دورية أكاديمية
أعرض في EDS

A surgeon's role in fighting a medical pandemic: Experiences from the unit at the epicentre of COVID-19 in Singapore - A cohort perspective.

التفاصيل البيبلوغرافية
العنوان: A surgeon's role in fighting a medical pandemic: Experiences from the unit at the epicentre of COVID-19 in Singapore - A cohort perspective.
المؤلفون: Rasappan K; Department of Orthopaedic Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore. Electronic address: kumaran.rasappan@mohh.com.sg., Oh JYL; Department of Orthopaedic Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore., Ding BTK; Department of Orthopaedic Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore., Mohd Fadhil MF; Department of Orthopaedic Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore., Lee KT; Department of Orthopaedic Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore.
المصدر: International journal of surgery (London, England) [Int J Surg] 2020 Jul; Vol. 79, pp. 31-35. Date of Electronic Publication: 2020 May 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101228232 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1743-9159 (Electronic) Linking ISSN: 17439159 NLM ISO Abbreviation: Int J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2023- : [Philadelphia] : Wolters Kluwer Health, Inc.
Original Publication: London : Surgical Associates Ltd., c2004-
مواضيع طبية MeSH: Infection Control* , Physician's Role* , Surgeons*, Coronavirus Infections/*epidemiology , Pandemics/*prevention & control , Pneumonia, Viral/*epidemiology , Surgery Department, Hospital/*organization & administration, Betacoronavirus ; COVID-19 ; Cohort Studies ; Communication ; Coronavirus Infections/prevention & control ; Humans ; Interprofessional Relations ; Medical Staff, Hospital/education ; Medical Staff, Hospital/organization & administration ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Singapore/epidemiology ; Triage
مستخلص: Importance: Although Singapore was one of the first countries outside of China to be affected by COVID-19, for the first 2.5 months since its first reported case on January 23, 2020, it remained one of the few nations with successful containment of spread of the pandemic with little mortality and zero intra-hospital transmissions, without instituting a major lockdown of the country. In times of an infectious epidemic where medical subspecialties lead the frontline, a surgeon's role becomes rather vague. However, the only obstacle that stands in between the surgeon and fighting in the frontline of an infectious disease outbreak, is the traditional perception of what a surgeon can do. By presenting the strategies employed by our institution and its surgical unit, which remains the epicenter of the COVID-19 fight in Singapore, together with our medical counterparts, we hope to be able to improve our practices to respond and prevent the pandemic from escalating further as a collective community of surgeons across the globe.
Observations: Contingencies should be in place for prioritization of existing patients, triaging and treatment of suspected patients, infection control, manpower management and novel strategies for inter-disciplinary communications and education in a hospital's surgical unit during a pandemic. Working in a high risk environment with manpower and resource limitations for prolonged periods of time has effect on morale and affects surgeon burn-out. Transparent communication, avenues to address psychological needs of surgeons and leadership by example are key strategies in ensuring a sustainable fight against the pandemic.
Conclusions and Relevance: With the varies strategies implemented, every surgical discipline and every surgeon should be unified and place their desire to operate aside. There should not be any differentiation between surgeon and physician, but instead, everyone has to work together as one united health care front battling the common enemy - COVID-19.
Competing Interests: Declaration of competing interest The authors report no financial and personal conflicts of interest in this work.
(Copyright © 2020 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.)
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فهرسة مساهمة: Keywords: COVID-19; Operating in pandemic; Pandemic management; Physician collaboration; Surgeon's role; Surgical unit
تواريخ الأحداث: Date Created: 20200520 Date Completed: 20200715 Latest Revision: 20201218
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7229728
DOI: 10.1016/j.ijsu.2020.05.033
PMID: 32426020
قاعدة البيانات: MEDLINE
الوصف
تدمد:1743-9159
DOI:10.1016/j.ijsu.2020.05.033