Management of acute hand injury during the epidemic of COVID-19: strategies and suggestions
10.3760/cma.j.cn115530-20200509-00321
- VernacularTitle:新型冠状病毒肺炎疫情期间手外伤急症患者的处理策略和建议
- Author:
Li YAN
1
;
Wei FENG
;
Rui HU
;
Jin ZHU
;
Shanqing LI
;
Ying AN
;
Shaohua ZHANG
;
Junwen WANG
Author Information
1. 武汉市第四医院，华中科技大学同济医学院附属普爱医院手外科 430033
- From:
Chinese Journal of Orthopaedic Trauma
2020;22(7):567-571
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To present our strategies and suggestions for management of acute hand injury during the epidemic of COVID-19.Methods:From January 1 to February 20, 2020, 78 patients with acute hand injury were admitted to the Department of Hand Surgery, Wuhan Fourth Hospital. They were 45 males and 33 females, aged from 21 to 69 years (mean, 43.2 years). Of them, 60 were treated from January 1 to 20, 2020, by medical staff under protection of class 1, and 18 from January 21 February 20, 2020, by medical staff under protection of class 2. The COVID-19 infection was recorded in the patients and medical staff as well. The measures taken and experience in control and prevention of 2019-nCoV infection during the epidemic were reviewed.Results:From January 1 to 20, 2020, 5 patients were diagnosed of COVID-19 infection, including 3 mild and 2 moderate cases, and 5 medical staff members were also diagnosed of COVID-19 infection, including 3 mild, one moderate and one severe cases. From January 21 to February 20, 2020, 2 patients were diagnosed of COVID-19 infection, including one mild and one moderate cases, but none of the medical staff was infected by COVID-19.Conclusions:During the epidemic of COVID-19, the front line medical staff may face a high risk of COVID-19 infection in the whole process of management of acute hand trauma. The risk of nosocomial COVID-19 infection can be reduced by complete pre-hospital examination, choice of proper anesthesia and surgical procedures, perioperative prevention measures for medical staff, improved postoperative ward management, and psychological counseling for the patients.
