Emergency trauma care during the outbreak of corona virus disease 2019 (COVID-19) in China

Abstract

Background: A novel coronavirus pneumonia outbreak began in Wuhan, Hubei Province, in December 2019; the outbreak was caused by a novel coronavirus previously never observed in humans. China has imposed the strictest quarantine and closed management measures in history to control the spread of the disease. However, a high level of evidence to support the surgical management of potential trauma patients during the novel coronavirus outbreak is still lacking. To regulate the emergency treatment of trauma patients during the outbreak, we drafted this paper from a trauma surgeon perspective according to practical experience in Wuhan. Main body:The article illustrates the general principles for the triage and evaluation of trauma patients during the outbreak of COVID-19, indications for emergency surgery, and infection prevention and control for medical personnel, providing a practical algorithm for trauma care providers during the outbreak period. Conclusions:The measures of emergency trauma care that we have provided can protect the medical personnel involved in emergency care and ensure the timeliness of effective interventions during the outbreak of COVID-19.

Perioperative care of the newborns with CHDs in the time of COVID-19

“…Table 2 shows the donning and doffing procedure for personal protective equipment according to the guidelines. 35,50 A minimum number of personnel including the anaesthesiologist, anaesthesia technician, surgeons, nurse staff, and perfusionist should be assigned before the COVID-19 patient enters the operating room. Irrelevant staff should not enter the room to minimise the traffic across the operating room.…”

“…Medical personnel should enter and exit the operating room in strict accordance with the principles of clean area, contaminated pollution area, and buffer zones. 43,50 Figure 1 shows an algorithm aiming the protect surgical team members (surgeons, nurses, anaesthesiologist, technicians) in operating room in terms of emergency of surgery and COVID status of the patient.…”

“…Donning and doffing procedure of personal protective equipment. 35,50 Donning procedure Doffing procedure is recommended prior to use for a COVID-negative or unknown patient. 43,46,47 For healthcare providers, at least 14 days of quarantine is recommended if exposure to COVID-19 occurs with inadequate personal protective equipment during care.…”

An overview on pandemic Covid-19

“…Similar to other respiratory pathogens, like lu and rhinovirus, the transmission of coronavirus is also via respiratory droplets which are in turn due to coughing and sneezing (Li et al, 2020). Exposure to the aerosol in a closed area leads to infection.…”

“…International airports were closed, and suspected visas were seized till April 15, except diplomatic, of icial, UN or International Organizations, project visas, and Indians were strongly advised to avoid non-essential travel to nations abroad (Hemmati et al, 2020). Even if they return into the country, they are subjected to 14 days of self-quarantine (Li et al, 2020).…”