Abstract
In early 2020, the COVID-19 pandemic swept through the UK and had a major impact on healthcare services. The Birmingham hand centre, one of the largest hand trauma units in...
Highlights
In December 2019, a cluster of cases of viral pneumonia was reported in Wuhan, Hubei Province in China.[1]
The Birmingham hand centre, one of the largest hand trauma units in the country, underwent a dramatic service reconfiguration to enable robust and safe provision of care that would withstand the peak of the pandemic
Of the local urban population, 40.2% are from Black Asian and Minority Ethnic (BAME) groups who have been affected in the pandemic
Summary
In December 2019, a cluster of cases of viral pneumonia was reported in Wuhan, Hubei Province in China.[1]. Between the hours of 20:00 and 08:00, only emergency patients were seen, others were given a hot hand clinic appointment the following day In this way, every referral had a consultant response around the clock. As in pre-lockdown, the trauma coordinator role was essential in planning operating lists and liaising with patients at home During this time, the role was modified to include new patient assessment in clinic, preoperative COVID-19 screening, preparing the procedure room and assisting in minor operations. The patient initial assessment took place in the hot hands clinic in 80.8% of cases, with emergency department (14.8%), ward referrals (2.7%) critical care (0.3%) and other sites including theatre (1.3%) accounting for the remainder. The other patient was COVID-19 positive and died 5 days after an amputation for infected finger bite
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