ArticleClinical and experimental emergency medicine2020
Rapid deployment of an emergency department-intensive care unit for the COVID-19 pandemic.
Article in Clinical and experimental emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Critical care delivery models in emergency departments: a systematic review of the literature and meta-analysis of related outcome effects.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Pooled it
- Training and redeployment of healthcare workers to intensive care units (ICUs) during the COVID-19 pandemic: a systematic review.BMJ open · 2022Pooled it
- Predictors of Respiratory Support Use in Emergency Department Patients With COVID-19-Related Respiratory Failure.Respiratory care · 2022Trial
- Condition-Specific Protocols Used in the Emergency Department Observation Unit: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026Review
- State of the Art: Observation Units in the Emergency Department, an Interim Practice Update and Policy Review.Journal of the American College of Emergency Physicians open · 2026Article
- Leveraging Observation Units for Disaster Response: Cases of Efficient Care Delivery in Disaster Incidents.Journal of the American College of Emergency Physicians open · 2026Article
- Analysis of Emergency Department-based Intensive Care Units on Coding and Revenue.The western journal of emergency medicine · 2025Article
- Characteristics and Outcomes of Implementing Emergency Department-based Intensive Care Units: A Scoping Review.The western journal of emergency medicine · 2025Article
- Impact of COVID-19 outbreak on acute gallbladder disease in the emergency department.Clinical and experimental emergency medicine · 2023Article
- Strengthening the ICUs' human resource-related responses to Covid-19: A rapid review of the experience during the first year of public health emergency.The International journal of health planning and management · 2023Review
- Early discharge from maternity ward in response to the COVID-19 pandemic: Impact on emergency attendance.Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2023Article
- Prehospital emergency medical service utilization and associated factors among critically ill COVID-19 patients treated at centers in Addis Ababa, Ethiopia.PLOS global public health · 2023Article
- Impact of COVID-19 Pandemic on Management and Outcomes in Patients with Septic Shock in the Emergency Department.Journal of personalized medicine · 2022Article
- Endotracheal Intubation Using C-MAC Video Laryngoscope vs. Direct Laryngoscope While Wearing Personal Protective Equipment.Journal of personalized medicine · 2022Article
- Associations between the COVID-19 Pandemic and Hospital Infrastructure Adaptation and Planning-A Scoping Review.International journal of environmental research and public health · 2022Article
- Perspectives of nursing directors on emergency nurse deployment during the pandemic of COVID-19: A nationwide cross-sectional survey in mainland China.Journal of nursing management · 2022Article
- The effect of COVID-19 pandemic on the length of stay and outcomes in the emergency department.Clinical and experimental emergency medicine · 2022Article
- Outcomes for in-hospital cardiac arrest for COVID-19 patients at a rural hospital in Southern California.The American journal of emergency medicine · 2021Observational
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
The coronavirus disease 2019 (COVID-19) pandemic mandated rapid, flexible solutions to meet the anticipated surge in both patient acuity and volume. This paper describes one institution's emergency department (ED) innovation at the center of the COVID-19 crisis, including the creation of a temporary ED-intensive care unit (ICU) and development of interdisciplinary COVID-19-specific care delivery models to care for critically ill patients. Mount Sinai Hospital, an urban quaternary academic medical center, had an existing five-bed resuscitation area insufficiently rescue due to its size and lack of negative pressure rooms. Within 1 week, the ED-based observation unit, which has four negative pressure rooms, was quickly converted into a COVID-19-specific unit, split between a 14-bed stepdown unit and a 13-bed ED-ICU unit. An increase in staffing for physicians, physician assistants, nurses, respiratory therapists, and medical technicians, as well as training in critical care protocols and procedures, was needed to ensure appropriate patient care. The transition of the ED to a COVID-19-specific unit with the inclusion of a temporary expanded ED-ICU at the beginning of the COVID-19 pandemic was a proactive solution to the growing challenges of surging patients, complexity, and extended boarding of critically ill patients in the ED. This pandemic underscores the importance of ED design innovation with flexible spacing, interdisciplinary collaborations on structure and services, and NP ventilation systems which will remain important moving forward.
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