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1.
Journal of the Medical Association of Thailand ; 105(9):799-805, 2022.
Article in English | Scopus | ID: covidwho-2057095

ABSTRACT

Background: Hospital capacity management has been one of the main public health problems in many countries during the COVID-19 outbreak. Field hospitals were developed as a means of taking care of patients with limited resource utilization. Objective: To demonstrate clinical presentations and treatment outcomes of patients infected with COVID-19 treated at a field hospital. Additionally, cost and utilization were also evaluated. Materials and Methods: The present study was a retrospective study. Data from the medical records of the patients diagnosed with COVID-19 admitted and discharged from a field hospital between April 2021 and June 2021 were reviewed. Clinical presentation, treatment outcomes, cost, and utilization were analyzed, classified by disease severity. Results: Seventy-two patients with a mean age (SD) of 30.2 (8.4) years were enrolled in the present study. Thirty-six patients (50.0%) were asymptomatic. Nasal congestion was the most common symptom of COVID-19 (30.6%). Patients with mild pneumonia had higher body mass index (BMI) and older age than asymptomatic cases, and symptomatic COVID-19 cases without pneumonia (p=0.014, 0.028, respectively). The two common final diagnoses were acute pharyngitis (27.8%) and pneumonia (26.4%). Asymptomatic pneumonia was found in 5.6%. The mortality rate was 0% in the field hospital. The average length of stay was 12 days, and the mean total cost of treatment was 48,396 THB per patient. The patients with mild pneumonia had significant higher total cost of treatment than asymptomatic cases and symptomatic COVID-19 cases without pneumonia. Conclusion: Field hospitals could be the most efficient option for taking care of COVID-19 patients when healthcare resources in hospital are limited. COVID-19 patients’ triage was important to determine the outcomes. Asymptomatic cases, symptomatic cases without pneumonia, and cases with mild pneumonia could be treated in a field hospital with cost-effective outcomes. © 2022 JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND.

2.
Hepatology International ; 16:S227-S228, 2022.
Article in English | EMBASE | ID: covidwho-1995893

ABSTRACT

Objectives: The objective of this study is to find the association between mortality and COVID-19 and risk factors among patients with acute liver injury. Materials and Methods: The research method uses a cross-sectional study design. The participants were COVID-19 patients with acute liver injury admitted in the Field hospital and Somdejphrajaotaksin Maharaj Hospital between 1 March 2020 and 30 September 2021. The data collected included patient's medical history and laboratory results. The analysis used was descriptive statistics and inferential statistics such as chi-square and multiple-logistic regression. Results: The results showed that the number of total participants was 806. Patients with advanced age (more than 60 years) (ORadj = 9.72;95%CI = 4.16-22.12), hypoalbuminemia (≤ 3.5 g/dl) (ORadj = 26.92;95%CI = 6.78-106.87), hepatitis (AST>40 U/L) (ORadj = 5.57;95%CI = 1.91-16.28) and those with a length of hospital stay of at least 7 days (ORadj = 0.13;95%CI = 0.03-0.50) showed a statistically significant association with death. Note that mortality showed the greatest effect size with hypoalbuminemia compared with other variables. The severity of coronavirus infection 2019 (mild, moderate to severe), ALT>40 U/L and ALP>126 U/L. It was found that there was no correlation to mortality with statistically significant. Conclusion: Therefore, the treatment for COVID-19 patients with acute liver injury should be prioritized for high risk patients, especially the elderly, patients with hypoalbuminemia (≤ 3.5 g/dl), hepatitis (AST>40 U/L) and patients with long admission days, relative to other patients, in order to prevent mortality. (Table Presented).

3.
Journal of General Internal Medicine ; 37:S573, 2022.
Article in English | EMBASE | ID: covidwho-1995678

ABSTRACT

STATEMENT OF PROBLEM/QUESTION: Even though they face a higher risk of COVID-19-related morbidity and mortality, racial and ethnic minorities in the Greater Boston area have had less access to COVID-19 testing and vaccinations. DESCRIPTION OF PROGRAM/INTERVENTION: We implemented a novel, community-based mobile health unit program by repurposing transportation vans with COVID-19 testing equipment, preventive hygiene kits, and mRNA vaccines. Our goal was to expand testing and vaccine availability in highly affected communities in the Greater Boston area. We used a “double equity” model by hiring workers from a local transportation company whose staff were at risk of unemployment. The vans were staffed with racially/ ethnically diverse and multilingual staff, including members of the target communities themselves. We incorporated a system of “trusted messengers” to answer questions about COVID-19 and in particular, vaccination from the community. We implemented this program with crucial input from community-based organizations and municipal public health departments. Van location sites were guided by community partners, in some cases incorporating SARS-CoV-2 wastewater surveillance data to meet rapidly changing community needs. MEASURES OF SUCCESS: Our goals were to (1) demonstrate the feasibility of a COVID-19 testing program guided by community partnerships and SARS-CoV-2 wastewater surveillance data;(2) improve access to COVID-19 testing in underserved communities;and (3) improve access to COVID-19 vaccination among racial/ethnic minorities. We collected ongoing feedback (e.g. through the local community advisory groups etc) on the mobile health program from community partners, patients, and staff. We compared sociodemographic characteristics of mobile health participants with the general population of the state of Massachusetts and the population of the target communities. FINDINGS TO DATE: From January 2021 - January 2022, our mobile health units have tested greater than 4500 persons in predominantly low socioeconomic communities that have been highly impacted by the pandemic. From May 2021 - January 2022, we vaccinated 5480 persons in these communities. An analysis of our program from January 2021 - January 2022 demonstrated that mobile health unit participants receiving COVID-19 vaccines were significantly more likely to be non-White and Hispanic compared with the general vaccinated population of the state of Massachusetts and of the target communities, and these findings were statistically significant. We also found that the mobile health units vaccinated more youth and adolescents in the target community compared with the general state vaccination data. KEY LESSONS FOR DISSEMINATION: Delivery of preventive COVID19 care via mobile health units is feasible and associated with high usage from affected communities when implemented with high stakeholder engagement and expertise from local public health departments. Employing diverse, multilingual, and well-trained healthcare staff as trusted messengers likely improved COVID-19 vaccine uptake in this population.

4.
13th International Conference on Information and Communication Systems, ICICS 2022 ; : 432-435, 2022.
Article in English | Scopus | ID: covidwho-1973478

ABSTRACT

Field hospitals were a great help in global pandemics and catastrophes such as earthquakes and the spread of airborne viruses. This study focused on the design of an interrupted oxygen supply since continuous oxygen provision for covid-19 patients is a huge problem facing field hospitals around the world, three methods to avoid any oxygen supply interruptions are discussed, where the outlet of the oxygen concentrator is lowered to 4.5 bar, and the outlet of the liquid oxygen vaporizer is regulated at 4.25 bar, and the outlet of the oxygen cylinders is set to 4 bars, a final one-way valve connecting the three lines of oxygen which are set to 4 bars. © 2022 IEEE.

5.
SA Pharmaceutical Journal ; 89(2):25-29, 2022.
Article in English | EMBASE | ID: covidwho-1955699
6.
European Journal of Hospital Pharmacy ; 29(SUPPL 1):A53-A54, 2022.
Article in English | EMBASE | ID: covidwho-1916408

ABSTRACT

Background and importance Digital health is the concept that incorporates information and communication technologies into healthcare services. Nowadays, and favoured by the SARSCoV- 2 pandemic, hospital pharmacy has been forced to adopt digital technologies and tools to improve patient care. Aim and objectives If any area of hospital pharmacy has gained prominence in recent years, it is the area of digital health. Therefore, it was decided to analyse current clinical trials in relation to technological devices or wearables. Material and methods Descriptive study of current clinical trials on technological devices from the pharmacological aspect. The following filters were applied: active trials, devices in digital pharmacy, all phases, all ages and both sexes. The type of device was analysed as intervention, pathology, location, and study topic. Both observational and interventional studies were included. The tool used for evaluation was the ClinicalTrials. gov clinical trials registry. Results Nineteen current active phase clinical trials were analysed. The phases of the projects were: phase I-7, phase II-3, phase III-2 and phase IV-7. The main pathologies of the clinical trials were: musculoskeletal disorders (6), chronic obstructive pulmonary disease (3), Parkinson's neurodegenerative diseases (3), oncology (2), autism (1), renal system (1), cardiac system (1) and self-injection devices (1). The main countries conducting clinical trials were: United States (13), Europe (4), Asia (1) and Oceania (1). Seven projects were detected in the patient recruitment phase. Conclusion and relevance Although the use of wearables in the field of hospital pharmacy is a little known topic, it is increasingly gaining prominence in the literature and in scientific research. Digital health is the driver of change towards new models of care between patients and healthcare professionals. Therefore, it is necessary to continue with research and clinical trials to promote digitisation in hospital pharmacy.

7.
Clinica Chimica Acta ; 530:S258, 2022.
Article in English | EMBASE | ID: covidwho-1885647

ABSTRACT

Background-aim: The COVID-19 pandemic has re-emphasized the need for the timely delivery of clinical laboratory results to support optimal patient care. The objective of this study was to determine if current instrumentation in Saskatoon hospital chemistry laboratories could accommodate the anticipated COVID workload in addition to non-COVID testing for the existing acute care hospitals and proposed field hospitals. Methods: A simulation model was utilized to assess workload and turn-around-time (TAT) capacity for pre-analytic, total analytic, chemistry, ion-selective-electrode and immunoassay testing to accommodate an expanded COVID workload. Anticipated COVID patient numbers and a COVID specific test menu were incrementally introduced into a 24 hour pre-COVID testing workload. The impact of field hospital location, courier schedule and daily instrument maintenance schedule were also considered when calculating a TAT from specimen collection to result reporting. Results: Instrumentation throughput, scheduled times for instrument daily maintenance and the time of day when the specimen surge is received in the laboratory were found to be significant predictors of laboratory’s ability to accommodate anticipated COVID workload. Courier schedule and proximity of the field hospital to the laboratory significantly influenced the TAT for field hospital testing. Conclusions: A simulation model is a helpful tool to provide useful information for optimal delivery of multi-site clinical laboratory services during the COVID-19 pandemic.

8.
Hematology, Transfusion and Cell Therapy ; 43:S242-S243, 2021.
Article in English | EMBASE | ID: covidwho-1859617

ABSTRACT

Introduction: The main factors associated with disease severity in Covid-19 are age, sex, body weight, hypertension, and diabetes. Biomarkers of hemostatic activation have been shown to be independent predictors of disease severity in different populations. Aim: To evaluate whether biomarkers of hemostatic activation were associated with clinical outcomes in patients admitted to a field hospital set up to provide initial care to patients in the early symptomatic phase of Covid-19. Methods: Data and samples were obtained from June to September 2020. Laboratory evaluation included complete blood counts, PT, aPTT, fibrinogen, D-dimer, factor VIII activity, Von Willebrand Factor (VWF) (activity and antigen), C reactive protein (CRP) and P-selectin (ELISA). Patients were segregated by outcome, with clinical worsening defined as need for ICU, mechanical ventilation, pulmonary embolism, deep vein thrombosis or death. Results and discussion: In total 209 were enrolled in the study, of which 24 presented clinical deterioration (11.5%). In both groups there was more male patients. In the group of clinical worsening the mean age was 58.1 and improvement was 53.6 years old. Concerning smoking, 3.2% of patients that improved smoke. Regarding pulmonar infiltrate, it was verified in 50% in the group that worsening versus 41% in clinical improvement. No differences could be observed between patient subgroups regarding the presence of fever (63.2% vs. 62.5%), dry cough (75.1% vs. 87.5%) and dyspnea (65.9% vs. 54.2%) at admission. As main comorbidities, the groups presented chronic obstructive pulmonary disease (2.2% vs 8.3%), asthma (3.2% vs 4.2%), chronic heart failure (1.1% vs 8.3%), arterial hypertension (46% vs 41.7%) and diabetes (28.1% vs 33.3%) in comparing improved with clinical deterioration patients. In general, it was verified a significant decrease in platelet number (p = 0.0426), and an increase in the parameters of aPTT (0.0084), CRP (p = 0.0450), vWF antigen (p = 0.0022) and ristocetin cofactor (p = 0.0032). Conclusion: Our results demonstrate that hemostasis activation is associated with clinical deterioration even at the early phases of Covid-19. The Ethics Research Committee of the University of Campinas approved all of the experimental procedures, and all individuals signed the informed consent form.

9.
Disaster Med Public Health Prep ; : 1-6, 2022 Mar 25.
Article in English | MEDLINE | ID: covidwho-1764087

ABSTRACT

OBJECTIVE: The huge explosion that occurred at Beirut Port led to a high number of casualties. Consequently, 7 field hospitals (FHs) were deployed in Lebanon. The purpose of this study is to explore the challenges that emergency medical teams (EMTs) faced and explain the gaps at the national level related to deploying a FH. METHODS: A qualitative study was conducted. To collect the data, semi-structured interviews were done with 8 key informants (5 from the FHs, 2 from Lebanese Army Forces, and 1 from Ministry of Public Health). In this study, purposive sampling was used and data were analyzed using Braun and Clarke (2006) thematic analysis and MAXQDA software. RESULTS: Three major themes (logistical challenges, staff challenges, and coronavirus disease [COVID-19] pandemic) and 10 subthemes emerged for the challenges that EMTs faced. The gaps at the national level were categorized into 2 themes (absence of needs-based response and limited effective coordination between the host country and donor countries) and 5 sub-themes. CONCLUSION: Lebanon focuses on response rather than preparedness for disasters. EMTs that arrived didn't meet the medical needs. Hence, there is a need to strengthen the national capacities and to ensure better communication and coordination between the disaster-affected country and the EMTs.

10.
Open Forum Infectious Diseases ; 8(SUPPL 1):S312, 2021.
Article in English | EMBASE | ID: covidwho-1746572

ABSTRACT

Background. In April 2021, Sunnybrook Health Sciences Centre opened a Mobile Health Unit (MHU, i.e. medical tents) under the direction of the Ontario Ministry of Health and Long Term Care in response to a surge in hospitalized patients with COVID-19 during wave three of the pandemic. Providing care to patients in non-conventional spaces is not new, however, experience in safely caring for COVID-19 patients in these settings is lacking. Our aim is to describe the implementation of our MHU and associated outcomes of these COVID-19 patients. Methods. A multidisciplinary clinical and operations team was created to plan, execute and operate a safe environment for COVID-19 patients and healthcare workers within the MHU. Patient selection was restricted to patients with COVID-19 who were clinically recovering from severe COVID-19 pneumonia. Ventilation was optimized with air flow directed away from patient areas, velocity reduced to below 0.25 meters per second, and air exchanges of 24-28 per hour. All healthcare workers working in the MHU were offered COVID-19 vaccine and required to complete mandatory education if they declined (vaccination rate of 87% was achieved among dedicated staff). Universal masking and eye protection was used throughout the MHU with designated areas for donning and doffing personal protective equipment. Results. In total, 32 patients with COVID-19 were managed in the MHU between 26 April and 21 May, 2021. Table 1 provides the summary of patient characteristics. All patients had a median of one-day of transmission-based precautions remaining in their course and were infected with Alpha variant with exception of one patient with the Gamma variant. Among those patients with genotyping available, all were infected with SARS-CoV-2 carrying the N501Y mutation. Four of the 32 patients required transfer to the main hospital for medical indication while the others were discharged home or to rehabilitation. None of the healthcare workers who worked within the MHU developed COVID-19 infection. Conclusion. We safely cared for patients recovering from COVID-19 infection in an MHU to support system healthcare capacity. Our experience, including the specific hierarchy of controls implemented, may be helpful for future pandemic planning.

11.
25th International Computer Science and Engineering Conference, ICSEC 2021 ; : 319-324, 2021.
Article in English | Scopus | ID: covidwho-1722920

ABSTRACT

In this article, a mobile robot for item delivery with tele-operation capability is developed and used in the field hospital. The user is able to control the robot and communicate with the patients via an web-App on a cloud server. The robots are deployed and tested on-site in a large size field hospital, while the workload of the robot is studied and planned by using simulation approach. However, the difficulties on actual implementation have arise due to the working condition and risk of infection. These take into account in the development and deployment phases of the system. © 2021 IEEE.

12.
Afr J Prim Health Care Fam Med ; 13(1): e1-e9, 2021 Dec 09.
Article in English | MEDLINE | ID: covidwho-1580227

ABSTRACT

BACKGROUND: The coronavirus pandemic has put extreme pressure on health care services in South Africa. AIM: To describe the design, patients and outcomes of a field hospital during the first wave of the coronavirus disease 2019 (COVID-19) pandemic. SETTING: The Cape Town International Convention Centre was the first location in Cape Town to be commissioned as a field hospital that would serve as an intermediate care bed facility. METHODS: This was a retrospective descriptive study of patients admitted to this facility between 8th June 2020 and 14th August 2020 using deidentified data extracted from patient records. RESULTS: There were 1502 patients admitted, 56.4% female, with a mean age of 58.6 years (standard deviation [s.d.]: 14.2). The majority of patients (82.9%) had at least one comorbidity, whilst 15.4% had three or more. Nearly 80.0% (79.8%) of patients required oxygen and 63.5% received steroids, and only 5.7% of patients were required to be transferred for escalation of care. The mean length of stay was 6 days (s.d.: 4.8) with an overall mortality of 5.7%. CONCLUSION: This study highlights the role of a field hospital in providing surge capacity. Its use halved the predicted duration of stay at acute care hospitals, allowing them the capacity to manage more unstable and critical patients. Adaptability and responsivity as well as adequate referral platforms proved to be crucial. Daily communication with the whole health care service platform was a critical success factor. This study provides information to assist future health planning and strategy development in the current pandemic and future disease outbreaks.


Subject(s)
COVID-19 , Female , Humans , Male , Middle Aged , Mobile Health Units , Retrospective Studies , SARS-CoV-2 , South Africa/epidemiology , United States
13.
Microbiol Spectr ; 9(3): e0100821, 2021 12 22.
Article in English | MEDLINE | ID: covidwho-1546470

ABSTRACT

Rapid antigen tests are simple to perform and provide results within 15 min. We describe our implementation and assess performance of the BinaxNOW COVID-19 Antigen Test (Abbott Laboratories) in 6,099 adults at a self-referred walk-up testing site. Participants were grouped by self-reported COVID-19 exposure and symptom status. Most (89%) were asymptomatic, of whom 17% reported potential exposure. Overall test sensitivity compared with reference laboratory reverse-transcription [RT] PCR testing was 81% (95% confidence interval [CI] 75%, 86%). It was higher in symptomatic (87%; 95% CI 80%, 91%) than asymptomatic (71%; 95% CI 61%, 80%) individuals. Sensitivity was 82% (95% CI 66%, 91%) for asymptomatic individuals with potential exposure and 64% (95% CI 51%, 76%) for those with no exposure. Specificity was greater than 99% for all groups. BinaxNOW has high accuracy among symptomatic individuals and is below the FDA threshold for emergency use authorization in asymptomatic individuals. Nonetheless, rapid antigen testing quickly identifies positive among those with symptoms and/or close contact exposure and could expedite isolation and treatment. IMPORTANCE The BinaxNOW rapid antigen COVID-19 test had a sensitivity of 87% in symptomatic and 71% asymptomatic individuals when performed by health care workers in a high-throughput setting. The performance may expedite isolation decisions or referrals for time-sensitive monoclonal antibody treatment in communities where timely COVID PCR tests are unavailable.


Subject(s)
Antigens, Viral/analysis , COVID-19 Testing/methods , COVID-19/diagnosis , SARS-CoV-2 , Adult , Asymptomatic Diseases , Female , Humans , Male , Mobile Health Units , Point-of-Care Testing , Polymerase Chain Reaction , Sensitivity and Specificity
14.
Int J Environ Res Public Health ; 18(23)2021 11 30.
Article in English | MEDLINE | ID: covidwho-1542558

ABSTRACT

This study aims to analyze the patient characteristics and factors related to clinical outcomes in the crisis management of the COVID-19 pandemic in a field hospital. We conducted retrospective analysis of patient clinical data from March 2020 to August 2021 at the first university-based field hospital in Thailand. Multivariable logistic regression models were used to evaluate the factors associated with the field hospital discharge destination. Of a total of 3685 COVID-19 patients, 53.6% were women, with the median age of 30 years. General workers accounted for 97.5% of patients, while 2.5% were healthcare workers. Most of the patients were exposed to coronavirus from the community (84.6%). At the study end point, no patients had died, 97.7% had been discharged home, and 2.3% had been transferred to designated high-level hospitals due to their condition worsening. In multivariable logistic regression analysis, older patients with one or more underlying diseases who showed symptoms of COVID-19 and whose chest X-rays showed signs of pneumonia were in a worse condition than other patients. In conclusion, the university-based field hospital has the potential to fill acute gaps and prevent public agencies from being overwhelmed during crisis events.


Subject(s)
COVID-19 , Adult , Female , Health Personnel , Humans , Pandemics , Retrospective Studies , SARS-CoV-2
15.
JRSM Open ; 12(10): 20542704211046435, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1458414

ABSTRACT

OBJECTIVES: COVID-19 temporary emergency 'field' hospitals have been established in the UK to support the surge capacity of the National Health Service while protecting the community from onward infection. We described the population of one such hospital and investigated the impact of frailty on clinical outcomes. DESIGN: Cohort study. SETTING: NHS Nightingale Hospital North West, April-June 2020. PARTICIPANTS: All in-patients with COVID-19. MAIN OUTCOME MEASURES: Mortality and duration of admission. METHODS: We analysed factors associated with mortality using logistic regression and admission duration using Cox's regression, and described trends in frailty prevalence over time using linear regression. RESULTS: A total of 104 COVID-19 patients were admitted, 74% with moderate-to-severe frailty (clinical frailty score, CFS > 5). A total of 84 were discharged, 14 transferred to other hospitals, and six died on site. High C-reactive protein (CRP) > 50 mg/dL predicted 30-day mortality (adjusted odds ratio 11.9, 95%CI 3.2-51.5, p < 0.001). Patients with CFS > 5 had a 10-day median admission, versus 7-day for CFS ≤ 5 and half the likelihood of discharge on a given day (adjusted hazard ratio 0.51, 95%CI 0.29-0.92, p = 0.024). CRP > 50 mg/dL and hospital-associated COVID-19 also predicted admission duration. As more frail patients had a lower rate of discharge, prevalence of CFS > 5 increased from 64% initially to 90% in the final week (non-zero slope p < 0.001). Conclusions: The NNW population was characterized by high levels of frailty, which increased over the course of the hospital's operation, with subsequent operational implications. Identifying and responding to the needs of this population, and acknowledging the risks of this unusual clinical context, helped the hospital to keep patients safe.

16.
Orv Hetil ; 162(40): 1591-1600, 2021 10 03.
Article in Hungarian | MEDLINE | ID: covidwho-1448615

ABSTRACT

Összefoglaló. Bevezetés: A COVID-19-pandémia okozta nagyfokú betegszám-növekedés ellátásának érdekében az egészségügyi rendszerek gyakran a kórházak teljes átszervezésére kényszerültek. A szakállomány gyors és hatékony felzárkóztatása kulcsfontosságú ilyen körülmények között. A telepített kórházi egységek személyzetének felkészítésére a virtuális valóságban levezetheto csoportos gyakorlatozás ígéretes módszernek mutatkozik. Célkituzés: Célunk egy telepített kórház személyzetének felkészítésére alkalmazott virtuális szimulációs gyakorlatsorozat tapasztalatainak bemutatása, valamint a létrehozott és kipróbált virtuális gyakorlatcsomagok adaptálási lehetoségeinek elméleti bemutatása a COVID-19-kórházak személyzetének gyors felzárkóztatását szolgáló gyakorlatsorozat lehetséges kivitelezése érdekében. Módszer: Három, prototípusként eloállított virtuális gyakorlat került alkalmazásba két próbatanfolyam keretén belül. A virtuális színterek kialakítására az XVR szimulációs szoftvert használtuk. A gyakorlatok alkalmazhatóságának és hasznosságának kiértékelésére anonim kérdoíves felméréseket készítettünk. Az adatok feldolgozásában kereszttábla-elemzést és khi-négyzet-próbát alkalmaztunk. Eredmények: A két próbaképzésen nyolc ország képviseletében összesen 76 gyakornok vett részt. A résztvevok 63,9%-a szerint a módszer alkalmas ilyen jellegu gyakorlatok levezetésére, de további fejlesztéseket igényel. Véleményük, hogy technikai használata "elég könnyen" elsajátítható (59,7%), és interaktív (90,32%), valósághu (45,0%) szimulációs közeget biztosít. Megbeszélés: Eredményeink alapján a virtuális valóság egy alkalmazható módszer a telepített kórházak szakállományának valós bevetésekre való felkészítésére. A létrehozott virtuális gyakorlatcsomagok tartalma és szerkezete könnyen adaptálható egy COVID-19 ideiglenes egészségügyi egység sajátos munkakörülményeihez való gyors személyzeti felzárkóztatást szolgáló muhelygyakorlatok megszervezéséhez. Következtetés: A virtuális valóság ígéretes oktatási eszköz, amely kiegészítheti a nagy költségekkel és bonyolult szervezéssel járó terepgyakorlatokat, megközelítve azok oktatási hatásfokát. A virtuális térben megélt tapasztalatok valós szakmai élményekké alakulnak, és hozzájárulnak egy biztonságos és hatékony munkaközeg gyors kialakításához. Orv Hetil. 2021; 162(40): 1591-1600. INTRODUCTION: COVID-19 pandemic imposed sudden increase in hospital admissions, thus medical systems needed to reorganize entire hospitals quite often. Quick and efficient training is of outmost importance. Virtual reality team training is a promising tool for newly organized hospital units' staff. OBJECTIVE: Our goal was to present the usefulness and applicability of virtual simulation exercises for training of field hospital personnel and to evaluate the adaptability of these created and tested exercise packs for urgent staff training of COVID-19 hospitals. METHOD: Three prototypes of virtual reality exercises were assessed through two test courses. XVR simulation software was used to create virtual environments. Evaluation of exercise applicability and utility was performed by anonymous questionnaires. Statistical data-processing was performed using contingency table and chi-square tests. RESULTS: 76 trainees from eight countries participated in the two pilot courses. 63.9% of the participants stated that the method is suitable for conducting such exercises, but needs further development. Its technical use is "easy enough" to learn (59.7%) and provides an interactive (90.32%) and realistic (45.0%) working environment. DISCUSSION: Virtual reality is applicable to train field hospital staffs for real missions. The created virtual exercise packages are easily adaptable, both in content and structure, to workshops dedicated for quick training of specific COVID-19 temporary medical facility's personnel. CONCLUSION: Virtual reality is a promising educational tool that can complement the expensive and laborious field exercises, with comparable training efficiency. These virtual reality experiences may become real professional memories and create swiftly a secure and efficient professional milieu. Orv Hetil. 2021; 160(40): 1591-1600.


Subject(s)
COVID-19 , Virtual Reality , Hospitals , Humans , Hungary , Mobile Health Units , Pandemics , SARS-CoV-2
17.
Rev Infirm ; 70(273): 39-40, 2021.
Article in French | MEDLINE | ID: covidwho-1354020

ABSTRACT

In March 2020, Covid-19, caused by the severe acute respiratory syndrome coronavirus 2, struck the Haut-Rhin region with extreme violence, overwhelming hospitals and requiring the massive opening of new resuscitation beds. The military resuscitation element of the French military health service was deployed for the first time in Mulhouse (68), in eastern France. Alsace-Lorraine, a European crossroads and the birthplace of European institutions, was once again at the heart of history. Perspectives.


Subject(s)
COVID-19 , Military Personnel , Europe , France , Humans , SARS-CoV-2
18.
Int J Environ Res Public Health ; 18(14)2021 07 12.
Article in English | MEDLINE | ID: covidwho-1308353

ABSTRACT

Military field hospitals typically provide essential medical care in combat zones. In recent years, the United States (US) Army has deployed these facilities to assist domestic humanitarian emergency and natural disaster response efforts. As part of the nation's whole-of-government approach to the coronavirus disease (COVID-19) pandemic, directed by the Federal Emergency Management Agency and the Department of Health and Human Services, during New York City's (NYC) initial surge of COVID-19, from 26 March to 1 May 2020, the US Army erected the Javits New York Medical Station (JNYMS) field hospital to support the city's overwhelmed healthcare system. The JNYMS tasked a nutrition operations team (NuOp) to provide patient meals and clinical nutrition evaluations to convalescent COVID-19 patients. However, few guidelines were available for conducting emergency nutrition and dietary response efforts prior to the field hospital's opening. In this case study, we summarize the experiences of the NuOp at the JNYMS field hospital, to disseminate the best practices for future field hospital deployments. We then explain the challenges in service performance, due to information, personnel, supply, and equipment shortages. We conclude by describing the nutrition service protocols that have been implemented to overcome these challenges, including creating a standardized recordkeeping system for patient nutrition information, developing a meal tracking system to forecast meal requirements with food service contractors, and establishing a training and staffing model for military-to-civilian command transition. We highlight the need for a standardized humanitarian emergency nutrition service response framework and propose a Nutrition Response Toolkit for Humanitarian Crises, which offers low-cost, easily adaptable operational protocols for implementation in future field hospital deployments.


Subject(s)
COVID-19 , Humans , New York , New York City , Pandemics , SARS-CoV-2 , United States , Workforce
20.
Disaster Med Public Health Prep ; : 1-5, 2021 Mar 25.
Article in English | MEDLINE | ID: covidwho-1217645

ABSTRACT

OBJECTIVES: Coronavirus disease (COVID-19) has been identified as an acute respiratory illness leading to severe acute respiratory distress syndrome. As the disease spread, demands on health care systems increased, specifically the need to expand hospital capacity. Alternative care hospitals (ACHs) have been used to mitigate these issues; however, establishing an ACH has many challenges. The goal of this session was to perform systems testing, using a simulation-based evaluation to identify areas in need of improvement. METHODS: Four simulation cases were designed to depict common and high acuity situations encountered in the ACH, using a high technology simulator and standardized patient. A multidisciplinary observer group was given debriefing forms listing the objectives, critical actions, and specific areas to focus their attention. These forms were compiled for data collection. RESULTS: Logistical, operational, and patient safety issues were identified during the simulation and compiled into a simulation event report. Proposed solutions and protocol changes were made in response to the identified issues. CONCLUSION: Simulation was successfully used for systems testing, supporting efforts to maximize patient care and provider safety in a rapidly developed ACH. The simulation event report identified operational deficiencies and safety concerns directly resulting in equipment modifications and protocol changes.

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