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SPECIAL ARTICLE   Open accessopen access

Italian Journal of Emergency Medicine 2020 August;9(2):93-101

DOI: 10.23736/S2532-1285.20.00034-8

Copyright © 2020 THE AUTHORS

This is an open access article distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.

language: English

Lodi’s experience in handling the first COVID-19 hotbed in Europe

Stefano PAGLIA 1 , Enrico STORTI 1, Pietro BISAGNI 1, Piergiuseppe FERRARI 1, Anna MANELLI 1, Fanny DELFANTI 1, Carlo MAINARDI 1, Sara MARTINENGHI 1, Francesca M. CÒ 1, Mirko DI CAPUA 1, Mattia TANTARDINI 2, Ilaria SPERANZA 2

1 ASST Lodi, Lodi, Italy; 2 Moxoff S.p.A., Milan, Italy

Lombardy region and particularly Lodi area has been deeply hit by COVID-19 outbreak during the last decade of February 2020. On February 20th, in Codogno Hospital the first Coronavirus positive patient has been found. In this article the events sequence and all the logistic and organizational issues related will be accurately reviewed. Given the critical situation and the over-crowded scenario, the Emergency Department (ED) has been heavily reshaped in order to face and overcome the crisis. This new configuration has allowed to treat a huge number of patients straight in the ED, providing to all the other wards, more specifically to the Step-down Unit and ICU, to get ready accordingly. Due to this organizational plan we were able to manage about 300 ventilated patients and up to 24 patients simultaneously in 24 hours in the ED. Nevertheless, the mortality rate was not significantly different from what observed in the other Hospitals wards. Moreover, it will be described the way the Crisis Unit, specifically set up in that period, has ruled all the changes of every single ward to accomplish the main adjustments needed to manage a large number of patients showing up at the same time.

KEY WORDS: Coronavirus; COVID-19; Emergency medical services; Hospitalization

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