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Management of Hand Surgery Services during the Novel Coronavirus Disease 2019 Pandemic
1Division of Plastic and Reconstructive Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa.
Insights
Hand surgeons can adapt their practice during the COVID-19 pandemic by implementing new protocols. These strategies aim to maintain patient care and healthcare system function amidst the global health emergency.
Area of Science:
- Medicine
- Public Health
- Surgical Practice
Background:
- The COVID-19 pandemic presents a significant global public health challenge.
- Healthcare systems face escalating demands for critical care services.
- Adapting surgical practices is crucial for maintaining healthcare system functionality.
Purpose of the Study:
- To provide strategies for hand surgeons to plan and implement responses during the COVID-19 pandemic.
- To ensure the continuity of hand surgery services while mitigating viral risks.
- To guide the rescheduling of outpatient and surgical activities.
Main Methods:
- Reviewing COVID-19 management principles.
- Developing preparedness and response protocols for patients, healthcare workers, and health systems.
- Assessing strategies for reorganizing hand surgery practices.
Main Results:
- Proposed strategies for reorganizing hand surgery practices.
- Recommendations for rescheduling outpatient and surgical activities.
- Guidelines for adapting patient management to minimize viral transmission risks.
Conclusions:
- Hand surgery patient management must be adapted during the COVID-19 pandemic to balance risk mitigation and patient outcomes.
- Expedient recommendations offer a foundation for evolving strategies as the pandemic progresses.
- Proactive planning is essential for preserving specialized hand care services.
Abstract:
Introduction The novel coronavirus disease 2019 (COVID-19) pandemic is an international public health emergency. Health systems must plan for the increasing requirements for critical care during the COVID-19 pandemic. The aim of this article is to offer strategies for hand surgeons to planning and implementing their response during the COVID-19 pandemic and in the subsequent phases to preserve health care system functioning. Materials and Methods Assessment of the principles of management related to COVID-19 management to develop pandemic preparedness and response protocols pertinent to patients, health care workers, and health systems. Results Strategies for the reorganizing hand surgery practice and a set of recommendations that should facilitate the process of rescheduling both out-patient service and surgical activities during the COVID-19 and its subsequent phases are suggested. Conclusion During the COVID-19 pandemic, management of patients requiring specialist care for hand conditions should be adapted to limit the risks associated with the virus without jeopardizing outcomes. These expedient recommendations during extraordinary circumstances are a foundation for further discussion on the topic as the COVID-19 pandemic evolves.
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