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Management of Adult Inpatient Otolaryngologic Consultations During the COVID-19 Pandemic: A Proposed Tier-Based
Adnan S Hussaini1, Christine M Clark1, Atur A Patel1
1Department of Otolaryngology-Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Insights
This study introduces a structured algorithm for otolaryngology consults during the COVID-19 pandemic. It aims to protect healthcare workers and patients by prioritizing urgent cases while maintaining quality care.
Area of Science:
- Medicine
- Otolaryngology
- Public Health
Background:
- The COVID-19 pandemic severely impacted healthcare systems globally.
- Otolaryngologists face challenges in managing diverse inpatient consultations.
- Limited guidance exists on adapting otolaryngology practice during pandemics.
Purpose of the Study:
- To present a structured algorithm for triaging otolaryngology inpatient consults during the COVID-19 pandemic.
- To minimize infectious spread and protect clinicians.
- To ensure the preservation of high-quality patient care.
Main Methods:
- Development of a structured triage algorithm for otolaryngology consults.
- Consideration of practical and ethical aspects of managing consults.
- Focus on time-sensitive and urgent cases.
Main Results:
- The proposed algorithm facilitates rapid triage of otolaryngology consults.
- It aids in minimizing exposure risks for patients and healthcare professionals.
- The approach supports the continuation of essential patient care.
Conclusions:
- A structured triage algorithm is crucial for otolaryngology during pandemics.
- This strategy balances infection control with the need for timely medical intervention.
- Practical and ethical considerations are vital for successful implementation.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic has placed tremendous strain on health care systems, leading to unprecedented challenges and obstacles in the delivery of patient care. Otolaryngologists are frequently called on for inpatient consultations for an array of pathologies, ranging from chronic benign conditions to acutely life-threatening processes. Professional otolaryngologic societies across the world have proposed limiting patient care to time-sensitive and urgent matters; however, limited literature is available to describe how this transient change in philosophy may translate to clinical practice. Here we present a structured algorithm that allows for rapid triage of otolaryngologic consults during the ongoing pandemic, in efforts to minimize infectious spread and protect clinicians while preserving high-quality patient care. Considerations for managing these consults are presented, with a commentary on practical and ethical considerations.
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