Sawhney Chhavi, Singh Yudhyavir, Jain Kajal, Sawhney Ravindra, Trikha Anjan
Department of Anaesthesiology and Critical Care, JPNATC, AIIMS, New Delhi, India.
Department of Anaesthesiology, Critical Care and Pain Medicine, PGIMER, Chandigarh, India.
J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S115-S120. doi: 10.4103/joacp.JOACP_272_20. Epub 2020 Jul 31.
The Coronavirus SARS- CoV-2 (COVID-19) pandemic has overwhelmed the ability of health care systems all over the world. With the spread of the disease, countries have adopted different models to reorganize infrastructure and reallocate the resources to deal with the pandemic. All the nonurgent hospital services have been postponed. But, trauma and emergency services continue to function according to the established protocols with few modifications. During the pandemic, trauma care is based on clinical urgency, safety of the patient as well as health care workers (HCWs) and conservation of resources. The strategies include non-operative management if possible, restricting the number of personnel and utilization of remote consultation or telemedicine. In the present article, we discuss the triage and management of trauma victim during the pandemic, indications for emergency surgery and psychological impact of the pandemic. We also discuss the future challenges during the post-COVID-19 phase.
新型冠状病毒SARS-CoV-2（COVID-19）大流行已使世界各地的医疗保健系统不堪重负。随着疾病的传播，各国采用了不同模式来重组基础设施并重新分配资源以应对大流行。所有非紧急医院服务都已推迟。但是，创伤和急诊服务仍按照既定方案继续运作，仅做了少量调整。在大流行期间，创伤护理基于临床紧迫性、患者以及医护人员（HCWs）的安全和资源节约。这些策略包括尽可能进行非手术管理、限制人员数量以及利用远程会诊或远程医疗。在本文中，我们讨论了大流行期间创伤受害者的分诊和管理、急诊手术指征以及大流行的心理影响。我们还讨论了COVID-19后阶段的未来挑战。
