id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-327148-dzozl70h	Tahmassebi, Ramon	Reflections from London’s Level-1 Major Trauma Centres during the COVID crisis	2020-06-26		.txt	text/plain	2475	130	44	In this article we reflect on the changes introduced and the lessons learned at London's four Level-1 Major Trauma Centres, in maintaining a reduced but functional service for trauma and urgent musculoskeletal pathology, in the midst of the COVID-19 pandemic. Each centre adapted individually but the problems faced were identical; continuing to provide high quality sub-specialist orthopaedic and trauma care on the unstable platform of inevitable staff illness, redeployment and concerns around safety. Unfortunately, COVID-19 will continue to be a major influence in all our activity for the foreseeable future and while the threat still exists, this reduced theatre efficiency may become the new norm, negatively impacting each hospital's ability to revamp elective surgery services. Outside of those physicians working on the genuine front-line of caring for COVID patients (ED, ICU, Medicine, Anaesthetics, etc.), there has traditionally been less focus on the psychological health of the workforce; particularly in surgery.	./cache/cord-327148-dzozl70h.txt	./txt/cord-327148-dzozl70h.txt