Medical Surge
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A medical surge occurs when "patient volumes challenge or exceed a hospital's servicing capacity"—often but not always tied to high volume of patients in a hospital's
emergency room An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of pati ...
. Medical surges can occur after a mass casualty incident. In a poll by the
American College of Emergency Physicians The American College of Emergency Physicians (ACEP) is a professional organization of emergency medicine physicians in the United States. The organization was founded August 16, 1968, by eight physicians in Lansing, Michigan. ACEP established t ...
(ACEP) in May 2018, 93% of doctors said their US emergency rooms were not fully prepared for medical surges. 6% said their emergency departments were fully prepared.


Hospital preparation

Some hospitals, such as San Francisco General Hospital, have medical surge exercises to train staff.


Medical Surge Capacity

In February 2019, the American Hospital Association released a report that medical surge capacity was one of four major challenges threatening rural hospitals' ability to provide care, along with the "opioid epidemic," violence in the community, and cyber threats. According to the U.S. Department of Health & Human Services, medical surge capacity is "the ability to evaluate increased volume of patients .The requirements of surge may extend beyond direct patient care to include such tasks as extensive laboratory studies or epidemiological investigations. This is related to patients volume and identifying numbers of hospital beds, personnel, supplies, and equipment should be identified and addressed."


Medical Surge Capability

According to the U.S. Department of Health & Human Services, medical surge capability required "special intervention to protect medical providers, other patients, and the integrity of the HCO. This is also the ability to manage patients requiring specialized medical care and evaluation." Notable examples include influxes of patients with
SARS Severe acute respiratory syndrome (SARS) is a viral respiratory disease of zoonotic origin caused by the severe acute respiratory syndrome coronavirus (SARS-CoV or SARS-CoV-1), the first identified strain of the SARS coronavirus species, ''seve ...
.


References

{{DEFAULTSORT:Medical surge Traumatology Emergency medicine Triage Disaster medicine