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Trauma Care in COVID-19 Pandemic
- Authors: Sitnik A.A.1, Murzich A.E.1, Volotovski P.A.1, Gerasimenko M.A.1
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Affiliations:
- Belarus Republic Scientific and Practical Center of Traumatology and Orthopedics
- Issue: Vol 26, No 2 (2020)
- Pages: 9-14
- Section: COVID-19
- URL: https://journal.rniito.org/jour/article/view/1471
- DOI: https://doi.org/10.21823/2311-2905-2020-26-2-9-14
- ID: 1471
Cite item
Abstract
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.
Keywords
About the authors
A. A. Sitnik
Belarus Republic Scientific and Practical Center of Traumatology and Orthopedics
Author for correspondence.
Email: alexandre_sitnik@yahoo.com
Alexandre A. Sitnik — Cand. Sci. (Med.), Assistant Professor, Scientific Leader, Adult Trauma Department
Minsk
BelarusA. E. Murzich
Belarus Republic Scientific and Practical Center of Traumatology and Orthopedics
Email: fake@neicon.ru
Alexander E. Murzich — Cand. Sci. (Med.), Head of Laboratory of Joints Pathology and Sports Injuries
Minsk
BelarusP. A. Volotovski
Belarus Republic Scientific and Practical Center of Traumatology and Orthopedics
Email: fake@neicon.ru
Pavel A. Volotovski — Cand. Sci. (Med.), Academic Secretary
Minsk
BelarusM. A. Gerasimenko
Belarus Republic Scientific and Practical Center of Traumatology and Orthopedics
Email: fake@neicon.ru
Mikhail A. Gerasimenko — Dr. Sci. (Med.), Professor, Director
Minsk
BelarusReferences
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