Resumption of Short-term Burn Reconstruction Missions to Ukraine in Light of COVID-19: A Paradigm Shift

Dabek, Robert J. and Vlasov, Alexey and Savenko, Maxim and Pasunko, Artem and Driscoll, Daniel N. and Knittel, Justin G. and Fuzaylov, Gennadiy (2022) Resumption of Short-term Burn Reconstruction Missions to Ukraine in Light of COVID-19: A Paradigm Shift. Journal of Burn Care & Research, 43 (6). pp. 1410-1415. ISSN 1559-0488 (Online), 1559-047X (Print)

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Abstract

The COVID-19 pandemic has disrupted the lives of billions of people globally. Some medical systems continue to be overburdened due to the viral illness leading to incredible public health challenges domestically as well as abroad. However, with vaccination distribution increasing globally, many are pushing for a return to some form of normalcy. In the medical community, some are weighing the risks of returning to global health missions and considering protective strategies to minimize risk of viral spread. Here, we describe our experience in returning to an annual burn reconstruction mission in a low- and middle-income country. We have successfully carried out a return surgical mission trip. Our team of 10 individuals was able to perform over 75 procedures on 25 pediatric patients in 4 operative days. We applied a variety of protective strategies and altered mission protocol to limit exposure and transmission risk while focusing heavily on education and training. Additionally, we increased the use of telemedicine and eliminated typical in-person clinic visits. We increased operative complexity to increase impact while limiting patient exposure. Rigorous perioperative safety and follow-up protocols were implemented. The increased use of telemedicine, reduction of in-person visits, emphasis on education, and implementation of safety and follow-up protocols have led to an improvement in efficiency, safety, and accountability. Our adaptations have provided guidance on responsibly resuming surgical outreach missions, with changes that are likely to endure beyond the COVID-19 pandemic.

Item Type:	Article
Additional Information:	Cite Robert J Dabek, MD, Alexey Vlasov, MD, Maxim Savenko, MD, Artem Pasunko, MD, Daniel N Driscoll, MD, Justin G Knittel, MD, Gennadiy Fuzaylov, MD, Resumption of Short-term Burn Reconstruction Missions to Ukraine in Light of COVID-19: A Paradigm Shift, Journal of Burn Care & Research, Volume 43, Issue 6, November/December 2022, Pages 1410–1415, https://doi.org/10.1093/jbcr/irac049
Uncontrolled Keywords:	MeSH: Burns; Child; COVID-19; Humans; Pandemics; Telemedicine; Ukraine EMTREE medical terms: burn; child; human; pandemic; telemedicine; Ukraine
Subjects:	Pediatric surgery Organization surgical service of the population
Divisions:	Departments > Department of Pediatric surgery, Traumatology and Orthopedics
Depositing User:	Елена Шрамко
Date Deposited:	27 Feb 2023 11:41
Last Modified:	27 Feb 2023 11:41
URI:	http://repo.dma.dp.ua/id/eprint/8181

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