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CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on return to Otolaryngology - Head & Neck Surgery Clinic Practice during the COVID-19 pandemic in Canada.
J Otolaryngol Head Neck Surg. 2020 Oct 26; 49(1):76.JO

Abstract

The novel Coronavirus (COVID-19) has created a worldwide deadly pandemic that has become a major public health challenge. All semi-urgent and elective medical care has come to a halt to conserve capacity to care for patients during this pandemic. As the numbers of COVID-19 cases decrease across Canada, our healthcare system also began to reopen various facilities and medical offices. The aim for this document is to compile the current evidence and provide expert consensus on the safe return to clinic practice in Otolaryngology - Head & Neck Surgery. These recommendations will also summarize general precaution principles and practical tips for office across Canada to optimize patient and provider safety. Risk assessment and patient selection are crucial to minimizing exposure to COVID-19. Controversial topics such as COVID-19 mode of transmission, duration of exposure, personal protective equipment, and aerosol-generating procedures will be analyzed and discussed. Practical solutions of pre-visit office preparation, front office and examination room set-up, and check out procedures are explored. Specific considerations for audiology, pediatric population, and high risk AGMPs are also addressed. Given that the literature surrounding COVID-19 is rapidly evolving, these guidelines will serve to start our specialty back into practice over the next weeks to months and they may change as we learn more about this disease.

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Authors+Show Affiliations

Chan Y
Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada. y.chan@utoronto.ca.
Angel D
Division of Otolaryngology - Head & Neck Surgery, Memorial University of Newfoundland, St. John's, NL, Canada.
Aron M
Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Hartl T
Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Moubayed SP
Division of Otolaryngology - Head & Neck Surgery, University of Montreal, Montreal, QC, Canada.
Smith KA
Department of Otolaryngology - Head & Neck Surgery, University of Manitoba, Winnipeg, MB, Canada.
Sommer DD
Otolaryngology - Head & Neck Surgery Division, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Sowerby L
Department of Otolaryngology - Head & Neck Surgery, Western University, London, ON, Canada.
Spafford P
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Saskatchewan, Saskatoon, SK, Canada.
Mertz D
Division of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, ON, Canada.
Witterick IJ
Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.

MeSH

BetacoronavirusCOVID-19CanadaCoronavirus InfectionsDisease Transmission, InfectiousHumansOtolaryngologyOtorhinolaryngologic Surgical ProceduresPandemicsPersonal Protective EquipmentPneumonia, ViralSARS-CoV-2Societies, Medical

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

33106189

Citation

Chan, Y, et al. "CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) Position Paper On Return to Otolaryngology - Head & Neck Surgery Clinic Practice During the COVID-19 Pandemic in Canada." Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, vol. 49, no. 1, 2020, p. 76.
Chan Y, Angel D, Aron M, et al. CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on return to Otolaryngology - Head & Neck Surgery Clinic Practice during the COVID-19 pandemic in Canada. J Otolaryngol Head Neck Surg. 2020;49(1):76.
Chan, Y., Angel, D., Aron, M., Hartl, T., Moubayed, S. P., Smith, K. A., Sommer, D. D., Sowerby, L., Spafford, P., Mertz, D., & Witterick, I. J. (2020). CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on return to Otolaryngology - Head & Neck Surgery Clinic Practice during the COVID-19 pandemic in Canada. Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, 49(1), 76. https://doi.org/10.1186/s40463-020-00466-x
Chan Y, et al. CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) Position Paper On Return to Otolaryngology - Head & Neck Surgery Clinic Practice During the COVID-19 Pandemic in Canada. J Otolaryngol Head Neck Surg. 2020 Oct 26;49(1):76. PubMed PMID: 33106189.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on return to Otolaryngology - Head & Neck Surgery Clinic Practice during the COVID-19 pandemic in Canada. AU - Chan,Y, AU - Angel,D, AU - Aron,M, AU - Hartl,T, AU - Moubayed,S P, AU - Smith,K A, AU - Sommer,D D, AU - Sowerby,L, AU - Spafford,P, AU - Mertz,D, AU - Witterick,I J, Y1 - 2020/10/26/ PY - 2020/07/06/received PY - 2020/09/16/accepted PY - 2020/10/27/entrez PY - 2020/10/28/pubmed PY - 2020/11/6/medline SP - 76 EP - 76 JF - Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale JO - J Otolaryngol Head Neck Surg VL - 49 IS - 1 N2 - The novel Coronavirus (COVID-19) has created a worldwide deadly pandemic that has become a major public health challenge. All semi-urgent and elective medical care has come to a halt to conserve capacity to care for patients during this pandemic. As the numbers of COVID-19 cases decrease across Canada, our healthcare system also began to reopen various facilities and medical offices. The aim for this document is to compile the current evidence and provide expert consensus on the safe return to clinic practice in Otolaryngology - Head & Neck Surgery. These recommendations will also summarize general precaution principles and practical tips for office across Canada to optimize patient and provider safety. Risk assessment and patient selection are crucial to minimizing exposure to COVID-19. Controversial topics such as COVID-19 mode of transmission, duration of exposure, personal protective equipment, and aerosol-generating procedures will be analyzed and discussed. Practical solutions of pre-visit office preparation, front office and examination room set-up, and check out procedures are explored. Specific considerations for audiology, pediatric population, and high risk AGMPs are also addressed. Given that the literature surrounding COVID-19 is rapidly evolving, these guidelines will serve to start our specialty back into practice over the next weeks to months and they may change as we learn more about this disease. SN - 1916-0216 UR - https://www.unboundmedicine.com/medline/citation/33106189/CSO__Canadian_Society_of_Otolaryngology___Head_&_Neck_Surgery__position_paper_on_return_to_Otolaryngology___Head_&_Neck_Surgery_Clinic_Practice_during_the_COVID_19_pandemic_in_Canada_ DB - PRIME DP - Unbound Medicine ER -