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The Incident Management Response of the Emergency Departments in Belgium During the First Wave of the COVID-19 Pandemic

Published online by Cambridge University Press:  04 August 2021

Ruben M Haesendonck*
Affiliation:
Emergency Department, ZOL Hospital, Genk, Belgium
Tinne Verhoogen
Affiliation:
Emergency Department, University Hospital Leuven, Belgium
Luc JM Mortelmans
Affiliation:
Emergency Department, ZNA Campus Stuivenberg, Antwerp, Belgium Research group on Emergency and Disaster Medicine, VUB, Brussels, Belgium
Didier Desruelles
Affiliation:
Emergency Department, University Hospital Leuven, Belgium
Patrick Van De Voorde
Affiliation:
Emergency Department, University HospitalGhent, Belgium Federal Department of HealthBelgium
Marc B Sabbe
Affiliation:
Emergency Department, University Hospital Leuven, Belgium
*
Corresponding author: Ruben Haesendonck, Email: rubenhaesendonck@msn.com.

Abstract

The COVID-19 pandemic has demonstrated that emergency departments (EDs) need to reorganize their operations rapidly. This study investigated the impact of the pandemic on structural and logistical issues at EDs and the measures taken. Belgian EDs were surveyed on the implemented changes at the start of the pandemic in relation to the 4 S’s in disaster medicine: Structure, Staff, Supplies, and System. The study demonstrated that Belgian EDs felt largely unprepared for this pandemic, but nevertheless dynamically restructured their organization. A 46% increase in ED beds was created in different types of structures and more than 50% of all ED beds were reserved for COVID-19 care, but overall the number of patient presentations dropped by 29%. EDs deployed extra personnel, additional training, and psychological support. More than 50% reported an acute shortage of personal protective equipment, and several reported a shortage of ventilatory equipment and medications.

Type
Report from the Field
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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References

Dugas, AF, Morton, M, Beard, R, et al. Interventions to mitigate emergency department and hospital crowding during an infectious respiratory disease outbreak: results from an expert panel. PLoS Curr. 2013;5:ecurrents.dis.1f277e0d2bf80f4b2bb1dd5f63a13993.Google Scholar
Scarfone, RJ, Coffin, S, Fieldston, ES, Falkowski, G, Cooney, MG, Grenfell, S. Hospital-based pandemic influenza preparedness and response: Strategies to increase surge capacity. Pediatr Emerg Care. 2011;27(6):565-572.CrossRefGoogle ScholarPubMed
Möckel, M, Bachmann, U, Behringer, W, Pfäfflin, F, Stegemann, MS. How emergency departments prepare for virus disease outbreaks like COVID-19. Eur J Emerg Med. 2020;27(3):161-162.Google ScholarPubMed
The Federal Public Service (FPS) Health, Food Chain Safety and Environment, Belgium. Health. www.gezondheidbelgie.be. Published 2020. Accessed March 13, 2021.Google Scholar
Paganini, M, Conti, A, Weinstein, E, Della Corte, F, Ragazzoni, L. Translating COVID-19 pandemic surge theory to practice in the emergency department: How to expand structure. Disaster Med Public Health Prep. 2020;14(4):541-550.Google ScholarPubMed
Tujjar, O, Simonelli, M. Absenteeism of frontline healthcare workers during COVID-19: The need for a framework of support [published online ahead of print, 2020 Oct 28]. SN Compr Clin Med. 2020;1-3.Google Scholar
Bressan, S, Buonsenso, D, Farrugia, R, et al. Preparedness and response to pediatric COVID-19 in european emergency departments: A survey of the REPEM and PERUKI Networks. Ann Emerg Med. 2020;76(6):788-800.Google ScholarPubMed
World Health Organization (WHO). Shortage of personal protective equipment endangering health workers worldwide. https://www.who.int/news/item/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide. Accessed March 1, 2021.Google Scholar
World Health Organization (WHO) . Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19) - Interim guidance. https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf. Accessed March 1, 2021.Google Scholar
Barten, DG, Latten, GHP, van Osch, FHM. Reduced emergency department utilization during the early phase of the COVID-19 pandemic: Viral fear or lockdown effect? [published online ahead of print, 2020 Aug 12]. Disaster Med Public Health Prep. 2020;1-4.Google Scholar
Man, CY, Yeung, RS, Chung, JY, Cameron, PA. Impact of SARS on an emergency department in Hong Kong. Emerg Med (Fremantle). 2003;15(5-6):418-422.CrossRefGoogle Scholar
Giamello, JD, Abram, S, Bernardi, S, Lauria, G. The emergency department in the COVID-19 era. Who are we missing?. Eur J Emerg Med. 2020;27(4):305-306.Google ScholarPubMed
Weinstein, E, Ragazzoni, L, Burkle, F, Allen, M, Hogan, D, Della Corte, F. Delayed primary and specialty care: The coronavirus disease-2019 pandemic second wave. Disaster Med Public Health Prep. 2020;14(3):e19-e21.CrossRefGoogle ScholarPubMed
AlAssaf, W. Challenges in pandemic disaster preparedness: Experience of a Saudi academic medical center [published online ahead of print, 2020 Sep 7]. Disaster Med Public Health Prep. 2020;1-5.CrossRefGoogle Scholar