PT - JOURNAL ARTICLE AU - Ramadan, Ahmad Riad AU - Alsrouji, Owais K AU - Cerghet, Mirela AU - Chopp, Michael AU - Danoun, Omar AU - Grover, Kavita M AU - Ismail, Mohammed AU - Katramados, Angelos M AU - Mohamed, Ghada A AU - Mehta, Chandan B AU - Newman, Daniel S AU - Osman, Gamaleldin AU - Reuther, Jackie AU - Sallowm, Yamin AU - Zaman, Iram F AU - Barkley, Gregory L TI - Tales of a department: how the COVID-19 pandemic transformed Detroit’s Henry Ford Hospital, Department of Neurology—part I: the surge AID - 10.1136/bmjno-2020-000070 DP - 2020 Jul 01 TA - BMJ Neurology Open PG - e000070 VI - 2 IP - 1 4099 - http://neurologyopen.bmj.com/content/2/1/e000070.short 4100 - http://neurologyopen.bmj.com/content/2/1/e000070.full SO - BMJ Neurol Open2020 Jul 01; 2 AB - The COVID-19 pandemic has reshaped the way healthcare systems operate around the world. The major hurdles faced have been availability of personal protective equipment, intensive care unit beds, ventilators, treatments and medical personnel. Detroit, Michigan has been an epidemic ‘hotspot’ in the USA with Wayne County among the hardest hit counties in the nation. The Department of Neurology at Henry Ford Hospital, in the heart of Detroit, has responded effectively to the pandemic by altering many aspects of its operations. The rapid engagement of the department and enhanced utilisation of teleneurology were two of the pivotal elements in the successful response to the pandemic. In this review, we describe the transformation our department has undergone, as it relates to its infrastructure redesigning, coverage restructuring, redeployment strategies, medical education adaptations and novel research initiatives.