The coronavirus disease 2019 (COVID-19) pandemic has rapidly evolved and now dominates the attention and full efforts of the emergency medicine community, both domestic and abroad. Seattle is the site of the initial diagnosed COVID-19 cases and fatalities in the United States. We provide an overview of the system-level response of 6 Seattle emergency departments and the Washington state chapter of the American College of Emergency Physicians (ACEP) to the COVID-19 pandemic. Local efforts involved the spectrum of emergency response including on-and off-site triage strategies, an approach to personal protective equipment, testing and reporting protocols, early treatments, communication strategies, the impact on front-line providers, and ongoing work. K E Y W O R D S coronavirus, COVID-19, disaster medicine, emergency preparedness, pandemic, Seattle
The loss of appendages immediately following a moult shortens the subsequent intermoult interval in adult Thermobia domestica. The loss of increasing numbers of appendages accelerates the ensuing moult incrementally. Leg amputation at sites distal to the trochanter-femoral autotomy plane has comparable effects in accelerating the moult. Functional legs regenerated at the first moult following amputation are at least 80% of normal length, while abdominal cerci are regenerated at a slower pace, attaining about 20% of normal length at the first post-operative moult. Scale loss also causes an acceleration of the following moult. It is proposed that changes in diffuse sensory input, rather than specific proprioceptive feedback, mediate the acceleration of the moult cycle.
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