INTRODUCTION: As the COVID-19 pandemic spread, patient care guidelines were published and elective surgeries postponed . However, trauma admissions are not scheduled and cannot be postponed . There is a paucity of information available on continuing trauma care during the pandemic . The study purpose was to describe multicenter trauma care process changes made during the COVID-19 pandemic .
METHODS: This descriptive survey summarized the response to the COVID-19 pandemic at six Level I trauma centers . The survey was completed in 05/2020 . Questions were asked about personal protective equipment, ventilators, intensive care unit (ICU) beds, and negative pressure rooms . Data were summarized as proportions .
RESULTS: The survey took an average of 5 days . Sixty-seven percent reused N-95 respirators; 50% sanitized them with 25% using ultraviolet light . One hospital (17 %) had regional resources impacted . Thirty-three percent created ventilator allocation protocols . Most hospitals (83 %) designated more beds to the ICU; 50% of hospitals designated an ICU for COVID-19 patients . COVID-19 patients were isolated in negative pressure rooms at all hospitals .
CONCLUSIONS: In response to the COVID-19 pandemic, Level I trauma centers created processes to provide optimal trauma patient care and still protect providers . Other centers can use the processes described to continue care of trauma patients during the COVID-19 pandemic.