Michał Dudek, Zbigniew Putowski, Robert Latacz, Robert Kijanka, K. Nadolny, W. Gaszyński
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THE FUNCTIONING OF EMERGENCY DEPARTMENTS DURING THE FIRST WAVE OF THE COVID-19 PANDEMIC
Aim: Emergency Departments (EDs) work organization is a significant challenge for the medical personnel managing them. Space limitations and architectural differences between individual hospitals still existing in many places are one of the main reasons for such a state. The resulting diversity of communication routes, the distribution of particular areas, and the variety of bed resources are only among the many factors hindering the unification of the organization of ED work on a national scale. The “first wave” of the SARS-CoV-2 pandemic had a significant impact on the daily functioning of these departments, which resulted, among others, from the necessity to isolate patients with COVID-19, which should have been carried out according to top-down recommendations. These recommendations imposed specific organizational and logistic solutions on the EDs, including, in particular, the formation of isolation zones for patients suffering from a new infectious disease while maintaining the continuity of providing services to patients not suffering from COVID-19. Their implementation, in the context of the significant diversity of the existing organization of EDs, was, therefore, a challenging task requiring “individual” adaptation of each ED to new, even more, difficult working conditions. This article discusses the related challenges in the ED functioning during the first wave of the COVID-19 pandemic.