PDF(Pubmed)
Abstract：
Background: In December 2021, the Region 1 Disaster Health Response System, the state of Vermont, and the National Emergency Tele-Critical Care Network partnered to provide statewide access to disaster teleconsultations during COVID-19 surge conditions. In this case report, we describe how a disaster teleconsultation system was implemented in Vermont to provide access to temporary tele-critical care consultations during the Omicron COVID-19 surge. Methods: We measured the time from request of service to implementation and calculated descriptive statistics. Results: Seven of Vermont\'s 14 hospitals requested the service. Despite a technology solution capable of providing services within hours, mean time to service implementation was 27 days (interquartile range 20-41 days). Conclusions: Integration of disaster teleconsultation systems into state and local emergency management plans are needed to bring administrative start-up times in line with technical readiness.
摘要：
背景：2021年12月，区域1灾害健康响应系统，佛蒙特州,和国家紧急远程重症监护网络合作，在COVID-19突发情况下，在全州范围内提供灾难远程咨询。在这个案例报告中,我们描述了在OmicronCOVID-19激增期间，佛蒙特州如何实施灾难远程咨询系统，以提供临时远程重症监护咨询。方法：我们测量了从请求服务到实施服务的时间，并计算了描述性统计数据。结果：佛蒙特州的14家医院中有7家要求提供服务。尽管技术解决方案能够在数小时内提供服务，平均服务实施时间为27天(四分位距20-41天).结论：需要将灾难远程咨询系统集成到州和地方应急管理计划中，以使行政启动时间与技术准备保持一致。
