Impact of coronavirus disease 2019 (COVID-19) on trauma surgical education at a level I trauma center
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Salomon, Brett
[1
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Howk, Amy
[1
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Heidel, Robert
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Univ Tennessee, Med Ctr Knoxville, Dept Surg, Div Biostat, Knoxville, TN USAUniv Tennessee Knoxville, Grad Med Educ, Dept Surg, Knoxville, TN USA
Heidel, Robert
[2
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McKnight, Lindsay
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Univ Tennessee, Med Ctr Knoxville, Dept Surg, Div Trauma & Crit Care Surg, Knoxville, TN USAUniv Tennessee Knoxville, Grad Med Educ, Dept Surg, Knoxville, TN USA
McKnight, Lindsay
[3
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[1] Univ Tennessee Knoxville, Grad Med Educ, Dept Surg, Knoxville, TN USA
[2] Univ Tennessee, Med Ctr Knoxville, Dept Surg, Div Biostat, Knoxville, TN USA
[3] Univ Tennessee, Med Ctr Knoxville, Dept Surg, Div Trauma & Crit Care Surg, Knoxville, TN USA
Background: During the coronavirus disease 2019 pandemic, trauma presentations to the emergency room decreased across the country. The goal of this study is to analyze the educational impact of coronavirus disease 2019 on trauma education and training at a level I trauma center. Methods: Trauma patient presentations were analyzed 6 months before a Tennessee executive stay-athome order and 6 months after the state executive order. To control for the seasonal trauma volumes, an additional 6 months before the executive order was then analyzed comparing month to month. Total number of presentations, demographics, procedures, airway management, and coronavirus disease 2019 status of patients and residents were analyzed. Results: The number of trauma presentations were sustained after executive orders at our level I trauma center. There was no significant difference in intubations, central line placements, and chest tube placements before and during the pandemic. Blunt trauma decreased after stay-at-home orders. Of the 36 residents, no residents tested positive during the study period. Conclusion: Trauma-focused surgical education was not affected at an academic level I trauma center. Understanding that it is region, city, and hospital specific, this study shows that quality trauma education can continue throughout the coronavirus disease 2019 pandemic while keeping trainees safe. Proper airway management, personal protective equipment, social distancing, and coronavirus disease 2019 preventative protocols seem to protect residents from potential harm while allowing them to participate and continue in quality trauma education and training. (c) 2021 Elsevier Inc. All rights reserved.
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Comer Childrens Hosp, Qual Improvement, Sect Neonatol, Chicago, IL 60637 USA
Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA
NorthShore Univ HealthSyst, Evanston, IL 60201 USAComer Childrens Hosp, Qual Improvement, Sect Neonatol, Chicago, IL 60637 USA
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Lanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R ChinaLanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China
Luo, Xufei
Estill, Janne
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Univ Geneva, Inst Global Hlth, CH-1202 Geneva, Switzerland
Univ Bern, Inst Math Stat & Actuarial Sci, Bern, SwitzerlandLanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China
Estill, Janne
Wang, Qi
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McMaster Univ, Fac Hlth Sci, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, CanadaLanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China
Wang, Qi
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Lv, Meng
Liu, Yunlan
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Lanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R ChinaLanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China
Liu, Yunlan
Liu, Enmei
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Chongqing Med Univ, Childrens Hosp, Dept Resp Med, Chongqing, Peoples R China
Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Key Lab Child Dev & Disorders,Childre, China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China
Chongqing Key Lab Pediat, Chongqing, Peoples R ChinaLanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China
Liu, Enmei
Chen, Yaolong
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Lanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China
Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou, Peoples R China
WHO Collaborating Ctr Guideline Implementat & Kno, Lanzhou, Peoples R China
Lanzhou Univ, Key Lab Evidence Based Med & Knowledge Translat G, Lanzhou, Peoples R ChinaLanzhou Univ, Sch Publ Hlth, Lanzhou, Peoples R China