Abstract
Malaysia has one of the highest total numbers of COVID-19 infections amongst the Southeast Asian nations,which led to the enforcements of the Malaysian "Movement Control Order" to prohibit disease transmission.The overwhelming increasing amount of infections has led to a major strain on major healthcare services.This leads to shortages in hospital beds,ventilators and critical personnel protective equipment.This article focuses on the critical adaptations from a general surgery department in Malaysia which is part of a Malaysian tertiary hospital that treats COVID-19 cases.The core highlights of these strategies enforced during this pandemic are: (1) surgery ward and clinic decongestions;(2) deferment of elective surgeries;(3) restructuring of medical personnel work force;(4) utilization of online appli cations for tele-communication;(5) operating room (OR) adjustments and patient screening;and (6) continuing medical education and updating practices in context to COVID-19.These adaptations were important for the continuation of emergency surgery services,preventing transmission of COVID-19 amongst healthcare workers and optimization of medical personnel work force in times of a global pandemic.In addition,an early analysis on the impact of COVID-19 pandemic and lockdown measures in Malaysia towards the reduction in total number of elective/emergent/trauma surgeries performed is described in this article.
基金项目
We would like to thank the Director General of Health Malaysia for his permission to publish this article(NIH.800-4/4/1JId.80 31)