Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Am J Emerg Med. 2020 Oct;38(10):2065-2069. doi: 10.1016/j.ajem.2020.06.026. Epub 2020 Jun 24.
COVID-19 has caused global dramatic change in medical practices including the introduction of temporary screening and assessment areas outside the footprint of the main hospital structures. Following the initial surge of patients with novel coronavirus (2019-nCoV) in the United States, our medical center rapidly designed and constructed an alternative assessment and treatment site in a converted parking garage deck for emergency department patients with suspected or confirmed 2019-nCoV. During the first month after opening, 651 patients were treated in this alternative assessment area including 54 patients who tested positive for 2019-nCoV. This accounted for 55% of the 98 patients with confirmed novel coronavirus (2019-nCoV) who were treated in our ED. This report provides a blueprint for the necessary steps, materials, labor needs and barriers, both anticipated and unanticipated, to rapidly construct an alternative ED treatment site during a pandemic.
新冠疫情导致全球医疗实践发生了重大变化，包括在主医院结构之外引入临时筛查和评估区域。在美国首例新型冠状病毒（2019-nCoV）患者激增后，我们的医疗中心迅速在改建的停车场顶层设计并建造了一个用于急诊科疑似或确诊 2019-nCoV 患者的替代评估和治疗点。在开放后的第一个月，有 651 名患者在这个替代评估区接受了治疗，其中 54 名患者的 2019-nCoV 检测呈阳性。这占我们急诊科确诊的 98 例新型冠状病毒（2019-nCoV）患者的 55%。本报告提供了在大流行期间快速构建替代急诊科治疗点所需的必要步骤、材料、劳动力需求和障碍（包括预期和非预期的）的蓝图。
