Preliminary pragmatic lessons from the SARS-CoV-2 pandemic from France - 20/05/20

Doi : 10.1016/j.accpm.2020.05.005

Tobias Gauss ^a,^{^{1
For the SFAR's ACUTE (Anaesthesia and Critical Care for Emergency Surgery and Trauma) committee. (members: Benjamin Bijok, Xavier Bobbia, Guillaume Bouhours, Thomas Clavier, Fabrice Cook, Romain Jouffroy, Antoine Lamblin, Pierre Lanot, Pierre Pasquier, Sébastien Perbet, Bertrand Prunet, Claire Roger, Tobias Gauss and Julien Potteche.}}, Pierre Pasquier ^b,^{^{1
For the SFAR's ACUTE (Anaesthesia and Critical Care for Emergency Surgery and Trauma) committee. (members: Benjamin Bijok, Xavier Bobbia, Guillaume Bouhours, Thomas Clavier, Fabrice Cook, Romain Jouffroy, Antoine Lamblin, Pierre Lanot, Pierre Pasquier, Sébastien Perbet, Bertrand Prunet, Claire Roger, Tobias Gauss and Julien Potteche.}}, Olivier Joannes-Boyau ^c,^{^{2
For the SFAR's REANIMATION committee (members: Bernard Allaouchiche, Belaid Bouhemad, Fanny Vardon Bounes, Claire Dahyot Fizelier, Laurent Heyer, Yoann Launey, Jordi Miatello, Nicolas Mongardon, Ségolène Mrozek, Antoine Virat, Jean-Michel Constantin, Olivier Langeron, Antoine Roquilly and Olivier Joannes Boyau).}}, Jean-Michel Constantin ^d,^{^{2
For the SFAR's REANIMATION committee (members: Bernard Allaouchiche, Belaid Bouhemad, Fanny Vardon Bounes, Claire Dahyot Fizelier, Laurent Heyer, Yoann Launey, Jordi Miatello, Nicolas Mongardon, Ségolène Mrozek, Antoine Virat, Jean-Michel Constantin, Olivier Langeron, Antoine Roquilly and Olivier Joannes Boyau).}}, Olivier Langeron ^e,^{^{2
For the SFAR's REANIMATION committee (members: Bernard Allaouchiche, Belaid Bouhemad, Fanny Vardon Bounes, Claire Dahyot Fizelier, Laurent Heyer, Yoann Launey, Jordi Miatello, Nicolas Mongardon, Ségolène Mrozek, Antoine Virat, Jean-Michel Constantin, Olivier Langeron, Antoine Roquilly and Olivier Joannes Boyau).}}, Pierre Bouzat ^f,^{^{1
For the SFAR's ACUTE (Anaesthesia and Critical Care for Emergency Surgery and Trauma) committee. (members: Benjamin Bijok, Xavier Bobbia, Guillaume Bouhours, Thomas Clavier, Fabrice Cook, Romain Jouffroy, Antoine Lamblin, Pierre Lanot, Pierre Pasquier, Sébastien Perbet, Bertrand Prunet, Claire Roger, Tobias Gauss and Julien Potteche.}}, Julien Pottecher ^g,^{^{1
For the SFAR's ACUTE (Anaesthesia and Critical Care for Emergency Surgery and Trauma) committee. (members: Benjamin Bijok, Xavier Bobbia, Guillaume Bouhours, Thomas Clavier, Fabrice Cook, Romain Jouffroy, Antoine Lamblin, Pierre Lanot, Pierre Pasquier, Sébastien Perbet, Bertrand Prunet, Claire Roger, Tobias Gauss and Julien Potteche.},}⁎
^a Anesthésie-Réanimation, Hôpital Beaujon, DMU PARABOL AP-HP Nord, Université de Paris, Paris, France
^b Percy Military Training Hospital, Clamart, France Val-de-Grâce French Military Medical Academy, Paris, France
^c Service d’Anesthésie-Réanimation Sud, Centre Médico-Chirurgical Magellan, Centre Hospitalier Universitaire (CHU) de Bordeaux, 33000 Bordeaux, France
^d Réanimation Chirurgicale et Polyvalente, Département d’Anesthésie-Réanimation, Hôpital Universitaire Pitié-Salpêtrière, Paris, France
^e Department of Anaesthesia and Intensive Care, Henri Mondor University Hospital, Assistance Publique Hôpitaux de Paris, Université Paris-Est Créteil, France
^f Grenoble Alps Trauma centre, Grenoble University Hospital, Grenoble Alps University, 38000 Grenoble, France
^g Service d’Anesthésie-Réanimation & Médecine Péri-Opératoire, Hôpitaux Universitaires de Strasbourg–FMTS, Université de Strasbourg, Strasbourg, France

^⁎Corresponding author at: Hôpitaux Universitaires de Strasbourg, Pôle d’anesthésie-réanimation et médecine périopératoire (ARMO), Hôpital de Hautepierre, 1, avenue Molière, 67098 Strasbourg cedex, France.Hôpitaux Universitaires de Strasbourg, Pôle d’anesthésie-réanimation et médecine périopératoire (ARMO), Hôpital de Hautepierre1, avenue MolièreStrasbourg cedex67098France

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Abstract

The first wave of the SARS-CoV-2 pandemic required an unprecedented and historic increase in critical care capacity on a global scale in France. Authors and members from the ACUTE and REANIMATION committees of the French Society of Anaesthesia and Intensive Care (SFAR) wished to share experience and insights gained during the first weeks of this pandemic. These were summarised following the World Health Organization Response Checklist and detailed according to the subsequent subheadings: 1. Command and Control, 2. Communication, 3. Safety and Security, 4. Triage, 5. Surge Capacity, 6. Continuity of essential services, 7. Human resources, 8. Logistics and supply management, 9. Training/Preparation, 10. Psychological comfort for patients and next of kin, 11. Learning and 12. Post disaster recovery. These experience-based recommendations, consensual across all members from both committees of our national society, establish a practical framework for medical teams, either spared by the first wave of severe COVID patients or preparing for the second one.

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Keywords : SARS-CoV-2, Critical care, Surge capacity, Recommendations, Pandemic