Management of orthopedic patients during COVID-19 outbreak

Area of Science:

• Orthopedic Surgery
• Infectious Disease Control
• Healthcare Management

Background:

• The Coronavirus Disease 2019 (COVID-19) pandemic caused global economic and social disruption, significantly impacting hospital operations.
• Orthopedic departments faced challenges in managing trauma and musculoskeletal emergencies amidst the pandemic.
• Kashani educational trauma center adapted its services to maintain patient care while controlling infection spread.

Purpose of the Study:

• To describe the specific changes and protocols implemented in an orthopedic department during the COVID-19 outbreak.
• To share strategies for managing orthopedic patients, including those with suspected or confirmed COVID-19.
• To provide insights that may assist other healthcare facilities in similar situations.

Main Methods:

• Implementation of reduced outpatient clinic admissions and modified waiting room setups.
• Mandatory patient screening at entrances and provision of personal protective equipment (PPE) for staff.
• Establishment of dedicated emergency rooms, operating rooms, and corridors for COVID-19-infected or suspected patients.

Main Results:

• Successful management of orthopedic trauma and musculoskeletal injuries through adapted protocols.
• Minimized infection risks within the orthopedic department via specialized patient pathways and enhanced safety measures.
• Effective patient care continuity demonstrated through modified admission, treatment, and discharge procedures.

Conclusions:

• The implemented strategies allowed Kashani hospital to effectively manage orthopedic patients during the COVID-19 pandemic.
• Continuous consultation with infectious disease specialists was crucial for adapting protocols.
• The experience highlights the adaptability of orthopedic departments in crisis situations and offers a model for other institutions.