A global survey of emergency department responses to the COVID-19 pandemic

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EMERGE NETWORK , Mahajan , P , Shu-Ling , C , Gutierrez , C , White , E , Cher , B A Y , Freiheit , E , Belle , A , Kaartinen , J , Kumar , V A , Middleton , P M , Ng , C J , Osei-Kwame , D , Roth , D , Sinja , T P , Galwankar , S , Nypaver , M , Kuppermann , N & EKelund , U 2021 , ' A global survey of emergency department responses to the COVID-19 pandemic ' , Western Journal of Emergency Medicine , vol. 22 , no. 5 , pp. 1037-1044 . https://doi.org/10.5811/WESTJEM.2021.3.50358

Title: A global survey of emergency department responses to the COVID-19 pandemic
Author: EMERGE NETWORK; Mahajan, Prashant; Shu-Ling, Chong; Gutierrez, Camilo; White, Emily; Cher, Benjamin A.Y.; Freiheit, Elizabeth; Belle, Apoorva; Kaartinen, Johanna; Kumar, Vijaya Arun; Middleton, Paul M.; Ng, Chip Jin; Osei-Kwame, Daniel; Roth, Dominik; Sinja, Tej Prakash; Galwankar, Sagar; Nypaver, Michele; Kuppermann, Nathan; EKelund, Ulf
Contributor organization: Helsinki University Hospital Area
University of Helsinki
HUS Emergency Medicine and Services
Date: 2021-09
Language: eng
Number of pages: 9
Belongs to series: Western Journal of Emergency Medicine
ISSN: 1936-900X
DOI: https://doi.org/10.5811/WESTJEM.2021.3.50358
URI: http://hdl.handle.net/10138/335275
Abstract: Introduction: Emergency departments (ED) globally are addressing the coronavirus disease 2019 (COVID-19) pandemic with varying degrees of success. We leveraged the 17-country, Emergency Medicine Education & Research by Global Experts (EMERGE) network and non-EMERGE ED contacts to understand ED emergency preparedness and practices globally when combating the COVID-19 pandemic. Methods: We electronically surveyed EMERGE and non-EMERGE EDs from April 3-June 1, 2020 on ED capacity, pandemic preparedness plans, triage methods, staffing, supplies, and communication practices. The survey was available in English, Mandarin Chinese, and Spanish to optimize participation. We analyzed survey responses using descriptive statistics. Results: 74/129 (57%) EDs from 28 countries in all six World Health Organization global regions responded. Most EDs were in Asia (49%), followed by North America (28%), and Europe (14%). Nearly all EDs (97%) developed and implemented protocols for screening, testing, and treating patients with suspected COVID-19 infections. Sixty percent responded that provider staffing/back-up plans were ineffective. Many sites (47/74, 64%) reported staff missing work due to possible illness with the highest provider proportion of COVID-19 exposures and infections among nurses. Conclusion: Despite having disaster plans in place, ED pandemic preparedness and response continue to be a challenge. Global emergency research networks are vital for generating and disseminating large-scale event data, which is particularly important during a pandemic.
Description: Publisher Copyright: © 2021 Mahajan et al. This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License.
Subject: 3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion

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