Ulus Travma Acil Cerrahi Derg. 2020; 26(3): 335-342 | DOI: 10.14744/tjtes.2020.79954

Recommendations for trauma and emergency general surgery practice during COVID-19 pandemic

Ali Fuat Kaan Gök¹, Mehmet Eryýlmaz², Mehmet Mahir Özmen³, Orhan Alimoglu⁴, Cemalettin Ertekin¹, Mehmet Hamdi Kurtoðlu^1
1Department of General Surgery, Ýstanbul University Ýstanbul Faculty of Medicine, Ýstanbul-Turkey
²Department of General Surgery, University of Health Sciences, Gülhane Training and Research Hospital, Ankara-Turkey
³Department of General Surgery, Ýstinye University Faculty of Medicine, Ýstanbul-Turkey
⁴Department of General Surgery, Ýstanbul Medeniyet University Faculty of Medicine, Ýstanbul-Turkey

COVID-19 is a new disease, based on currently available limited information, older adults and people of any age who have severe underlying medical conditions may be at higher risk for severe illness from COVID-19. People of all age groups are also at risk. Healthcare providers have always been the professionals most exposed to the risk of contracting to any kind of infection due to the nature of their profession. Elective interventions have been postponed to give care of patients with COVID-19. However, some interventions cannot be delayed, such as trauma surgery, acute abdomen, and emergency endoscopies. To maintain the sustainability of the healthcare system, the protection of healthcare providers should be the top priority. On the other hand, patients, who need emergency healthcare, should also be provided with appropriate treatment. Healthcare professionals should choose a treatment method appropriately in the circumstances to protect themselves and their patients as much as possible. This paper aims to summarize how a surgeon may act appropriately when an intervention is inevitable during the COVID-19 pandemic.

Keywords: Coronavirus, COVID-19; emergency surgery; endoscopy; trauma.

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COVID-19 pandemisi sýrasýnda travma ve acil cerrahi uygulamalarý için öneriler

Ali Fuat Kaan Gök¹, Mehmet Eryýlmaz², Mehmet Mahir Özmen³, Orhan Alimoglu⁴, Cemalettin Ertekin¹, Mehmet Hamdi Kurtoðlu^1
1Ýstanbul Üniversitesi Ýstanbul Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Ýstanbul
²Saðlýk Bilimleri Üniversitesi, Gülhane Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Kliniði, Ankara
³Ýstinye Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Ýstanbul
⁴Ýstanbul Medeniyet Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Ýstanbul

COVID-19, mevcut olan sýnýrlý bilgilere göre, yaþlýlar ve yandaþ hastalýklarý olan her yaþtan insan için ciddi problemler yaratabilecek yeni bir hastalýktýr. Ayrýca, tüm yaþ gruplarý da risk altýndadýr. Saðlýk çalýþanlarý, mesleklerinin doðasý gereði her türlü enfeksiyona yakalanma riskine en çok maruz kalan profesyoneller olmuþtur. Elektif cerrahiler COVID-19 hastalarýna bakým vermek için ertelenmiþtir. Bununla birlikte, travma cerrahisi, akut karýn ve acil endoskopiler gibi bazý müdahaleler geciktirilemez. Saðlýk sisteminin sürdürülebilirliðini korumak için saðlýk çalýþanlarýnýn korunmasý en önemli konulardan birisidir. Öte yandan, acil saðlýk hizmeti gerektiren hastalara da uygun tedavi saðlanmalýdýr. Saðlýk çalýþanlarý, kendilerini ve hastalarýný mümkün olduðunca koruyarak, en uygun tedavi yöntemini seçmelidir. Bu çalýþma, COVID-19 pandemisi sýrasýnda, bir cerrahýn yapmasý gereken müdahale kaçýnýlmaz olduðunda nasýl uygun davranabileceðini özetlemeyi amaçlamaktadýr.

Anahtar Kelimeler: Acil cerrahi, COVID-19; endoskopi; koronavirüs; travma.

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