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Review
. 2020 May 15;15(1):33.
doi: 10.1186/s13017-020-00312-5.

Emergency trauma care during the outbreak of corona virus disease 2019 (COVID-19) in China

Yang Li  1 , Ling Zeng  1 , Zhanfei Li  2 , Qingxiang Mao  3 , Ding Liu  4 , Letian Zhang  5 , Huayu Zhang  1 , Yu Xie  1 , Guo Liu  1 , Xiaoqin Gan  3 , Fan Yang  2 , Siru Zhou  1 , Shanmu Ai  6 , Hao Tang  6 , Qiu Zhong  7 , Hongxiang Lu  1 , Huacai Zhang  1 , Tomer Talmy  8 , Weiguo Zhang  5 , Liyong Chen  3 , Xiangjun Bai  2 , Jianxin Jiang  9 , Lianyang Zhang  10
Affiliations
Review

Emergency trauma care during the outbreak of corona virus disease 2019 (COVID-19) in China

Yang Li et al. World J Emerg Surg. .

Abstract

Background: A novel coronavirus pneumonia outbreak began in Wuhan, Hubei Province, in December 2019; the outbreak was caused by a novel coronavirus previously never observed in humans. China has imposed the strictest quarantine and closed management measures in history to control the spread of the disease. However, a high level of evidence to support the surgical management of potential trauma patients during the novel coronavirus outbreak is still lacking. To regulate the emergency treatment of trauma patients during the outbreak, we drafted this paper from a trauma surgeon perspective according to practical experience in Wuhan.

Main body: The article illustrates the general principles for the triage and evaluation of trauma patients during the outbreak of COVID-19, indications for emergency surgery, and infection prevention and control for medical personnel, providing a practical algorithm for trauma care providers during the outbreak period.

Conclusions: The measures of emergency trauma care that we have provided can protect the medical personnel involved in emergency care and ensure the timeliness of effective interventions during the outbreak of COVID-19.

Keywords: Emergency surgery; Infection prevention; Novel Coronavirus; Trauma.

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Conflict of interest statement

All authors declare that they have no competing interests. All authors read and approved the final manuscript.

Figures

Fig. 1
Fig. 1
Level 3 PPE during CT examination
Fig. 2
Fig. 2
Protective clothing for surgical personnel: a after wearing protective clothing and inner gloves, b after wearing operating clothes and outer gloves
Fig. 3
Fig. 3
Procedure for level 3 PPE donning
Fig. 4
Fig. 4
Procedure for level 3 PPE doffing
See this image and copyright information in PMC

References

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    1. World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected.Available at:https://www.who.int/publications-detail/infection-prevention-and-control.... Accessed 25 Jan 2020.

MeSH terms