole Level-1 adult and pediatric trauma center for the state, was rapidly affected by COVID-19, but still needed to maintain preparedness and responses to injured patients for the region. Although initially the focus was on the emerging pandemic on institutional factors, it became obvious that sustained efforts for regional trauma care required a more global focus. Because of these factors, Harborview Medical Center was quickly entrusted to serve as the coordinating center for the regions COVID-19 response, while also continuing to provide optimal care for injured patients during the pandemic. This response allowed the care of injured patients to be maintained within designated trauma centers during this pandemic. This present report summarizes the evolution of trauma care delivery during the first phase of this pandemic and provides informative recommendations for sustained responses to the care of injured patients during the pandemic based on lessons learned during the initial response.
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