Background

The COVID-19 pandemic has presented unprecedented challenges to healthcare organizations worldwide. A steadily rising number of patients requiring intensive care, a large proportion from racial and ethnic minorities, demands creative solutions to provide high-quality care while ensuring healthcare worker safety in the face of limited resources. Boston Medical Center has been particularly affected due to the underserved patient population we care for and the increased risk of ischemic stroke in patients with COVID-19 infection.

Methods

We present protocol modifications developed to manage patients with acute ischemic stroke in a safe and effective manner while prioritizing judicious use of personal protective equipment and intensive care unit resources.

Conclusion

We feel this information will benefit other organizations facing similar obstacles in caring for the most vulnerable patient populations during this ongoing public health crisis.

中文翻译：

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针对全球 COVID-19 大流行，优化急性缺血性中风护理的资源和调整。

 背景

COVID-19 大流行给全球医疗保健组织带来了前所未有的挑战。需要重症监护的患者数量稳步增加，其中很大一部分来自少数族裔，他们需要创造性的解决方案来提供高质量的护理，同时在资源有限的情况下确保医护人员的安全。由于我们所照顾的患者群体服务不足，并且感染了 COVID-19 的患者缺血性中风的风险增加，波士顿医疗中心受到的影响尤为严重。

 方法

我们提出了旨在以安全有效的方式管理急性缺血性中风患者的方案修改，同时优先考虑明智地使用个人防护设备和重症监护室资源。

 结论

我们认为，这些信息将使其他在这场持续的公共卫生危机期间在照顾最弱势患者群体方面面临类似障碍的组织受益。