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Hospital Disaster Preparation Confronts COVID Hospitalist Groups Should Have Emergency Response Plans

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Hospital Disaster Preparation Confronts COVID Hospitalist Groups Should Have Emergency Response Plans August 2021 PRACTICE MANAGEMENT IN THE LITERATURE DIAGNOSTIC TESTS Volume 25 l No. 8 HM adminstrators’ plans CPR in patients with POCUS for heart p3 for the future p18 COVID-19 p22 failure Hospital disaster preparation confronts COVID Hospitalist groups should have emergency response plans By Larry Beresford ason Persoff, MD, SFHM, now a hospitalist at University of Colorado Hospital in Aurora and an amateur storm chaser, got a close look at how natural disasters can impact hospital care Jwhen a tornado destroyed St. John’s Regional Medical Center in Joplin, Mo., on May 22, 2011. He and a colleague who had been following the storm responded to injuries on the highway before reporting for a long day’s service at the other hospital in Joplin, Freeman Hospital West, caring for patients transferred from St. John’s on an impromptu unit without access to their medical records. “During my medical training, I had done emergency medicine as an EMT, so I was interested in how the system responds to emergencies,” he explained. “At Joplin I learned how it feels when the boots on the ground in a crisis are not connected to an incident command structure.” Another thing he learned was the essential role for hospitalists in a hospital’s re- sponse to a crisis – and thus the need to involve them well in advance in the hospital’s planning for future emergencies. “Disaster preparation – when done right – helps you ‘herd cats’ in a crisis situation,” he said. “The tornado and its wake served as defining moments for me. I used them as the impetus to improve health care’s re- sponse to disasters.” Part of that commitment was to help hospitalists understand their part in emergency preparation. Dr. Persoff is now the assistant medical director of emergency preparedness at University of Colorado Dr. Maria Frank is a hospitalist at Hospital. He also helped to create a position called Denver Health Hospital Authority physician support supervisor, which is filled by physi- and associate professor at the cians who have held leadership positions in a hospital University of Colorado. to help coordinate the disparate needs of all clinicians ® in a crisis and facilitate rapid response. COURTESY DENVER HEALTH the-hospitalist.org Continued on page 16 COMMENTARY HOSPITALIST INSIGHT Taru Saigal, MD Sareer Zia, MD, MBA p6 Essential strategies for p30 Hospital medicine and the 500 PERMIT caring for LEP patients. future of smart care. Denville, NJ 07834-3000 NJ Denville, PA HARRISBURG PAID P.O. Box 3000, 3000, Box P.O. POSTAGE U.S. CHANGE SERVICE REQUESTED SERVICE CHANGE THE HOSPITALIST THE STD PRSRT COMMENTARY August 2021 Volume 25 l No. 8 ‘If only you knew’ PHYSICIAN EDITOR THE SOCIETY OF HOSPITAL MEDICINE Weijen W. Chang, MD, SFHM, FAAP Phone: 800-843-3360 [email protected] Fax: 267-702-2690 Website: www.HospitalMedicine.org By Swati Mehta, MD, FACP Patient: PEDIATRIC EDITOR Anika Kumar, MD, FHM, FAAP Chief Executive Officer You take time to ask about my fami- [email protected] Eric E. Howell, MD, MHM Patient: ly, about what I like to do COORDINATING EDITORS Alone in the Emergency Dept, I tell you all about Beatles & my Alan Hall, MD Director of Communications THE FUTURE HOSPITALIST Brett Radler breathless, I wait for you sweet grandkids [email protected] “The Hospitalist will admit you” says You sit & ask me “what matters most Keri Holmes-Maybank, MD, FHM the nurse, “she will come in a few.” to you” INTERPRETING DIAGNOSTIC TESTS Communications Specialist Muffled voices – masked faces bus- I reply: getting well for the wedding CONTRIBUTING WRITERS Myles Daigneault Larry Beresford; Ajay Bhasin, MD; Megan [email protected] tle in & out of the room of my daughter “Sue” Brooks, MD, MPH, FHM; Jack Chase, MD, Loud beeping machines & the FAAFP, FHM; Steve Cimino; Chadi Cortas, SHM BOARD OF DIRECTORS rushed pace, fill me with gloom Physician: MD; Faye Farber, MD; J. Henry Feng, MD; President You walk in the room, lean in to in- I sense loneliness engulfing you at Herrick “Cricket” Fisher, MD, MPhil; Jerome C. Siy, MD, MHA, SFHM Esteban Gershanik, MD, MPH, MMSc, President-Elect troduce times FHM; Teena Hadvani, MD, FAAP; Danielle Rachel Thompson, MD, MPH, SFHM You tell me your name and what you Your fear and anxiety, I promise to Halpern, MD; Lubna Khawaja, MD, FHM; Treasurer will do help overcome Marina Kishlyansky, DO; Michelle A. Lopez, Kris Rehm, MD, SFHM MD, MPH, FAAP; Yasmin Marcantonio, MD; Secretary For a moment I’m more than a diag- I will help you navigate this complex Swati Mehta, MD, FACP; Shree Menon, Flora Kisuule, MD, MPH, SFHM nosis, an H&P, hospital stay MD; Jose R. Mercado, MD; Brent Mothner, Immediate Past President and then the fleeting connection Together we will fight this virus or MD, FAAP; Elizabeth Petersen, MD; Ricardo Danielle Scheurer, MD, MSCR, SFHM Quinonez, MD, FHM, FAAP; Sarah Ludwig Board of Directors passes, can’t you see? anything that comes our way Rausch; Taru Saigal, MD; Adam C. Schaffer, Tracy Cardin, ACNP-BC, SFHM You listen, seem hurried, but I think Each passing minute the line be- MD, MPH; Myrna Katalina Serna, MD; Bryce Gartland, MD, SFHM you care tween doctor and patient disap- Poonam Sharma, MD, SFHM; Laura Smith, Efren C. Manjarrez, MD, SFHM MD; Shela Sridhar, MD; Neil Stafford, MD; Mark W. Shen, MD, SFHM Would you sit with me while my sto- pears Ann-Marie Tantoco, MD, FAAP, FHM; Vicki Darlene Tad-y, MD, SFHM ry I share? That’s when we win over this virus, Uremovich, DO, FAAP; Adam Wachter, Chad T. Whelan, MD, MHSA, SFHM and hope replaces fear MD; Qian Ye, MD; Sareer Zia, MD, MBA Robert P. Zipper, MD, MMM, SFHM Physician: FRONTLINE MEDICAL FRONTLINE MEDICAL I do see you, I feel your fear & an- Patient: COMMUNICATIONS EDITORIAL STAFF Executive Editor Kathy Scarbeck, MA COMMUNICATIONS ADVERTISING STAFF guish Every day you come see me, tell me Editor Richard Pizzi Senior Director Business Development A moment to know you too, is all my numbers are improving Creative Director Louise A. Koenig Angelique Ricci, 973-206-2335 that I wish I notice your warm and kind eyes Director, Production/Manufacturing cell 917-526-0383 [email protected] Rebecca Slebodnik Recruitment Sales Representative How do I convince you that I truly behind that stifling mask Linda Wilson, 973-290-8243 care? When they light up as you tell me EDITORIAL ADVISORY BOARD Hyung (Harry) Cho, MD, SFHM; Marina [email protected] When, with all my tasks I have only I’m going home soon S. Farah, MD, MHA; Ilaria Gadalla, DMSc, Senior Director of Classified Sales minutes to spare I feel assured I mean more to you, PA-C; James Kim, MD; Ponon Dileep Tim LaPella, 484-921-5001 than a mere task Kumar, MD, FACP, CPE; Shyam Odeti, MD, cell 610-506-3474 [email protected] MS, FHM; Venkataraman Palabindala, MD, Patient: SFHM; Tiffani M. Panek, MA, SFHM, CLHM; Advertising Offices 7 Century Drive, Adhikari Ramesh, MD, MS; Raj Sehgal, Suite 302, Parsippany, NJ 07054-4609 You diligently ask questions from Physician: 973-206-3434, fax 973-206-9378 your checklist of H.P.I., Each day I visit, together we hum MD, FHM; Kranthi Sitammagari, MD; Amith Skandhan, MD, FHM; Lonika Sood, MD, Finalizing the diagnosis, when I hear “here comes the sun” FACP, FHM; Amit Vashist, MD, FACP your pager beep. I too open up and share with you, An admission awaits I know, but my favorite Beatles song please sit by my side Our visits cover much more than THE HOSPITALIST is the official newspaper of the THE HOSPITALIST (ISSN 1553-085X) is published Society of Hospital Medicine, reporting on issues monthly for the Society of Hospital Medicine by Could we make our new-found clinical medicine and trends in hospital medicine. THE HOSPITALIST Frontline Medical Communications Inc., 7 Century meeting, a little more deep? True connection & mutual soul heal- reaches more than 35,000 hospitalists, physician Drive, Suite 302, Parsippany, NJ 07054-4609. Print assistants, nurse practitioners, medical residents, and subscriptions are free for Society of Hospital Medi- ing begins, before long. health care administrators interested in the practice cine members. Annual paid subscriptions are avail- Physician: and business of hospital medicine. Content for able to all others for the following rates: THE HOSPITALIST is provided by Frontline Medical The minute our day begins, it’s go- Patient: Communications. Content for the Society Pages is Individual: Domestic – $195 (One Year), go-go Today is the day, grateful to go provided by the Society of Hospital Medicine. $360 (Two Years), $520 (Three Years), Canada/Mexico – $285 (One Year), $525 (Two Years), There isn’t a second to pause, inhale, home, Copyright 2021 Society of Hospital Medicine. All $790 (Three Years), Other Nations - Surface – $350 or be slow My body may be healed due to all rights reserved. No part of this publication may be (One Year), $680 (Two Years), $995 (Three Years), reproduced, stored, or transmitted in any form or by Other Nations - Air – $450 (One Year), $875 (Two Missed lunch, it’s 6 p.m., bite to eat I the medicine & potions, any means and without the prior permission in writing Years), $1,325 (Three Years) dare? But my bruised soul was healed due from the copyright holder. The ideas and opinions expressed in The Hospitalist do not necessarily Institution: United States – $400; My shift ended 3 hrs. back but I’m to all your kind emotions. reflect those of the Society or the Publisher. The Canada/Mexico – $485 All Other Nations – $565 still here Society of Hospital Medicine and Frontline Medical Student/Resident: $55 Communications will not assume responsibility for Notes, DC summaries, calls to your Time to bid adieu Dear Doc – If damages, loss, or claims of any kind arising from Single Issue: Current – $35 (US), $45 (Canada/ PCP I meet you at our local grocery or related to the information contained in this Mexico), $60 (All Other Nations) Back Issue – $45 publication, including any claims related to the (US), $60 (Canada/Mexico), $70 (All Other Nations) Advocating for you, is more than a store, products, drugs, or services mentioned herein.
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