A District General Hospital Trauma Service Response to COVID-19: Lessons Learnt.

acute care surgery and trauma covid 19 covid-19 outbreak covid-19 pandemic general trauma surgery orthopaedic disease orthopaedics trauma return to elective service

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
14 Dec 2020
Historique:
entrez: 25 1 2021
pubmed: 26 1 2021
medline: 26 1 2021
Statut: epublish

Résumé

This article seeks to evaluate and outline the changes made to the trauma and orthopaedic department in a district general hospital in the United Kingdom during the COVID-19 pandemic. We detail the approach in relation to surgical management, workforce optimisation and our general reflections as a department. We interviewed, collated and have subsequently described the adaptations implemented by our department. We have collected their shared strategy and reflections on how the COVID-19 pandemic affected our department. Alterations were implemented to mitigate the effects of the COVID-19 pandemic. A strategy focused on ensuring the workforce remained healthy, and patient care pathways were altered as minimally as possible.  As a unit, a sense of heightened vigilance needs to remain for the foreseeable future. Decisive action by departmental leadership, alongside a cohesive and open, has allowed for our trauma service to continue largely unchanged. This analysis serves as an important aide-memoire for future periods of extreme uncertainty.

Identifiants

pubmed: 33489505
doi: 10.7759/cureus.12087
pmc: PMC7805533
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12087

Informations de copyright

Copyright © 2020, Prokopenko et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

BMJ. 2019 Jun 10;365:l4105
pubmed: 31182494
Ann Intern Med. 2011 Sep 6;155(5):309-15
pubmed: 21747093
Lancet Public Health. 2020 Oct;5(10):e524
pubmed: 33007210
BMJ. 2017 Nov 17;359:j5353
pubmed: 29150420
Lancet. 2020 Jul 4;396(10243):27-38
pubmed: 32479829
West J Emerg Med. 2020 Aug 17;21(5):1059-1066
pubmed: 32970555
Med Educ Online. 2020 Dec;25(1):1785116
pubmed: 32584167

Auteurs

Max Prokopenko (M)

Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, GBR.

Harman Khatkar (H)

Orthopaedics, Royal Berkshire Hospital, Reading, GBR.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, GBR.

Classifications MeSH