Hospital preparedness for mass critical care during SARS-CoV-2 pandemic

被引:27
|
作者
Wurmb, Thomas [1 ,2 ]
Scholtes, Katja [1 ,3 ]
Kolibay, Felix [1 ,4 ]
Schorscher, Nora [2 ]
Ertl, Georg [5 ]
Ernestus, Ralf-Ingo [5 ]
Vogel, Ulrich [5 ,6 ]
Franke, Axel [7 ]
Kowalzik, Barbara [8 ]
机构
[1] DAKEP eV, German Soc Hosp Disaster Response Planning & Cris, Cologne, Germany
[2] Univ Hosp Wuerzburg, Dept Anaesthesia & Crit Care, Sect Emergency & Disaster Relief Med, Oberduerrbacherstr 6, D-97080 Wurzburg, Germany
[3] Hosp City Cologne, Staff Unit Hosp Alarm & Emergency Planning & Cris, Cologne, Germany
[4] Univ Hosp Cologne, Staff Dept Clin Affairs & Crisis Management, Cologne, Germany
[5] Univ Hosp Wuerzburg, Wurzburg, Germany
[6] Univ Wurzburg, Infect Control Team, Inst Hyg & Microbiol, Wurzburg, Germany
[7] German Armed Forces Cent Hosp Koblenz, Dept Trauma Surg & Orthopaed Reconstruct Surg Han, Koblenz, Germany
[8] Fed Off Civil Protect & Disaster Assistance, Bonn, Germany
关键词
Mass critical care; Disaster response; SARS-CoV-2; Hospital emergency plan;
D O I
10.1186/s13054-020-03104-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Mass critical care caused by the severe acute respiratory syndrome corona virus 2 pandemic poses an extreme challenge to hospitals. The primary goal of hospital disaster preparedness and response is to maintain conventional or contingency care for as long as possible. Crisis care must be delayed as long as possible by appropriate measures. Increasing the intensive care unit (ICU) capacities is essential. In order to adjust surge capacity, the reduction of planned, elective patient care is an adequate response. However, this involves numerous problems that must be solved with a sense of proportion. This paper summarises preparedness and response measures recommended to acute care hospitals.
引用
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页数:6
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