Trauma Care in COVID-19 Pandemic
The development of COVID-19 pandemic is the serious challenge for trauma care systems across the world. Recommendations on general principles of trauma care in the settings of pandemic, medical stuff protection and prevention of the spread of infection based on the data from international centers ar...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2020-07-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/view/1471 |
| _version_ | 1818682081268465664 |
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| author | A. A. Sitnik A. E. Murzich P. A. Volotovski M. A. Gerasimenko |
| author_facet | A. A. Sitnik A. E. Murzich P. A. Volotovski M. A. Gerasimenko |
| author_sort | A. A. Sitnik |
| collection | DOAJ |
| description | The development of COVID-19 pandemic is the serious challenge for trauma care systems across the world. Recommendations on general principles of trauma care in the settings of pandemic, medical stuff protection and prevention of the spread of infection based on the data from international centers are presented in the article. Delay of all elective cases, restriction of surgical treatment of fractures with relative indications for surgery are recommended. The segregation of cases into COVID-19 confirmed or suspected and COVID-19 negative patients is important. When possible before the admission to in-patient department the patient shall be tested on COVID-19. When the COVID-19 status of the patient is unclear all possible protection measures shall be used: patient isolation and medical stuff protection. To prevent the spread of infection it is recommended to split the stuff of the traumacenter into 2 or 3 groups. Each of the groups is working during the week with subsequent period of the self-isolation (remote work) for the period of 1-2 weeks (according to the duration of incubation period of the COVID-19). During the surgical treatment the most dangerous stages of the surgery are endotracheal intubation / extubation and also aerosol-generative procedures: electrocoagulation, pulsed wound lavage, drilling, the use of oscillating saw and medullary reaming. The stuff in the OP-theatre has to be accordingly equipped (personal protection equipment). The risk factors for the medical stuff are fatigue from overwork, the absence of real-time training in infection-prevention measures and non-compliance with PPE. |
| first_indexed | 2024-12-17T10:13:10Z |
| format | Article |
| id | doaj.art-d5e60780c29a4b369f971d8b4812e4f9 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-12-17T10:13:10Z |
| publishDate | 2020-07-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-d5e60780c29a4b369f971d8b4812e4f92022-12-21T21:52:58ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332020-07-0126291410.21823/2311-2905-2020-26-2-9-14877Trauma Care in COVID-19 PandemicA. A. Sitnik0A. E. Murzich1P. A. Volotovski2M. A. Gerasimenko3Belarus Republic Scientific and Practical Center of Traumatology and OrthopedicsBelarus Republic Scientific and Practical Center of Traumatology and OrthopedicsBelarus Republic Scientific and Practical Center of Traumatology and OrthopedicsBelarus Republic Scientific and Practical Center of Traumatology and OrthopedicsThe development of COVID-19 pandemic is the serious challenge for trauma care systems across the world. Recommendations on general principles of trauma care in the settings of pandemic, medical stuff protection and prevention of the spread of infection based on the data from international centers are presented in the article. Delay of all elective cases, restriction of surgical treatment of fractures with relative indications for surgery are recommended. The segregation of cases into COVID-19 confirmed or suspected and COVID-19 negative patients is important. When possible before the admission to in-patient department the patient shall be tested on COVID-19. When the COVID-19 status of the patient is unclear all possible protection measures shall be used: patient isolation and medical stuff protection. To prevent the spread of infection it is recommended to split the stuff of the traumacenter into 2 or 3 groups. Each of the groups is working during the week with subsequent period of the self-isolation (remote work) for the period of 1-2 weeks (according to the duration of incubation period of the COVID-19). During the surgical treatment the most dangerous stages of the surgery are endotracheal intubation / extubation and also aerosol-generative procedures: electrocoagulation, pulsed wound lavage, drilling, the use of oscillating saw and medullary reaming. The stuff in the OP-theatre has to be accordingly equipped (personal protection equipment). The risk factors for the medical stuff are fatigue from overwork, the absence of real-time training in infection-prevention measures and non-compliance with PPE.https://journal.rniito.org/jour/article/view/1471covid-19trauma carestuff protection |
| spellingShingle | A. A. Sitnik A. E. Murzich P. A. Volotovski M. A. Gerasimenko Trauma Care in COVID-19 Pandemic Travmatologiâ i Ortopediâ Rossii covid-19 trauma care stuff protection |
| title | Trauma Care in COVID-19 Pandemic |
| title_full | Trauma Care in COVID-19 Pandemic |
| title_fullStr | Trauma Care in COVID-19 Pandemic |
| title_full_unstemmed | Trauma Care in COVID-19 Pandemic |
| title_short | Trauma Care in COVID-19 Pandemic |
| title_sort | trauma care in covid 19 pandemic |
| topic | covid-19 trauma care stuff protection |
| url | https://journal.rniito.org/jour/article/view/1471 |
| work_keys_str_mv | AT aasitnik traumacareincovid19pandemic AT aemurzich traumacareincovid19pandemic AT pavolotovski traumacareincovid19pandemic AT magerasimenko traumacareincovid19pandemic |