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Crisis clinical pathway for COVID-19.
Suh, Edward Hyun; Bodnar, David J; Melville, Laura D; Sharma, Manish; Farmer, Brenna M.
  • Suh EH; Department of Emergency Medicine, NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, New York, USA ehs2109@columbia.edu.
  • Bodnar DJ; Department of Emergency Medicine, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA.
  • Melville LD; Department of Emergency Medicine, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA.
  • Sharma M; Department of Emergency Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA.
  • Farmer BM; Department of Emergency Medicine, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA.
Emerg Med J ; 37(11): 700-704, 2020 Nov.
Article in English | MEDLINE | ID: covidwho-760265
ABSTRACT
The pandemic of COVID-19 has been particularly severe in the New York City area, which has had one of the highest concentrations of cases in the USA. In March 2020, the EDs of New York-Presbyterian Hospital, a 10-hospital health system in the region, began to experience a rapid surge in patients with COVID-19 symptoms. Emergency physicians were faced with a disease that they knew little about that quickly overwhelmed resources. A significant amount of attention has been placed on the problem of limited supply of ventilators and intensive care beds for critically ill patients in the setting of the ongoing global pandemic. Relatively less has been given to the issue that precedes it the demand on resources posed by patients who are not yet critically ill but are unwell enough to seek care in the ED. We describe here how at one institution, a cross-campus ED physician working group produced a care pathway to guide clinicians and ensure the fair and effective allocation of resources in the setting of the developing public health crisis. This 'crisis clinical pathway' focused on using clinical evaluation for medical decision making and maximising benefit to patients throughout the system.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Critical Pathways / Resource Allocation / Emergency Service, Hospital Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Emerg Med J Journal subject: Emergency Medicine Year: 2020 Document Type: Article Affiliation country: Emermed-2020-209933

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Critical Pathways / Resource Allocation / Emergency Service, Hospital Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Emerg Med J Journal subject: Emergency Medicine Year: 2020 Document Type: Article Affiliation country: Emermed-2020-209933