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Trauma Care During the COVID-19 Pandemic: A Canadian Survey
Mostafa Alhabboubi1, François De Champlain2, Khalifa AlQaydi2
1Jeddah University, Jeddah, Saudi Arabia; Department of Emergency Medicine, McGill University, Montreal, Quebec. email@email.com.
Purpose:
The coronavirus disease 2019 (COVID-19) pandemic has placed major limitations on trauma health care systems. This survey aims to identify how Canadian trauma centres altered their processes to care for injured patients and protect their staff during the pandemic.
Methods:
A survey was distributed to trauma directors at level 1 Canadian adult trauma centres in July 2020. Questions included changes made to the trauma service in preparation for the pandemic, modification to clinical practice and expected lasting modifications after the pandemic.
Results:
The response rate was 68.4%. All trauma centres modified their treatment and investigation protocols for the pandemic. Most respondents adopted online platforms for meetings and educational activities and used simulation to prepare for COVID-19-infected trauma patients. The approach to who would intubate trauma patients, which trauma patients should be tested for COVID-19 and who should use N95 ventilators, varied among the sites surveyed.
Conclusion:
All centres modified some of their treatment and investigation protocols for the pandemic but not all modifications were adopted universally. Knowing these steps and comparing them with other global centres will help organize disaster plans for the current and future pandemics.
Insights
Canadian trauma centres modified protocols during the COVID-19 pandemic to care for injured patients and protect staff. These changes, while not universally adopted, offer valuable lessons for future pandemic disaster planning.
Area of Science:
- Trauma Surgery
- Public Health
- Infectious Disease
Background:
- The COVID-19 pandemic significantly impacted healthcare systems globally.
- Trauma centers faced unprecedented challenges in patient care and staff safety.
Purpose of the Study:
- To survey Canadian trauma centers regarding pandemic-related process alterations.
- To identify changes in patient care and staff protection strategies during the COVID-19 pandemic.
Main Methods:
- A survey was distributed to directors of Level 1 Canadian adult trauma centers in July 2020.
- The survey queried modifications to trauma services, clinical practices, and anticipated long-term changes.
Main Results:
- A 68.4% response rate was achieved, with all centers reporting protocol modifications.
- Common adaptations included online platforms for meetings/education and simulation for COVID-19 patient management.
- Practices for intubation, COVID-19 testing, and N95 respirator use varied across centers.
Conclusions:
- All surveyed trauma centers adapted treatment and investigation protocols in response to the pandemic.
- Not all implemented modifications were universally adopted, highlighting variability in approach.
- Documenting these adaptations is crucial for improving future pandemic preparedness and disaster planning.
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