Caring for Patients at a COVID‐19 Field Hospital

Chaudhary, Mihir; Howell, Eric; Ficke, James R.; Loffredo, Alexandra; Wortman, Laura; Benton, Grace M; Deol, Gurmehar S.; Kantsiper, Melinda E.

doi:10.12788/jhm.3551

Cited by 14 publications

(27 citation statements)

References 16 publications

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“…While not exhaustive, our case report is one of the first public reports documenting the experience in setting up a food and nutrition unit during the pandemic. This study adds to a growing body of literature on the best practices disseminated by medical staff assisting metropolitan field hospitals worldwide [ 60 , 61 ]. For example, staff from the Baltimore Convention Center Field Hospital provide a four-step framework for rapid response when managing decompensating COVID-19 patients [ 60 ].…”

Section: Discussion: a Call To Actionmentioning

confidence: 99%

“…This study adds to a growing body of literature on the best practices disseminated by medical staff assisting metropolitan field hospitals worldwide [ 60 , 61 ]. For example, staff from the Baltimore Convention Center Field Hospital provide a four-step framework for rapid response when managing decompensating COVID-19 patients [ 60 ]. This protocol established a unified communication system for standardizing emergency responses and stabilizing rapidly decompensating patients with minimal personalized protective equipment (PPE) [ 60 ].…”

Section: Discussion: a Call To Actionmentioning

confidence: 99%

“…For example, staff from the Baltimore Convention Center Field Hospital provide a four-step framework for rapid response when managing decompensating COVID-19 patients [ 60 ]. This protocol established a unified communication system for standardizing emergency responses and stabilizing rapidly decompensating patients with minimal personalized protective equipment (PPE) [ 60 ]. Alternatively, Smith et al established a triage rehabilitation care framework for acute care patients, whose disease-driven impairments result in functional deficits [ 61 ].…”

Section: Discussion: a Call To Actionmentioning

confidence: 99%

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Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station

Sanchez

Gelfand

Perkins

et al. 2021

IJERPH

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Military field hospitals typically provide essential medical care in combat zones. In recent years, the United States (US) Army has deployed these facilities to assist domestic humanitarian emergency and natural disaster response efforts. As part of the nation’s whole-of-government approach to the coronavirus disease (COVID-19) pandemic, directed by the Federal Emergency Management Agency and the Department of Health and Human Services, during New York City’s (NYC) initial surge of COVID-19, from 26 March to 1 May 2020, the US Army erected the Javits New York Medical Station (JNYMS) field hospital to support the city’s overwhelmed healthcare system. The JNYMS tasked a nutrition operations team (NuOp) to provide patient meals and clinical nutrition evaluations to convalescent COVID-19 patients. However, few guidelines were available for conducting emergency nutrition and dietary response efforts prior to the field hospital’s opening. In this case study, we summarize the experiences of the NuOp at the JNYMS field hospital, to disseminate the best practices for future field hospital deployments. We then explain the challenges in service performance, due to information, personnel, supply, and equipment shortages. We conclude by describing the nutrition service protocols that have been implemented to overcome these challenges, including creating a standardized recordkeeping system for patient nutrition information, developing a meal tracking system to forecast meal requirements with food service contractors, and establishing a training and staffing model for military-to-civilian command transition. We highlight the need for a standardized humanitarian emergency nutrition service response framework and propose a Nutrition Response Toolkit for Humanitarian Crises, which offers low-cost, easily adaptable operational protocols for implementation in future field hospital deployments.

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Section: Discussion: a Call To Actionmentioning

confidence: 99%

Section: Discussion: a Call To Actionmentioning

confidence: 99%

Section: Discussion: a Call To Actionmentioning

confidence: 99%

See 1 more Smart Citation

Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station

Sanchez

Gelfand

Perkins

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…Vancouver, in Canadian British Columbia, is home to a field hospital with 270 beds in its convention center, staffed in part, by hospitalists 12 . One of the longest running ACSs in the United States is the 250 bed Baltimore Convention Center Field Hospital (BCCFH), where the Chief Medical Officer (CMO), the associate CMO, and multiple medical directors are hospitalists 13 . These hospitalist leaders developed admission criteria and care processes to provide medical care on site until patients are ready for discharge 12 , and BCCFH also offers COVID-19 testing, monoclonal antibody infusion, and vaccine administration.…”

Section: Hospitalists Developing and Providing Leadership At Alternate Care Sitesmentioning

confidence: 99%

Hospitalists and their roles in the COVID-2019 pandemic in the United States and beyond

Washburn¹,

Gundareddy²,

Kisuule³

2021

SJMED

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“…Although the BCCFH is a "closed unit," the hospital has experienced patients and even staff bringing in contraband, leading to the risk of patient overdose. To address this issue, BCCFH medical directors created rapid response drills and trained staff, including providers, nurses, support staff, and security personnel, to recognize and respond to opioid overdose (Chaudhary, 2021). 9 At discharge, patients with OUD are given a naloxone kit.…”

Section: Overview Of Sud Treatment At the Bccfhmentioning

confidence: 99%

Treating an Epidemic During a Pandemic: Experience Treating Opioid Use Disorder at the Baltimore Convention Center Field Hospital

Chamberlain¹,

Siddiqui

Chaudhary

et al. 2021

Disaster med. public health prep.

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During the COVID-19 pandemic, access to addiction treatment has plummeted. At the same time, patients with opioid use disorder are at higher risk for COVID-19 infection and experience worse outcomes. The Baltimore Convention Center Field Hospital (BCCFH), a state-run COVID-19 disaster hospital operated by Johns Hopkins Medicine and the University of Maryland Medical System, continues to operate 14 months into the pandemic to serve as an overflow unit for the state’s hospitals. BCCFH staff observed the demand for opioid use disorder care and developed admission criteria, a pharmacy formulary, and case management procedures to meet this need. This article describes generalized lessons from the BCCFH experience treating substance use disorder during a pandemic.

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Caring for Patients at a COVID‐19 Field Hospital

Cited by 14 publications

References 16 publications

Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station

Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station

Hospitalists and their roles in the COVID-2019 pandemic in the United States and beyond

Treating an Epidemic During a Pandemic: Experience Treating Opioid Use Disorder at the Baltimore Convention Center Field Hospital

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