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Burn center function during the COVID-19 pandemic: An international multi-center report of strategy and experience
Affiliation:1. Department of Plastic Surgery and Burns, Hospital Universitari Vall d’Hebron, Department of Surgery, School of Medicine, Universitat Autonoma de Barcelona, Passeig de la Vall d’Hebron 119-129, 08035 Barcelona, Spain;2. Department of Plastic Reconstructive and Aesthetic surgery, Singapore General Hospital, Academia 20 College Road, Singapore 169856, Singapore;3. Anaesthesia and Intensive Care, Città della Salute di Torino, corso Bramante, 88–10126, Torino, Italy;4. Division of Plastics and Reconstructive Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52240 USA;5. Institute of Burn Research, Southwest Hospital Army (Third Military) Medical University, Chongqing 400038, China;6. University Hospitals Birmingham Foundation Trust, (Heritage Building) Queen Elizabeth Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2TH, UK;7. Harborview Medical Center, 325 Ninth Ave, Box 359796, Seattle, WA, USA;8. Department of Burn and Plastic Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, 197 Ruijin Er Road, Shanghai 200025, China;9. Division of Acute Care Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, USA;10. Department of Plastic and Reconstructive Surgery, Tokyo Medical University, 6-7-1 Nishishinjyuku, Shinjukuku, Tokyo, 160-0023, JAPAN
Abstract:The novel coronavirus, SARS-CO V2 responsible for COVID-19 pandemic is rapidly escalating across the globe. Burn centers gearing for the pandemic must strike a balance between contributing to the pandemic response and preserving ongoing burn care in a safe and ethical fashion. The authors of the present communication represent seven burn centers from China, Singapore, Japan, Italy, Spain, the United Kingdom (UK), and the United States (US). Each center is located at a different point along the pandemic curve and serves different patient populations within their healthcare systems. We review our experience with the virus to date, our strategic approach to burn center function under these circumstances, and lessons learned. The purpose of this communication is to share experiences that will assist with continued preparations to help burn centers advocate for optimum burn care and overcome challenges as this pandemic continues.
Keywords:COVID-19  SARS-COV2  Austere conditions  Burn surgery  Critical care
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