Wallace Charles N, Kontoghiorghe Christina, Kayani Barbar, Chang Justin S, Haddad Fares S
Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK.
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK.
Bone Jt Open. 2020 Jul 15;1(7):420-423. doi: 10.1302/2633-1462.17.BJO-2020-0102. eCollection 2020 Jul.
The coronavirus 2019 (COVID-19) global pandemic has had a significant impact on trauma and orthopaedic (T&O) departments worldwide. To manage the peak of the epidemic, orthopaedic staff were redeployed to frontline medical care; these roles included managing minor injury units, forming a "proning" team, and assisting in the intensive care unit (ICU). In addition, outpatient clinics were restructured to facilitate virtual consultations, elective procedures were cancelled, and inpatient hospital admissions minimized to reduce nosocomial COVID-19 infections. Urgent operations for fractures, infection and tumours went ahead but required strict planning to ensure patient safety. Orthopaedic training has also been significantly impacted during this period. This article discusses the impact of COVID-19 on T&O in the UK and highlights key lessons learned that may help to proactively prepare for the next global pandemic. Cite this article: 2020;1-7:420-423.
2019年冠状病毒病(COVID-19)全球大流行对世界各地的创伤与骨科(T&O)科室产生了重大影响。为应对疫情高峰,骨科工作人员被重新部署到一线医疗护理岗位;这些职责包括管理轻伤科室、组建“俯卧位通气”团队以及在重症监护病房(ICU)提供协助。此外,门诊诊所进行了重组以方便开展虚拟会诊,择期手术被取消,住院患者入院人数降至最低以减少医院内COVID-19感染。针对骨折、感染和肿瘤的紧急手术仍在进行,但需要严格规划以确保患者安全。在此期间,骨科培训也受到了重大影响。本文讨论了COVID-19对英国创伤与骨科的影响,并强调了汲取的关键经验教训,这些经验教训可能有助于为下一次全球大流行做好积极准备。引用本文:2020;1 - 7:420 - 423。