U.S. Neurosurgical Response to COVID-19: Forging a Path Toward Disaster Preparedness

Author:

Ravindra Vijay M1,Dunn Gavin P2,Belverud Shawn1,Carroll Christopher P3,Zuckerman Scott L4ORCID,Menger Richard5,Malone David6,Cooke Jonathon1,Porenksy Paul1,Klugh III Arnett1,Gilhooly Jonathan7,Tomlin Jeffrey3,Bell Randy7,Ikeda Daniel S8

Affiliation:

1. Department of Neurosurgery, Naval Medical Center San Diego, San Diego, CA 92134, USA

2. Department of Neurosurgery, Washington University in Saint Louis, St. Louis, MO 63110, USA

3. Department of Brain & Spine Surgery, Naval Medical Center, Portsmouth, VA 23708, USA

4. Department of Neurosurgery, Columbia University, New York, NY 10032, USA

5. Departments of Neurosurgery and Political Science, University of Southern Alabama, University of South Alabama, Mobile, AL 36604, USA

6. Department of Neurosurgery, Ascension St. John, Tulsa, OK 74104, USA

7. Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD 20814, USA

8. Department of Surgery, US Naval Hospital Okinawa, Chatan, Okinawa 904-0103, Japan

Abstract

ABSTRACT Introduction The worldwide COVID-19 pandemic poses challenges to healthcare capacity and infrastructure. The authors discuss the structure and efficacy of the U.S. Navy’s response to COVID-19 and evaluate the utility of this endeavor, with the objective of providing future recommendations for managing worldwide healthcare and medical operational demands from the perspective of Navy Neurosurgery. Materials and Methods The authors present an extensive review of topics and objectively highlight the efforts of U.S. Navy Neurosurgery as it pertains to the humanitarian mission during the COVID-19 pandemic. Results During the humanitarian mission (March 27, 2020–April 14, 2020), the response of active duty and reserve neurosurgeons in the U.S. Navy was robust. Neurosurgical coverage was present on board the U.S. Navy Ships Mercy and Comfort, with additional neurosurgical deployment to New York City for intensive care unit management and coverage. Conclusions The U.S. Navy neurosurgical response to the COVID-19 pandemic was swift and altruistic. Although neurosurgical pathologies were limited among the presenting patients, readiness and manpower continue to be strong influences within the Armed Forces. The COVID-19 response demonstrates that neurosurgical assets can be rapidly mobilized and deployed in support of wartime, domestic, and global humanitarian crises to augment both trauma and critical care capabilities.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

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