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Processes for Trauma Care at Six Level I Trauma Centers During the COVID-19 Pandemic.
J Healthc Qual ; 43(1): 3-12, 2021.
Article in English | MEDLINE | ID: covidwho-1039763
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Wounds and Injuries PROCESS_OF Patients
Subject
Wounds and Injuries
Predicate
PROCESS_OF
Object
Patients
3. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
4. Wounds and Injuries PROCESS_OF Patients
Subject
Wounds and Injuries
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

INTRODUCTION:

As the COVID-19 pandemic spread, patient care guidelines were published and elective surgeries postponed. However, trauma admissions are not scheduled and cannot be postponed. There is a paucity of information available on continuing trauma care during the pandemic. The study purpose was to describe multicenter trauma care process changes made during the COVID-19 pandemic.

METHODS:

This descriptive survey summarized the response to the COVID-19 pandemic at six Level I trauma centers. The survey was completed in 05/2020. Questions were asked about personal protective equipment, ventilators, intensive care unit (ICU) beds, and negative pressure rooms. Data were summarized as proportions.

RESULTS:

The survey took an average of 5 days. Sixty-seven percent reused N-95 respirators; 50% sanitized them with 25% using ultraviolet light. One hospital (17%) had regional resources impacted. Thirty-three percent created ventilator allocation protocols. Most hospitals (83%) designated more beds to the ICU; 50% of hospitals designated an ICU for COVID-19 patients. COVID-19 patients were isolated in negative pressure rooms at all hospitals.

CONCLUSIONS:

In response to the COVID-19 pandemic, Level I trauma centers created processes to provide optimal trauma patient care and still protect providers. Other centers can use the processes described to continue care of trauma patients during the COVID-19 pandemic.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Trauma Centers / Critical Care / COVID-19 / Intensive Care Units Type of study: Clinical Practice Guide / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: J Healthc Qual Journal subject: Health Services Research Year: 2021 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Trauma Centers / Critical Care / COVID-19 / Intensive Care Units Type of study: Clinical Practice Guide / Qualitative research Limits: Humans Country/Region as subject: North America Language: English Journal: J Healthc Qual Journal subject: Health Services Research Year: 2021 Document Type: Article