LAUSR

During the early months of the Pandemic, general population isolation and the closure of normal economic activity had the result of reducing the volume of dispatched calls for Emergency Medical Services (EMS) and decreased volume in hospital emergency departments 1 As the Pandemic progressed, acute hospital services became overwhelmed with threats of lack for access to medical care to large segments of populations In the midst of near collapse of the acute medical care systems around the globe, prehospital EMS providers struggled to transport patients to a facility that was able to accept a patient, and often after arrival at a facility, these EMS providers had prolonged times for transfer of patients to hospital staff (offloading) due to emergency department overcrowding and lack of available beds or staffing for incoming patients at the receiving hospital Post-Pandemic regional health network changes are inevitable because the changes will provide health care networks with significant financial advantages by keeping patients within the network system, limiting acute care hospital transports, and allowing limited hospital lengths of stay by providing after hospital home evaluation