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. 2020 Aug 22;30(11):4519–4528. doi: 10.1007/s11695-020-04910-9
PHASES TO CONSIDER DURING THE EVOLUTION OF THE PANDEMIC
PHASES I (almost normal) II (mild alert) III (medium alert) IV (high alert) V (emergency)
% COVID patients hospitalized in regular ward and ICU <5% 5-25% 25-50% 50-75% >75%
Emergency care triage No Yes (patients with respiratory symptoms vs others)
Human resources and supplies No impact No impact but resources are reserved, given the pandemic Impact on resources with hospital floors and ICU beds reserved for the pandemic Impact on resources and health professionals Significant impact with limited ICU beds and ventilatory support resources
Surgical activities Normal Oncological urgencies (if escalation is ascending, consider phase III); preferably benign (only consider if in descending phase) Oncological urgencies (no surgeries in at least three months, could compromise survival; no neoadjuvant option as an alternative; no need for prolonged stays in ICU) Urgencies Nondeferrable urgencies and after a preoperative triage based on the ethics committee