PMC:7163184 / 5003-6543 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7163184","sourcedb":"PMC","sourceid":"7163184","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7163184","text":"Surge capacity and triage\nIn the event of overwhelming circumstances owing to patient numbers and staff, bed, and resource scarcity, we need to fall back to trauma training and the scenarios of mass casualty. Recovery rooms may be used for patient bedding, preoperative areas can be used for staff berthing, and each OR, equipped with its own medical gas, suction, and ventilator, is a potential ICU bed. Many types of PPE, particularly N95 respirators and surgical masks, can and should be worn for the duration of your shift and reused after appropriate cleaning for multiple days, if not overtly soiled.3 Critical to avoiding being overwhelmed is proper triage. Patients who can go home should never be admitted. Under dire circumstances, the most difficult decision may be labeling a living patient (likely critically ill or with major comorbidities) moribund and moving on to the next patient with a greater chance of survival.\nIn conclusion, the COVID-19 pandemic continues to wreak havoc on our providers, medical systems, economy, and populace. But as the saying goes, crisis creates opportunity. In this case, the opportunity for us as a surgical community is to lead by applying our lessons learned from combat, trauma, and critical care patient management and to take an active role in triage, resource allocation, contingency planning, and even in the care of the gravely ill patient. The alternative is to sit on the sidelines and be marginalized for a nonsurgical problem when our nation, hospitals, and patients need us 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