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新冠疫情时代的创伤与急症外科医生。

The trauma and acute care surgeon in the COVID-19 pandemic era.

作者信息

Ribeiro Marcelo Augusto Fontenelle, DE-Campos Tercio, Lima Daniel Souza, Marttos-Jr Antonio C, Pereira Bruno M

机构信息

Hospital Moriah, São Paulo, SP, Brasil.

Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Col Bras Cir. 2020;47:e20202576. doi: 10.1590/0100-6991e-20202576. Epub 2020 May 29.

Abstract

The World Health Organization recognized in March 2020 the existence of a pandemic for the new coronavirus that appeared in China, in late 2019, and whose disease was named COVID-19. In this context, the SBAIT (Brazilian Society of Integrated Care for Traumatized Patients) conducted a survey with 219 trauma and emergency surgeons regarding the availability of personal protective equipment (PPE) and the role of the surgeon in this pandemic by means of an electronic survey. It was observed that surgeons have been acting under inadequate conditions, with a lack of basic supplies as well as more specific equipment such as N95 masks and facial shields for the care of potential victims who may be contaminated. The latter increases the risk of contamination of professionals, resulting in potential losses in the working teams. Immediate measures must be taken to guarantee access to safety equipment throughout the country, since all trauma victims and/or patients with emergency surgical conditions must be treated as potential carriers of COVID-19.

摘要

2020年3月,世界卫生组织确认2019年末在中国出现的新型冠状病毒已引发全球大流行,该病毒所致疾病被命名为COVID-19。在此背景下,巴西创伤患者综合护理协会(SBAIT)通过电子调查问卷,对219名创伤及急诊外科医生进行了关于个人防护装备(PPE)的可用性以及外科医生在此次大流行中所扮演角色的调查。结果发现,外科医生一直处于条件不足的情况下工作,缺乏基本物资以及诸如N95口罩和面罩等更专业的设备,而这些设备对于护理可能被感染的潜在受害者至关重要。后者增加了专业人员被感染的风险,导致工作团队可能出现人员损失。必须立即采取措施,以确保全国范围内安全设备的供应,因为所有创伤受害者和/或患有急诊外科疾病的患者都必须被视为COVID-19的潜在携带者。

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