MedStar Authors catalog › Details for: Management of Adult Inpatient Otolaryngologic Consultations During the COVID-19 Pandemic: A Proposed Tier-Based Triage System.
Management of Adult Inpatient Otolaryngologic Consultations During the COVID-19 Pandemic: A Proposed Tier-Based Triage System. Journal: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.Published: ; 2020; ; ISSN: 0194-5998.UI/PMID: 32423293.Subject(s): Adult | *Triage/mt [Methods] | Telemedicine | *Referral and Consultation | *Pneumonia, Viral | Pneumonia, Viral/di [Diagnosis] | Pneumonia, Viral/co [Complications] | Personal Protective Equipment | *Pandemics | *Otolaryngology | Inpatients | Humans | Endoscopy | *Coronavirus Infections | Coronavirus Infections/di [Diagnosis] | Coronavirus Infections/co [Complications] | *Betacoronavirus | *AlgorithmsInstitution(s): MedStar Washington Hospital CenterDepartment(s): MedStar Georgetown University Hospital Residents | OtolaryngologyActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1177/0194599820931011 (Click here) Abbreviated citation: ; Otolaryngol Head Neck Surg. 163(2):330-334, 2020 08.Local Holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006.Abstract: The coronavirus disease 2019 (COVID-19) pandemic has placed tremendous strain on health care systems, leading to unprecedented challenges and obstacles in the delivery of patient care. Otolaryngologists are frequently called on for inpatient consultations for an array of pathologies, ranging from chronic benign conditions to acutely life-threatening processes. Professional otolaryngologic societies across the world have proposed limiting patient care to time-sensitive and urgent matters; however, limited literature is available to describe how this transient change in philosophy may translate to clinical practice. Here we present a structured algorithm that allows for rapid triage of otolaryngologic consults during the ongoing pandemic, in efforts to minimize infectious spread and protect clinicians while preserving high-quality patient care. Considerations for managing these consults are presented, with a commentary on practical and ethical considerations.