Epidemiology and outcomes for level 1 and 2 traumas during the first wave of COVID19 in a Canadian centre | Scientific Reports – Nature.com

by | Nov 27, 2022 | COVID-19

With the rapid spread of COVID19 across the world, public health measures such as stay-at-home orders and physical distancing were imposed to reduce virus transmission and virus-related hospital admissions1. Additionally, several hospitals adapted the layout of trauma bays to reduce the possibility of fomite contamination by viral particles, including placing all non-essential supplies outside the trauma bay2. Many trauma centers have also deemed all trauma patients to be COVID19 positive until proven otherwise, requiring the donning of appropriate personal protective equipment (PPE) before contact with these patients1,3,4,5,6. The healthcare effects of these public health measures have been variable; in some cities, traumas and admissions due to trauma decreased, effectively reducing strain on the healthcare system at the beginning of the pandemic7,8,9,10,11,12,13. Furthermore, the pattern of trauma activations has shown a trend towards increased non-accidental penetrating trauma and a reduction in blunt trauma due to motor vehicle collisions14,15,16,17,18. In hospitals, it appears the pandemic may have improved efficiency, with many centers reporting reduced lengths of stay and reduced times to surgery compared to pre-pandemic times19,20.Our experience suggests that most measures implemented to reduce the spread of COVID19 in the hospital setting, such as the use of appropriate PPE, require a trade-off between time to patient treatment and HCW protection. Specific measures to reduce the viral spread in our center included the creation of designated “intubation teams” responsible for airway management, endotracheal intubation, and arterial and central venous line placement. We also implemented the use of an intercom to facilitate communication between members of the team inside the trauma bay and those outside, separated by glass doors. Additionally, direct physical access to the radiologist reading room adjacent to the trauma bay was eliminated.To our knowled …

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