Division of Acute Care Surgery, Department of Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC.
Division of Acute Care Surgery, Department of Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC.
J Am Coll Surg. 2020 Jun;230(6):1080-1091.e3. doi: 10.1016/j.jamcollsurg.2020.03.019. Epub 2020 Mar 30.
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.
新型冠状病毒（COVID-19）于 2019 年 12 月在中国武汉首次确诊，现已在全球范围内传播，世界卫生组织于 3 月 11 日宣布其为大流行。这导致美国于 3 月 13 日宣布进入国家紧急状态。许多医院、医疗保健网络，特别是外科部门，都在询问如何应对和规划激增能力、人员损耗、新基础设施利用和资源枯竭的问题。在此，我们根据事件指挥级别为外科部门规划提出了一个分层计划。这包括急性护理外科医生的部署（鉴于他们的重症监护培训和在医院中的垂直整合位置）、推荐的基础设施和转移利用、分诊原则以及教职员工、住院医师和高级护理从业者的部署。
