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Optimizing the trauma resuscitation bay during the covid-19 pandemic
  1. David Hugh Livingston1,
  2. Stephanie Bonne1,
  3. Catherin Morello2,
  4. Adam Fox1
  1. 1 Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
  2. 2 Emergency Department, Eric Munoz Trauma Center, Newark, New Jersey, USA
  1. Correspondence to Dr David Hugh Livingston, Surgery, Rutgers-New Jersey Medical School, Newark, NJ 07103, USA; livingst{at}rutgers.edu

Abstract

The covid-19 global pandemic due to the SARS-CoV2 (CoV2) virus has created the need to adapt hospital workspaces and staffing models, and trauma is no exception. While the optimal configuration of a trauma resuscitation area is debatable, the space needs to be large enough to accommodate the trauma team and ancillary staff. It also needs to have ready access to supplies and equipment to quickly and easily control hemorrhage, secure an airway and initiate fluid resuscitation. Lastly, stores of personal protective equipment in the form of fluid resistant gowns, head covering, face shield, and gloves (both sterile and non-sterile) should be readily available but under strict access. As CoV2 carriers increased in our population in New Jersey, we treated each incoming trauma patient as a potentially CoV2-positive case and sought to reconfigure out trauma resuscitation area to minimize exposure of our supplies to aerosolized virus.

  • disasters
  • body fluids
  • emergency treatment
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This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors All authors participated in the planning of the project and editing of the document.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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