Holmes Simon, Bhatti Nabeel, Bhandari Rishi, Chatzopoulou Domniki
Barts Health NHS Trust.
Barts Health NHS Trust.
Br J Oral Maxillofac Surg. 2020 Jun;58(5):571-576. doi: 10.1016/j.bjoms.2020.03.024. Epub 2020 Apr 11.
In these unprecedented times, OMFS surgeons are faced with dilemmas over the priority of treatment, safety of staff, safety of patients and the most appropriate use of available resources. Efforts should be made to provide the best evidence-based care, which will mean revisiting old techniques, and risk stratifying patients on a case by case basis. Recent experience from colleagues internationally has shown that even the wealthiest health care infrastructure is at best fragile. We hope this paper will add to the debate and hopefully provide a framework for decision making in OMFS trauma care during this difficult time.
在这些前所未有的时期，口腔颌面外科医生面临着治疗优先级、工作人员安全、患者安全以及可用资源的最适当利用等方面的困境。应努力提供最佳的循证医疗，这意味着要重新审视旧技术，并逐案对患者进行风险分层。国际上同行的近期经验表明，即使是最富裕的医疗保健基础设施也充其量是脆弱的。我们希望本文能为这场辩论增添内容，并有望为这段艰难时期口腔颌面外科创伤护理的决策提供一个框架。
