A global survey of emergency department responses to the COVID-19 pandemic

Prashant Mahajan, Chong Shu-Ling, Camilo Gutierrez, Emily White, Benjamin A.Y. Cher, Elizabeth Freiheit, Apoorva Belle, Johanna Kaartinen, Vijaya Arun Kumar, Paul M. Middleton, Chip Jin Ng, Daniel Osei-Kwame, Dominik Roth, Tej Prakash Sinja, Sagar Galwankar, Michele Nypaver, Nathan Kuppermann, Ulf EKelund, eMERGE Network

Research output: Contribution to journalArticlepeer-review


Introduction: Emergency departments (ED) globally are addressing the coronavirus disease 2019 (COVID-19) pandemic with varying degrees of success. We leveraged the 17-country, Emergency Medicine Education & Research by Global Experts (EMERGE) network and non-EMERGE ED contacts to understand ED emergency preparedness and practices globally when combating the COVID-19 pandemic. Methods: We electronically surveyed EMERGE and non-EMERGE EDs from April 3-June 1, 2020 on ED capacity, pandemic preparedness plans, triage methods, staffing, supplies, and communication practices. The survey was available in English, Mandarin Chinese, and Spanish to optimize participation. We analyzed survey responses using descriptive statistics. Results: 74/129 (57%) EDs from 28 countries in all six World Health Organization global regions responded. Most EDs were in Asia (49%), followed by North America (28%), and Europe (14%). Nearly all EDs (97%) developed and implemented protocols for screening, testing, and treating patients with suspected COVID-19 infections. Sixty percent responded that provider staffing/back-up plans were ineffective. Many sites (47/74, 64%) reported staff missing work due to possible illness with the highest provider proportion of COVID-19 exposures and infections among nurses. Conclusion: Despite having disaster plans in place, ED pandemic preparedness and response continue to be a challenge. Global emergency research networks are vital for generating and disseminating large-scale event data, which is particularly important during a pandemic.

Original languageEnglish
Pages (from-to)1037-1044
Number of pages8
JournalWestern Journal of Emergency Medicine
Issue number5
Publication statusPublished - 2021

Subject classification (UKÄ)

  • Public Health, Global Health, Social Medicine and Epidemiology


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