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Open Access

Optimizing the trauma resuscitation bay during the covid-19 pandemic

David Hugh Livingston, Stephanie Bonne, Catherin Morello, Adam Fox
DOI: 10.1136/tsaco-2020-000488 Published 21 April 2020
David Hugh Livingston
1 Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
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Stephanie Bonne
1 Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
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Catherin Morello
2 Emergency Department, Eric Munoz Trauma Center, Newark, New Jersey, USA
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Adam Fox
1 Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA
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    Figure 1

    Individual trauma bay after removing all supplies from shelves and equipment. Mayo stand with single patient supplies in lieu of standard nursing cart.

  • Figure 2
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    Figure 2

    Trauma resuscitation area with clearly delineated hot (red tape), warm (yellow tape) and cold zones. Transfer table is present in the warm zone with all other easily accessible supplies in the cold area.

  • Figure 3
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    Figure 3

    Close up of the supplies for stationed for each case. Individually bagged intravenous and phlebotomy tubes, extra masks for patient, underbody absorbent pad and disposable stethoscope.

  • Figure 4
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    Figure 4

    Trauma team awaiting level 1 activations, multiple gunshot wounds. Due to potential severity of activation, team consists of chief and midlevel trauma residents, a senior emergency medicine resident and trauma nurse. Trauma attending staff is present in the cold zone as team leader and readily available but not gowned and gloved to conserve PPE. Equipment carts (A)) at each end of the trauma resuscitation area. The main supply (red arrow), PPE carts (purple P) and airway cart (not visualized) are kept centrally.

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    Figure 5

    Dedicated airway cart.

  • Figure 6
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    Figure 6

    Equipment cart with tube thoracotomy supplies, syringes, commonly used sutures, suction tubing and procedure tray (bottom shelf). These small portable carts allow easy access to resuscitations supplies to be passed into the hot zone.

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Optimizing the trauma resuscitation bay during the covid-19 pandemic
David Hugh Livingston, Stephanie Bonne, Catherin Morello, Adam Fox
Trauma Surg Acute Care Open Apr 2020, 5 (1) e000488; DOI: 10.1136/tsaco-2020-000488

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Optimizing the trauma resuscitation bay during the covid-19 pandemic
David Hugh Livingston, Stephanie Bonne, Catherin Morello, Adam Fox
Trauma Surg Acute Care Open Apr 2020, 5 (1) e000488; DOI: 10.1136/tsaco-2020-000488
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Optimizing the trauma resuscitation bay during the covid-19 pandemic
David Hugh Livingston, Stephanie Bonne, Catherin Morello, Adam Fox
Trauma Surgery & Acute Care Open Apr 2020, 5 (1) e000488; DOI: 10.1136/tsaco-2020-000488
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