@article{ref1,
title="The CoViD-19 pandemic: lessons learned for sustained trauma preparedness and responses",
journal="Annals of surgery",
year="2020",
author="Cuschieri, Joseph and Robinson, Bryce and Lynch, John and Mitchell, Steve and Arbabi, Saman and Bryson, Chloe and Sayre, Michael and Maier, Ronald V. and Bulger, Eileen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The emergence of coronavirus disease 2019 (COVID-19) that is caused by the SARS-CoV-2 virus has led to an overwhelming strain on healthcare delivery. This  pandemic has created a sustained stress on the modern healthcare system, with  unforeseen and potential drastic effects. Although the initial focus during this  pandemic has been preparedness and response directed to the pandemic itself,  traumatic injury has continued to remain a common problem that requires immediate  evaluation and care to provide optimal outcomes. The State of Washington had the  first reported case and death related to COVID-19 in the United States. Harborview  Medical Center, which serves as the sole Level-1 adult and pediatric trauma center  for the state, was rapidly affected by COVID-19, but still needed to maintain  preparedness and responses to injured patients for the region. Although initially  the focus was on the emerging pandemic on institutional factors, it became obvious  that sustained efforts for regional trauma care required a more global focus. Because of these factors, Harborview Medical Center was quickly entrusted to serve  as the coordinating center for the regions COVID-19 response, while also continuing  to provide optimal care for injured patients during the pandemic. This response  allowed the care of injured patients to be maintained within designated trauma  centers during this pandemic. This present report summarizes the evolution of trauma  care delivery during the first phase of this pandemic and provides informative  recommendations for sustained responses to the care of injured patients during the  pandemic based on lessons learned during the initial response.<p /> <p>Language: en</p>",
language="en",
issn="0003-4932",
doi="10.1097/SLA.0000000000004695",
url="http://dx.doi.org/10.1097/SLA.0000000000004695"
}