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Gearing up, again

Published:January 27, 2021DOI:https://doi.org/10.1016/j.ajem.2021.01.063
      An alternate care site (ACS) can help offload low-acuity ED volume during times of surge. We previously reported on the utility of an ACS during the COVID surge in downstate New York during the spring of 2020 [
      • Garra G.
      • Gupta S.
      • Ferrante S.
      • Apterbach W.
      Dedicated area within the emergency department versus an outside dedicated area for evaluation and management of suspected coronavirus disease 2019.
      ]. A second surge of cases erupted in downstate New York in November 2020. Unlike the initial surge, widespread testing is more readily available during this second surge. Local urgent care centers began closing 90 min earlier because of higher census and staff shortages [
      • NBC News
      CityMD locations to close earlier as NYC COVID testing demands skyrocket.
      ]. In anticipation of collateral ED surge as a result of UC volume and closures, we resurrected our ACS for evaluation of ambulatory, low-acuity persons under investigation (PUIs).
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      References

        • Garra G.
        • Gupta S.
        • Ferrante S.
        • Apterbach W.
        Dedicated area within the emergency department versus an outside dedicated area for evaluation and management of suspected coronavirus disease 2019.
        JACEP. 2020; 1https://doi.org/10.1002/emp2.12288
        • NBC News
        CityMD locations to close earlier as NYC COVID testing demands skyrocket.
        (Accessed 12/19/20 at)
        • Centers for Disease Control and Prevention
        Consideration for alternate care sites infection prevention and control considerations for alternate care sites.