Eldin Karaikovic
Kreirani odgovori na forumu
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Obzirom da je najveca briga svake vlade kako brzo i na koji nacin ponovo otvoriti zemlju nakon visenedeljnog karantina, smjernice Guvernera Drzave Illinois gospodina Pritzker-a izgledaju veoma razumne i mogu posluziti kao dobra osnova i primjer za planiranje otvaranja svake druge drzave, svakako prilagodjeno lokalnim uslovima.
Governor Pritzker Announces Restore Illinois: A Public Health Approach To Safely Reopen Our State
Restore Illinois is a Five-Phase, Regional Plan for Saving Lives, Livelihoods, and Safely Reopening Illinois
Building on data, science, and guidance from public health experts and after consulting with stakeholders across the state, Governor JB Pritzker announced Restore Illinois, a five-phase plan focused on saving lives, livelihood, and safely reopening Illinois.
The five phases of reopening for each health region are as follows:
Phase 1 – Rapid Spread: The rate of infection among those tested and the number of patients admitted to the hospital is high or rapidly increasing. Strict stay at home and social distancing guidelines are put in place and only essential businesses remain open. Every region has experienced this phase once already and could return to it if mitigation efforts are unsuccessful.
Phase 2 – Flattening: The rate of infection among those tested and the number of patients admitted to the hospital beds and ICU beds increases at an ever slower rate, moving toward a flat and even a downward trajectory. Non-essential retail stores reopen for curb-side pickup and delivery. Illinoisans are directed to wear a face covering when outside the home, and can begin enjoying additional outdoor activities like golf, boating and fishing while practicing social distancing. To varying degrees, every region is experiencing flattening as of early May.
Phase 3 – Recovery: The rate of infection among those tested, the number of patients admitted to the hospital, and the number of patients needing ICU beds is stable or declining. Manufacturing, offices, retail, barbershops and salons can reopen to the public with capacity and other limits and safety precautions. All gatherings limited to 10 or fewer people are allowed. Face coverings and social distancing are the norm.
Phase 4 – Revitalization: The rate of infection among those tested and the number of patients admitted to the hospital continues to decline. All gatherings of up to 50 people are allowed, restaurants and bars reopen, travel resumes, child care and schools reopen under guidance from the IDPH. Face coverings and social distancing are the norm.
Phase 5 – Illinois Restored: With a vaccine or highly effective treatment widely available or the elimination of any new cases over a sustained period, the economy fully reopens with safety precautions continuing. Conventions, festivals and large events are permitted, and all businesses, schools, and places of recreation can open with new safety guidance and procedures in place reflecting the lessons learned during the COVID-19 pandemic.
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Odlican clanak objavljen u vodecem casopisu ortopeda u SAD koji se odnosi na trenutno usvojene smjernice kako ponovo zapoceti elektivne ortopedske operacije nakon trenutnog obustravljanja operacija zbog Covid19. Ovaj clanak se odnosi na preoperativene, intraoperativne i postoperativne smjernice. Ove smjernice se svakako mogu primijeniti i na operativne zahvate is drugih specijalnosti. Citav clanak ima 43 stranice (ovdje samo naslovna strana). Molim Vas da nadjete originalnu reference.
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PARVIZI ET AL.
RESUMING ELECTIVE ORTHOPAEDIC SURGERY DURING THE COVID-19 PANDEMIC: GUIDELINES DEVELOPED BY THE INTERNATIONAL CONSENSUS GROUP (ICM)
http://dx.doi.org/10.2106/JBJS.20.00844
FINAL 1 of 43
Article Type: Current Concepts Review
Resuming Elective Orthopaedic Surgery During the COVID-19 Pandemic
Guidelines Developed by the International Consensus Group (ICM)
J.Parvizi, MD, FRCS1, T. Gehrke, MD2, C.A. Krueger, MD1, E. Chisari, MD1, M. Citak, MD,PhD2, S. Van Onsem, MD, PhD3, W.L. Walter, MBBS, PhD3, the International Consensus Group (ICM) and Research Committee of the American Association of Hip and Knee Surgeons (AAHKS)*
1Rothman Institute, Philadelphia, Pennsylvania
2Helios ENDO-Klinik, Hamburg, Germany
3Specialist Orthopedic Group, The Mater Clinic, North Sydney, New South Wales, Australia
➢As we resume elective surgical procedures, it is important to understand what practices and protocols should be altered or implemented in order to minimize the risk of pathogen transferduring the severe acute respiratory syndrome (SARS)-CoV-2 pandemic.
➢Each hospital and health system should consider their unique situation in terms of SARS-CoV-2prevalence, staffing capabilities, personal protection equipment supply, and so on when determininghow and when to implement these recommendations.
➢All patients should be screened for SARS-CoV-2 by means of a thorough history and physical examination, as well as reverse transcription-polymerase chain reaction (RT-PCR) testing whenever possible, prior to undergoing elective surgery.
➢Patients who are currently infected with coronavirus disease 2019 (COVID-19) should not undergo elective surgery.
➢These guidelines are based on the available scientific evidence, albeit scant. The recommendations have been reviewed and voted on by the expert delegates who produced this document.In-Press Article
COPYRIGHT © BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED
