European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection

Eur J Trauma Emerg Surg. 2020 Jun;46(3):505-510. doi: 10.1007/s00068-020-01364-7. Epub 2020 Apr 17.


A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into eight domains: (1) General recommendation for surgical services; (2) Emergency Surgery for critically ill COVID-19 positive or suspected patients -Preoperative planning and case selection; (3) Operating Room setup; (4) patient transport to the OR; (5) Surgical staff preparation; (6) Anesthesia considerations; (7) Surgical approach; and (8) Case Completion.The European Society of Emergency Surgery board endorsed these recommendations.

Keywords: COVID-19; Emergency surgery; Hospital preparation; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); Trauma.

Publication types

  • Review

MeSH terms

  • Betacoronavirus / isolation & purification*
  • COVID-19
  • Comorbidity
  • Coronavirus Infections* / diagnosis
  • Coronavirus Infections* / epidemiology
  • Emergency Treatment / methods
  • Humans
  • Infection Control / methods*
  • Pandemics*
  • Perioperative Care / methods*
  • Pneumonia, Viral* / diagnosis
  • Pneumonia, Viral* / epidemiology
  • SARS-CoV-2
  • Surgical Procedures, Operative / methods*
  • Wounds and Injuries* / epidemiology
  • Wounds and Injuries* / surgery