Critical adjustments and trauma surgery trends in adaptation to COVID-19 pandemic in Malaysia |
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Authors: | Henry Tan Chor Lip Tan Jih Huei Yuzaidi Mohama Rizal Imran Alwi Tuan Nur'' Azmah Tuan Mat |
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Affiliation: | Department of General Surgery, Hospital Sultanah Aminah, Malaysia Ministry of Health, Johor Bahru, Malaysia; Trauma Surgery Unit, Department of General Surgery, Hospital Sultanah Aminah, Malaysia Ministry of Health, Johor Bahru, Malaysia; Department of General Surgery, Faculty of Medicine, National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia |
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Abstract: | Malaysia has one of the highest total numbers of COVID-19 infections amongst the Southeast Asian nations, which led to the enforcements of the Malaysian “Movement Control Order” to prohibit disease transmission. The overwhelming increasing amount of infections has led to a major strain on major healthcare services. This leads to shortages in hospital beds, ventilators and critical personnel protective equipment. This article focuses on the critical adaptations from a general surgery department in Malaysia which is part of a Malaysian tertiary hospital that treats COVID-19 cases. The core highlights of these strategies enforced during this pandemic are: (1) surgery ward and clinic decongestions; (2) deferment of elective surgeries; (3) restructuring of medical personnel work force; (4) utilization of online applications for tele-communication; (5) operating room (OR) adjustments and patient screening; and (6) continuing medical education and updating practices in context to COVID-19. These adaptations were important for the continuation of emergency surgery services, preventing transmission of COVID-19 amongst healthcare workers and optimization of medical personnel work force in times of a global pandemic. In addition, an early analysis on the impact of COVID-19 pandemic and lockdown measures in Malaysia towards the reduction in total number of elective/emergent/trauma surgeries performed is described in this article. |
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Keywords: | PandemicsCOVID-19General surgeryMalaysia |
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