A Mass Casualty In Slow Motion: Emergency Medicine During the COVID-19 Surge in New York City

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The first time I really took notice of coronavirus was when a few providers started wearing masks during their shifts. This was in mid-February when the virus was a Wuhan problem, and we were screening people with travel questions.

If you weren’t recently in Hubei Province, weren’t in contact with someone recently in Hubei Province, and weren’t in contact with someone known to have coronavirus, you were deemed to not have coronavirus.

If you screened positive on any of those criteria, we got on the phone with our city department of health, and if they agreed, they coordinated testing with Atlanta; at that time only the CDC had a diagnostic test for SARS-CoV-2.

I asked my colleague Matt why he was wearing a mask. His response: You don’t think it’s coming here?

I’m pretty sure I hadn’t contemplated that question, until that moment. Meanwhile, our hospital administration was discouraging us from wearing masks, because they are needed for surgeries, and because it presents badly. Meanwhile, boxes of masks started disappearing.

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