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The COVID-19 Pandemic: The effect on hand trauma in Europe's busiest major trauma centre

Published:November 11, 2020DOI:https://doi.org/10.1016/j.bjps.2020.10.097
      The World Health Organisation (WHO) declared the COVID-19 outbreak as a global emergency on the 30th January 2020.

      World Health Organization. Novel Coronavirus (2019-nCov) Situation Report 11th February 2020.

      Healthcare systems have had to rapidly expand their intensive care capacity to meet the demands for ventilatory support. By mid-April, London had expanded its ICU capacity by over one-third.

      NHS hospitals have four-times more empty beds than normal. Available at: https://www.hsj.co.uk/acute-care/nhs-hospitals-have-four-times-more-empty-beds-than-normal/7027392.article. Accessed 25/04, 2020.

      Treatment of non-COVID-19 related conditions, including hand surgery, has had to adapt to conserve health resources and protect both healthcare professional and patient from nosocomial virus exposure. All elective surgery has been cancelled and the management of hand trauma has had to become more streamlined to still provide a service to urgent cases despite a reduction in facilities and staffing.

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      References

      1. World Health Organization. Novel Coronavirus (2019-nCov) Situation Report 11th February 2020.

      2. NHS hospitals have four-times more empty beds than normal. Available at: https://www.hsj.co.uk/acute-care/nhs-hospitals-have-four-times-more-empty-beds-than-normal/7027392.article. Accessed 25/04, 2020.

      3. The Royal London Hospital. Available at: https://www.c4ts.qmul.ac.uk/collaborators/barts-health-nhs-trust-and-the-royal-london-hospital. Accessed 25/04, 2020.

      4. 2019-2020 Crime Statistics. Available at: https://www.met.police.uk/sd/stats-and-data/met/year-end-crime-statistics-19-20/. Accessed 26/04, 2020.

      5. Avoid injury whilst in self-isolation. Available at: http://www.bapras.org.uk/docs/default-source/covid-19-docs/general-injury-poster—portrait-final-with-bba_bapras-logos-(002).pdf?sfvrsn=2. Accessed 20/04, 2020.