Hospital El Salvador: a novel paradigm of intensive care in response to COVID-19 in central America

Bello, Manuel; Segura, Víctor; Camputaro, Luis; Hoyos, William; Maza, Mauricio; Sandoval, Xochitl; Serpa, Magdalena; Coopersmith, Craig M.

doi:10.1016/s2214-109x(20)30513-1

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…As we previously mentioned, and like the rest of the world, our healthcare system had to overcome the lack of trained workers during the COVID-19 pandemic [5]. The use of telemedicine turned out to be a fundamental tool for dealing with this scarcity [10]. Telemedicine avoided the loss of qualified personnel and maintained the bond between families and their loved ones.…”

Section: Telemedicinementioning

confidence: 99%

Telemedicine and Competency-Based Training to Maximize Resources in the Face of a Pandemic, Without Losing Humanization

Alberto Camputaro,

Jose Duarte Cuellar,

Gabriel Alvarenga Cardoza

et al. 2023

Epidemic Preparedness and Control

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The COVID-19 pandemic has exposed global concerns about healthcare system capacity. The World Health Organization sets readiness standards for pandemics, but disparities in healthcare infrastructure and a shortage of medical professionals hinder responses. The pandemic has overwhelmed healthcare systems worldwide, leading to a shortage of healthcare workers. Countries like Mexico, Colombia, and Peru have recruited temporary healthcare professionals to address the shortage. Even countries with relatively high doctor-to-patient ratios, such as El Salvador, struggle to find Critical Care Medicine specialists. El Salvador’s response includes the 2020 inauguration of El Salvador Hospital (ESH), using telemedicine to connect specialists with non-specialists in intensive care. Competence-based training is crucial in rapidly educating a large healthcare workforce, with a course tailored to local needs—however, the pandemic challenges humanizing patient care due to limited family interactions. Telemedicine offers emotional support and spiritual accompaniment through video calls. The Social Work Unit at HES helps maintain patient-family communication, with post-discharge surveys assessing humanitarian support effectiveness. In summary, the COVID-19 pandemic has exposed healthcare system challenges, necessitated innovative training, emphasized telemedicine’s role, and promoted efforts to maintain humanized care while assessing patient satisfaction.

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Section: Telemedicinementioning

confidence: 99%

Telemedicine and Competency-Based Training to Maximize Resources in the Face of a Pandemic, Without Losing Humanization

Alberto Camputaro,

Jose Duarte Cuellar,

Gabriel Alvarenga Cardoza

et al. 2023

Epidemic Preparedness and Control

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“…Some used existing facilities such as naval hospital ships, [44] or acquired horizontally stratified motels to serve as overflow isolation wards [45]. Others rapidly erected entire hospital complexes (below), while most others established and readied temporary field hospitals in community centers/halls [46], exhibition and convention centers [47][48][49], concert halls [50] and even car ferries [51]. Examples of these come from countries as diverse as Italy [50], El Salvador [49] and Brazil [52].…”

Section: Permanent Structures and Sitesmentioning

confidence: 99%

“…Others rapidly erected entire hospital complexes (below), while most others established and readied temporary field hospitals in community centers/halls [46], exhibition and convention centers [47][48][49], concert halls [50] and even car ferries [51]. Examples of these come from countries as diverse as Italy [50], El Salvador [49] and Brazil [52]. Exhibition centers were also repurposed as large-scale, drive through COVID testing stations (Figure 1) while vacant supermarkets served as vaccination centers (Figure 2).…”

Section: Permanent Structures and Sitesmentioning

confidence: 99%

COVID-19 on the Ground: Managing the Heritage Sites of a Pandemic

Spennemann

2021

Heritage

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The standard methodology for the assessment of cultural heritage significance relies on hindsight, with a passage of time elapsed between the creation of the site or object and its assessment. There are, however, cases where heritage significance is instant (e.g., sites associated with the first Moon landing). This paper argues that hindsight will not be required to determine that the COVID-19 pandemic will come to be considered as a significant historic event, as COVID-19 has already manifested itself as a social, cultural and economic disruptor on a global scale with a mortality in the millions. Heritage professionals have the unique opportunity to assess and document places and structures associated with the pandemic, that are poised to be worthy of a heritage listing in the near future, while they are still in use and function as intended. This paper discusses the nature of the sites and structures and explores possible management approaches to safeguard evidence of the pandemic for future generations.

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“…Due to the significantly increased number of critically ill COVID‐19 patients, intensive care units have become more busy, leading to an increase in the workload of the nurses. In many countries, almost no beds were left in intensive care units (Bello et al, 2021; Guzzi et al, 2020). Nurses in intensive care units during the pandemic provided care to COVID‐19 patients under increasing workloads, uncertainties and psychological burdens (Çevik Aktura & Özden, 2020; González‐Gil et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…no beds were left in intensive care units (Bello et al, 2021;Guzzi et al, 2020). Nurses in intensive care units during the pandemic provided care to COVID-19 patients under increasing workloads, uncertainties and psychological burdens (Çevik Aktura & Özden, 2020;González-Gil et al, 2021).…”

mentioning

confidence: 99%

Evaluation of alarm fatigue of nurses working in the COVID‐19 Intensive Care Service: A mixed methods study

Akturan

Güner

Tuncel

et al. 2022

Journal of Clinical Nursing

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Aims and Objectives To reveal the existence of alarms in COVID‐19 intensive care units, where medical devices with alarm function are frequently used, the effects of alarms on nurses, especially their on‐the‐job performances and social lives, and their coping methods. Methodology/Methods This was a mixed design, including descriptive and qualitative research methods with two stages, and was carried out between March and April 2021. The study adhered to the STROBE checklist for cross‐sectional studies and the COREQ guidelines for qualitative studies. Setting Nurses in the COVID‐19 intensive care unit of a university hospital constituted the sample. 58 nurses participated in the quantitative data phase, and 18 nurses in the qualitative interviews. Results More than half of the nurses worked in the COVID‐19 intensive care unit for more than 5 months and overtime, and 87.9 had day and night shifts. The monthly income level of 65.5% was between the hunger and poverty lines, and 12.1 % received psychiatric support in the last 6 months. A positive and significant relationship was found between the mean score obtained from the alarm fatigue questionnaire and the level of discomfort felt due to the alarms (1–10 points) (p = 0.001). Five themes and thirty sub‐themes were emerged in the focus group interviews. Conclusion The number of alarms of the medical devices in the COVID‐19 intensive care units was more than the other intensive care units, resulting in fatigue in nurses. Since alarm fatigue is directly related to patient safety, the effective management of medical device alarms can reduce alarm fatigue and prevent potentially dangerous outcomes. Relevance to clinical practice Nurses care for patients with severe clinical conditions in COVID‐19 intensive care units. This situation caused them to be exposed to more alarms. Nurses should make efforts to reduce their alarm intensity.

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Hospital El Salvador: a novel paradigm of intensive care in response to COVID-19 in central America

Cited by 7 publications

References 3 publications

Telemedicine and Competency-Based Training to Maximize Resources in the Face of a Pandemic, Without Losing Humanization

Telemedicine and Competency-Based Training to Maximize Resources in the Face of a Pandemic, Without Losing Humanization

COVID-19 on the Ground: Managing the Heritage Sites of a Pandemic

Evaluation of alarm fatigue of nurses working in the COVID‐19 Intensive Care Service: A mixed methods study

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