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2020 ; 8
(Suppl1
): 235-241
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Lockdown of an Orthopedic Department during COVID-19 Epidemics, Our Experience in
a General Hospital
#MMPMID32607394
Kalantar S
; Farhoud A
; Mortazavi J
Arch Bone Jt Surg
2020[Apr]; 8
(Suppl1
): 235-241
PMID32607394
show ga
The COVID-19 disease is rapidly spreading around the world, affecting many
countries and their healthcare systems. Like many other countries, Iran is
struggling with the current situation. In this article, we aim to share our
perspectives on confronting obstacles mentioned above using appropriate hospital
protocols during the COVID-19 crisis. We investigated and compared the number of
referred patients to the emergency room, elective, and emergent orthopedic
operations in our hospital, along with a number of residents and faculty
participants in the morning reports and virtual classes before and after the
outbreak of COVID-19 in our hospital. The number of referred patients to the
emergency room was significantly reduced; the number of orthopedic operations was
also decreased to almost zero in March 2020. Meanwhile, we managed to dismiss our
residents and reduce the number of in-hospital morning reports and conferences.
Instead, we designed virtual classes, and the number of participants in our
virtual classes grew to almost two-third of the whole participant. We also
managed to fortify our virtual office system to reduce the number of in-hospital
visits. Since our hospital had become a leading center for the treatment of
COVID-19 patients, and the number of referred trauma patients, elective, and
trauma operations, along with educational activities, was reduced. There was also
a significant concern about the management of elective, trauma, and
post-operative patients in this era. Orthopedic faculty members needed to react
to the current situation cautiously. We were able to manage the situation with
consideration of our educational path, along with the management of personal
protective equipment (PPE), and the use of communication technologies and
specific protocols to overcome the obstacles mentioned above. Yet involved our
staff and With orthopedic faculties active involvement at in-hospital activitie
and establishment of hospital protocols considering technological facilities and
WHO guidelines, we can improve education, management of PPE, and both orthopedic
elective and trauma patients.