The ongoing COVID-19 pandemic has precipitated a global health crisis. Non-COVID diseases across specialties have been significantly compromised. The greatest challenge has been to continue providing care to non-COVID cases with minimum transmission risk to health care workers, patients, and caregivers. In this specter, better described as a medical holocaust, we present our experiences of dealing with acute neurological patients who could access our facility. We attempted to work on three key areas – initial screening using a more inclusive, dynamic checklist for COVID suspicion over and above the emergency triage, a mandatory initial holding on a separate floor of our inpatient service equipped with infection control strategies similar to a COVID-designated area, and daily screening of health care workers and caregivers for symptoms and possible exposures. It was a steep learning curve, a couple of close shaves, and many more lessons that went into the development of an algorithm that seems to be working well.


中文翻译：

---

在大流行中管理非COVID急性神经病学：挑战和正在进行的工作


持续的COVID-19大流行引发了全球健康危机。跨专业的非COVID疾病已受到严重危害。最大的挑战是继续为非COVID病例提供护理，同时将对医护人员，患者和护理人员的传播风险降至最低。在这个幽灵中，我们将其更好地描述为一场医疗大屠杀，我们介绍了与可进入我们设施的急性神经系统疾病患者打交道的经验。我们尝试在三个关键领域开展工作–使用更具包容性的动态检查表进行初步筛查，以进行急诊分诊以外的COVID怀疑；强制性的初始诊疗应在我们住院服务的另一层进行，并应采用类似于COVID-指定区域，以及每天对医护人员和看护人进行筛查，以检查症状和可能的暴露情况。这是一条陡峭的学习曲线，几近刮胡子，还有更多的经验教训，使算法的开发似乎效果很好。