ABSTRACT
In March 2021, the Île-de-France area was experiencing a new wave of Covid-19. Faced with an epidemic projection that could exceed capacity, the Assistance publique-Hôpitaux de Paris (AP-HP) crisis unit validated the implementation of the Meteor project. The Meteor is the transformation of a restaurant within the Pitié-Salpêtrière University Hospital into a Covid-19 patient orientation intensive care unit before they are sent to more permanent ICUs on or off site. As this approach had never been thought of before, everything had to be constructed. A project team composed of a chief nurse, a physician, an engineer and a director piloted its implementation. The project was designed to be modular, dismantleable and integrated as a zonal resource. In barely 15 days, the unit was operational. The organization of care was simplified and standardized to the maximum so that each staff member could carry out his or her mission with serenity despite the unusual context and locations. The effectiveness of project implementation is linked to the expertise of the teams in place and the multiprofessional nature of the project team. The weakest point was human resources. The constitution of a health reserve body of critical care personnel is necessary to anticipate the next crisis.