2020, Number 2
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ABSTRACTThe purpose of this document is to review the medical references published in the contingency period by COVID-19. Currently management in these circumstances is new for everyone and that is why the international experience regarding the management of patients in general and orthopedic patients in particular is the first step for regulating behavior. In order to provide our patients with the highest level of care, safely and efficiently, a bibliographic review must be carried out, comparing the clinical experience and the research carried out. The information obtained is provided as a narrative review. Results: The international consensus on the organization of a clinic, hospital and surgical activities is in progress, the approaches presented here are a summary of the research obtained and the authors’ interpretations. The bases to carry out medical practice in these moments of contingency lie in providing safety to the patient, the medical and paramedical staff. In the emergency department: all patients should be classified as a suspected COVID-19 carrier. Clinics: it should be for follow-up of post-operative patients and for those with severe pain that alter their ability to rest. Encourage the use of tele-consultations. Operating room: seek blocking procedures, maintain the operating room with negative or neutral pressure, avoid the use of surgical helmet system nor re-circulation of air. Surgeries deemed necessary should preferably be analyzed jointly with anesthesia.
ECDC (2020c). Contact tracing: Public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European Union –second update, [31 March 2020] Available in: https://www.ecdc.europa.eu/sites/default/files/documents/Public-health-managementpersons-contact-novel-coronavirus-cases-2020-03-31.pdf.