When the coronavirus pandemic begins to subside, hospital leaders will be sorting out the repercussions and trying to resume normal operations. The main impact on ORs has been the widespread cancellation of non-essential procedures. Case cancellations in March and April have reduced elective procedure volumes as much as 90%. Most…

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Editor's Note The American College of Surgeons (ACS) on April 17 announced that the ACS, AORN, American Society of Anesthesiologists (ASA), and American Hospital Association (AHA) together developed a roadmap to guide readiness, prioritization, and scheduling for safely resuming elective surgery. Highlights of the roadmap include: Implementing a policy for…

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Editor' Note The American College of Surgeons (ACS) on April 17 released a new document, “Local Resumption of Elective Surgery Guidance,” to help healthcare facilities prepare to resume elective surgery once COVID-19 has peaked in their area. The document includes four categories: COVID Awareness—addresses the community’s COVID-19 numbers, including prevalence,…

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Editor's Note: The Centers for Medicare & Medicaid Services (CMS) on April 19 issued recommendations on how hospitals and healthcare systems can protect their staff and patients as they reopen for nonemergent care. The new recommendations update earlier guidance on limiting nonessential surgical and medical procedures and are specifically targeted…

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Editor's Note Researcher at the University of Chicago have developed a new scoring system that helps surgeons across all specialties decide when to proceed with necessary surgical procedures in the face of resource constraints and increased risks posed by COVID-19. The process, called Medically Necessary, Time-Sensitive (MeNTS) prioritization, was created…

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Editor's Note In this study, Elizabeth Wick, MD, and colleagues at the University of California at San Francisco develop a surgery-triage plan to reduce OR volume and manage healthcare resources during the COVID-19 pandemic. Their comprehensive rapid response plan included: Reducing OR volume by 80% to ensure adequate capacity to…

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Editor's Note ECRI Institute and RLDatix announced April 13 a new collaboration to provide free empathetic communication and caring for the caregiver training programs. The first program will be an April 16 webcast that combines the clinical side of the COVID-19 battle (the head) with the need to provide emotional…

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Editor's Note This study from the University of Pennsylvania, Philadelphia, finds that a susceptible, infected, removed (SIR) epidemic model can be adapted to local population characteristics to inform hospital planning for epidemic-related surges in hospital capacity. Using COVID-19 patients only, the SIR model estimated that it would be 31 to…

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Editor's Note As hospitals face a surge of COVID-19 patients, the ability for them to care for trauma cases and medical and surgical emergencies is severely compromised. Because of this, the American College of Surgeons (ACS) on April 7 issued a statement calling for strategies to preserve capacity and capability…

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Editor's Note In this study from Seoul, South Korea, both surgical and cotton masks were ineffective in preventing the dissemination of SARS-CoV-2, from coughs of patients with COVID-19 to the environment and external mask surface. For the study, four patients with COVID-19 were admitted to negative pressure isolation rooms and…

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