id author title date pages extension mime words sentences flesch summary cache txt cord-306226-znj4gp87 Alemanno, Giovanni Surgical perspectives and patways in an emergency department during the COVID-19 pandemic 2020-05-13 .txt text/plain 1295 55 40 According to the precautionary principle, every patient undergoing emergency surgery not already tested for COVID-19, must be considered as potentially infected, an issue that entails putting into practice of all precautions. This principle of safety for all healthcare professionals obviously translates into implementing all the provisions used in confirmed COVID-19 patients for surgical interventions that are not postponable and that require the immediate availability of the operating room (such as trauma, shock, bleeding, suicide attempts, peritonitis, etc). Patients with a negative swab for COVID-19 who require surgery undertake the "clean" pathway with dedicated operating rooms and the possibility of hospitalization in the Covid-free surgical ward. If we consider also the apparent reduction/absence of polytrauma due to social distancing measures imposed by the government, a minor human contact in patient handover (even if digital platforms are provided) and the difficulties in the technical management of surgical COVID-19 patients in emergency settings, this pandemic era is further tempering the spirit of surgeons. ./cache/cord-306226-znj4gp87.txt ./txt/cord-306226-znj4gp87.txt