{"pk":14660,"title":"A Global Survey of Emergency Department Responses to the COVID-19 Pandemic","subtitle":null,"abstract":"Introduction:\n 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.\nMethods:\n 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.\nResults:\n 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.\nConclusion:\n 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.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"COVID 19"},{"word":"Pandemic"},{"word":"Global Pandemic Preparedness"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sx5893n","frozenauthors":[{"first_name":"Prashant","middle_name":"","last_name":"Mahajan","name_suffix":"","institution":"University of Michigan, Departments of Emergency Medicine and Pediatrics, Ann Arbor, Michigan","department":"None"},{"first_name":"Chong","middle_name":"","last_name":"Shu-Ling","name_suffix":"","institution":"KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore","department":"None"},{"first_name":"Camilo","middle_name":"","last_name":"Gutierrez","name_suffix":"","institution":"George Washington University School of Medicine and Health Sciences, Departments of Emergency Medicine and Pediatrics, Washington, District of Columbia","department":"None"},{"first_name":"Emily","middle_name":"","last_name":"White","name_suffix":"","institution":"University of Michigan, SABER, Ann Arbor, Michigan","department":"None"},{"first_name":"Benjamin","middle_name":"A.Y.","last_name":"Cher","name_suffix":"","institution":"University of Michigan Medical School, Ann Arbor, Michigan","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Freiheit","name_suffix":"","institution":"University of Michigan, SABER, Ann Arbor, Michigan","department":"None"},{"first_name":"Apoorva","middle_name":"","last_name":"Belle","name_suffix":"","institution":"University of Michigan EMERGE, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Johanna","middle_name":"","last_name":"Kaartinen","name_suffix":"","institution":"University of Helsinki/Helsinki University Hospital, Department of Emergency Medicine and Services, Helsinki, Finland","department":"None"},{"first_name":"Vijaya Arun","middle_name":"","last_name":"Kumar","name_suffix":"","institution":"Wayne State University, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Paul","middle_name":"M.","last_name":"Middleton","name_suffix":"","institution":"South Western Emergency Research Institute, Department of Emergency Medicine, Liverpool, England","department":"None"},{"first_name":"Chip Jin","middle_name":"","last_name":"Ng","name_suffix":"","institution":"Chang Gung Memorial Hospital, Department of Emergency Medicine, Taoyuan City, Taiwan","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Osei-Kwame","name_suffix":"","institution":"Komfo Anokye Teaching Hospital, Department of Emergency Medicine, Kumasi, Ghana","department":"None"},{"first_name":"Dominik","middle_name":"","last_name":"Roth","name_suffix":"","institution":"Medical University of Vienna, Department of Emergency Medicine, Vienna, Austria","department":"None"},{"first_name":"Tej Prakash","middle_name":"","last_name":"Sinha","name_suffix":"","institution":"All India Institute of Medical Sciences, Department of Emergency Medicine, New Delhi, India","department":"None"},{"first_name":"Sagar","middle_name":"","last_name":"Galwankar","name_suffix":"","institution":"Sarasota Memorial Hospital, Department of Emergency Medicine, Sarasota, Florida","department":"None"},{"first_name":"Michele","middle_name":"","last_name":"Nypaver","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Nathan","middle_name":"","last_name":"Kuppermann","name_suffix":"","institution":"University of California, Davis School of Medicine, Departments of Emergency Medicine and Pediatrics, Davis, California","department":"None"},{"first_name":"Ulf","middle_name":"","last_name":"Ekelund","name_suffix":"","institution":"Skane University at Lund, Department of Emergency Medicine, Lund, Sweden","department":"None"}],"date_submitted":"2020-10-20T09:53:59-04:00","date_accepted":"2020-10-20T09:53:59-04:00","date_published":"2021-08-21T22:34:47-04:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14660/galley/7476/download/"}]}