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Corona virus (Covid-19) - ITS implications in pediatric orthopedic care
1Maharishi Markendeshwar Medical College and Hospital, Solan, HP, India.
Insights
The COVID-19 pandemic significantly impacted pediatric orthopedic trauma care, with nearly half of emergency cases involving children. This study outlines essential guidelines for managing pediatric orthopedic patients during the pandemic.
Area of Science:
- Orthopedics
- Infectious Diseases
- Public Health
Background:
- The global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) and its associated disease, COVID-19, has created unprecedented public health challenges.
- Healthcare workers, including orthopedic surgeons, face risks when treating patients with potential COVID-19 infections, necessitating stringent safety protocols.
- Existing guidelines for musculoskeletal (MSK) care during the pandemic are limited, particularly for pediatric populations.
Purpose of the Study:
- To summarize current recommendations and establish institutional guidelines for the diagnosis and management of pediatric orthopedic patients during the COVID-19 pandemic.
- To address the significant proportion of pediatric trauma cases presenting to emergency departments during lockdown periods.
- To ensure the safety of healthcare professionals and prevent further transmission of SARS-CoV2.
Main Methods:
- Data collection from patients presenting to an emergency department during the lockdown period in India.
- Analysis of patient demographics, focusing on the incidence of pediatric trauma.
- Review and synthesis of existing recommendations and development of institutional protocols.
Main Results:
- Out of 81 emergency patients, 40 (49%) were pediatric trauma cases, highlighting the significance of this demographic.
- The study identified a substantial need for specific management strategies for pediatric orthopedic emergencies during the pandemic.
- The findings underscore the importance of adapting healthcare practices to the unique challenges posed by COVID-19.
Conclusions:
- Pediatric orthopedic trauma constitutes a significant portion of emergency cases during the COVID-19 pandemic.
- Clear institutional guidelines are crucial for the safe and effective management of pediatric orthopedic patients.
- Adherence to safety protocols is paramount to protect healthcare workers and curb virus transmission.
Abstract:
The recent spread of severe acute respiratory syndrome coronavirus (SARS-CoV2) and its associated coronavirus disease has gripped the entire international community and has caused widespread public health concerns due to the unavailability of treatment to this deadly disease. The COVID -19 has affected healthcare workers badly in the world with front line health care providers has a mortality rate of 1.4%. But in countries like Italy, it has gone up to 9%. To this date, there are no universal guidelines for musculoskeletal (MSK) care in the face of the coronavirus pandemic. Health care professionals, including orthopedic surgeons may encounter patients with suspected or confirmed COVID -19 infections and will have to act diligently not only to provide care but at the same time to prevent the spread of infection. During the lockdown period in INDIA we collected data of patients who came to an emergency in our hospital. Out of 81 patients, 40 patients were of pediatric trauma with a percentage of 49% making it highly significant. Thus, in this article, we tried to summarize current recommendations and our institutional guidelines for diagnosing and managing a pediatric orthopedic patient in the COVID-19 pandemic.
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