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Lessons Learned From Implementing Rehabilitation at a COVID-19 Field Hospital.

Kevin H McLaughlin1, Lauren Simon, Michael Friedman

  • 1From the Department of Physical Medicine and Rehabilitation, The Johns Hopkins University, Baltimore, Maryland (KHM, LS, MF, ZKS); Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland (JRF); and Division of Hospital Medicine, The Johns Hopkins Bayview Medical Center, Baltimore, Maryland (MEK).

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This summary is machine-generated.

Rehabilitation experts in COVID-19 field hospitals can improve patient mobility and home discharges. Innovative strategies, including staff training and triage systems, maximize rehabilitation impact during health crises.

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Area of Science:

  • Rehabilitation Medicine
  • Infectious Disease Management
  • Healthcare Operations

Background:

  • COVID-19 surges led to field hospitals with limited rehabilitation resources.
  • Hospitalized COVID-19 patients face risks of debility and discharge challenges.
  • Effective rehabilitation is crucial for patient recovery and reducing hospital burden.

Purpose of the Study:

  • To describe the implementation of a rehabilitation team in a COVID-19 field hospital.
  • To outline innovative strategies for maximizing patient mobility and home discharges.
  • To identify barriers and provide recommendations for rehabilitation in field hospital settings.

Main Methods:

  • Implementation of a small rehabilitation expert team in a field hospital.
  • Training nonclinical staff to support patient activity and mobility.
  • Utilizing a rehabilitation triage system for efficient patient assessment and resource allocation.

Main Results:

  • Successful strategies enhanced patient activity, mobility, and timely discharge.
  • Maximized patient discharge to home settings.
  • Identified key barriers and facilitators for rehabilitation implementation in crisis settings.

Conclusions:

  • Small rehabilitation teams can effectively serve COVID-19 field hospitals with innovative strategies.
  • Training nonclinical staff and using triage systems are vital for resource optimization.
  • Recommendations are provided for future rehabilitation efforts during health crises.