id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-320133-q26jiv17	Sadr, Mr A H	Managing Hand Trauma during the COVID-19 pandemic using a One-Stop Clinic	2020-05-22		.txt	text/plain	957	53	57	The COVID-19 Pandemic has shifted clinical priorities and resources from elective and trauma hand surgery with general anaesthesia (GA) to treat the growing number of COVID patients. The British Association of Plastic, Reconstructive and Aesthetic Surgeons, the British Society for Surgery of the Hand and the Royal College of Surgeons of England, have all issued guidance: both encouraging patients to avoid risky pursuits, which could result in accidental injuries and to members how to prioritise and optimise services for trauma and urgent cancer work. We have adapted our Hand Trauma Service to a 'One Stop Hand Trauma and Therapy' clinic, where patients are assessed, definitive surgery performed and offered immediate post-operative hand therapy where therapists make splint and give specialist advice on wound care and rehabilitation including an illustrated hand therapy guide. We have successfully been able to perform 95% of our operations for Hand trauma under Wide Awake Local Anaesthesia No Tourniquet (WALANT) (1).	./cache/cord-320133-q26jiv17.txt	./txt/cord-320133-q26jiv17.txt