Keller Army Community Hospital, a 12-bed community hospital located in the Hudson Valley of New York State, within the pandemic epicenter anticipated the surge of critically ill patients, which would overwhelm local resources during the coronavirus pandemic sweeping across the globe. In this facility, there were no Intensive Care Unit (ICU) beds and resources were mobilized in order to create a negative pressure Corona Virus Unit (CVU) consisting of seven ICU beds and two step-down beds. Although the creation of the CVU decreased the non-COVID inpatient capacity to five beds, the hospital also formulated a plan to expand overall bed capacity from 12 inpatient beds to 45 beds within 24 hours.
 
  To create a ICU embedded within a CVU and implement a three day curriculum to prepare four mixed teams of critical care and non-critical care staff nurses to manage critically ill patients with the novel coronavirus disease 2019 (COVID-19).
 
  Nursing leaders and hospital education staff developed a critical care curriion of a second wave surge of COVID-19 cases emerges this fall based on epidemiology predictions.COVID-19 is a novel disease with complex primary and secondary health effects that may significantly impact the functional independence and quality of life of patients and their families. While the term "rehabilitation" is often associated with exercise, the interventions employed by rehabilitation professionals in both the inpatient and outpatient setting are much more complex and very relevant in caring for individuals hospitalized with respiratory infections.  https://www.selleckchem.com/products/abc294640.html  Since the start of the pandemic, the Department of Rehabilitation at Walter Reed National Military Medical Center has cared for over 85% of the military beneficiaries admitted to the hospital for COVID-19. In addition to providing acute inpatient occupational, physical, and recreational therapy to help maximize each patient's functional independence, the rehabilitation team has also developed a novel program to help facilitate the safe discharge and successful recovery and social reintegration for all patients with COVID-19. Using a holistic approach, a team led by Occupational Therapy has applied a needs-based assessment of each patient and developed an individualized treatment plan, which employs home monitoring, virtual health interventions, peer support, and augmentation to case management and behavioral health care. The overall acceptance and satisfaction of this program by the patients and staff has been excellent, with early evidence to suggest improved quality of life and possible mitigation of long-term complications. This article describes the development and essential elements of this unique rehabilitation program so that other military treatment facilities may consider implementing.As we look back to our preparation and response, it seems clear that there were distinct phases of the COVID-19 pandemic. Each of these phases brought changes, challenges, and opportunities to adapt and absorb the impacts. Many different hospitals in the US and abroad faced similar phases with different timelines and patient volumes, and dealt with them in a variety of ways. We believe there is no objectively right or wrong way to handle a situation like this, but there may be general principles that help individual institutions develop a response appropriate to their time and situation. The distinct phases of pandemics and the associated medical preparation and response has been described by the Centers for Disease Control and Prevention (CDC), which provides a helpful framework to describe our experience with regards to COVID-19 within our emergency department (ED) and hospital.The threat of shortages of personal protective equipment have led to innovations in protective barriers to limit the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Those performing aerosolizing procedures such as endotracheal intubation have been designated by the Centers for Disease Control as increased risk of contracting COVID-19. Evaluation of aerosolizing containing barriers for intubation has been limited to date. Some have raised concerns about the universal use of these devices and their possible iatrogenic side effects. It is clear that in time periods of atypical practice that quality and outcome review are critical to addressing novel problems as they arise. An unusual set of injury patterns associated with videolaryngoscopy lead to further evaluation and reconsideration of these devices in our own military department. We review the current literature on this topic and provide a perspective from a single large academic military treatment facility.
  Coronavirus Disease-19 (COVID-19), a disease caused by infection with the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), is a global pandemic. Diagnosis is critical and diagnostic techniques include reverse transcriptase polymerase chain reaction (RT-PCR), serologic antibody testing, and chest computed tomography (CT). Despite rigorous meta-analyses looking into these techniques, there is no summary and additionally no algorithm to help guide diagnostic testing. Our objective is to perform a systematic review of the literature and to provide evidence-based algorithms for diagnosing or ruling out COVID-19.
 
  Data were gathered using PubMed and Ovid research databases using a predefined medical subject heading (MeSH) based search, and sources that were included in the study had their references reviewed to screen for more sources for this study. Sources were collected up to 23 August 2020. Two researchers searched through the databases for articles and data/articles meeting inclusion criteria wd asymptomatic patients in the hospitalized and ambulatory settings.SARS-CoV-2 has highlighted the requirement for a drastic change in pandemic response. While cases continue to rise, there is an urgent need to deploy sensitive and rapid testing in order to identify potential outbreaks before there is an opportunity for further community spread. Currently, reverse transcription quantitative polymerase chain reaction (RT-qPCR) is considered the gold standard for diagnosing an active infection, using a nasopharyngeal swab; however, it can take days after symptoms develop to properly identify and trace the infection. While many civilian jobs can be performed remotely, the Department of Defense (DOD) is by nature a very fluid organization which requires in-person interaction and a physical presence to maintain effectiveness. In this commentary, we examine several current and emergent technologies and their ability to identify both active and previous SARS-CoV-2 infection, possibly in those without symptoms. Further, we will explore an ongoing study at the Air Force Research Laboratory, utilizing Reverse Transcription Loop-mediated isothermal amplification (RT-LAMP), next-generation sequencing, and the presence of SARS-CoV-2 antibodies through Lateral Flow Immunoassays.