Trauma Care in COVID-19 Pandemic

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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.

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

Belarus

A. 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

Belarus

P. 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

Belarus

M. 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

Belarus

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CrossRef: 1

  1. Kuptsova OA, Zaletina AV, Vissarionov SV, Baindurashvili AG, Mikava AG, Aleksandrov SV. Trauma rates in children in the period of restrictive measures related to the spread of the new coronavirus infection (COVID-19). Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2021;9(1):5. doi: 10.17816/PTORS58630

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