{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T02:25:24Z","timestamp":1764555924233,"version":"3.37.3"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The COVID-19 pandemic has disrupted the lives of billions of people globally. Some medical systems continue to be overburdened due to the viral illness leading to incredible public health challenges domestically as well as abroad. However, with vaccination distribution increasing globally, many are pushing for a return to some form of normalcy. In the medical community, some are weighing the risks of returning to global health missions and considering protective strategies to minimize risk of viral spread. Here, we describe our experience in returning to an annual burn reconstruction mission in a low- and middle-income country. We have successfully carried out a return surgical mission trip. Our team of 10 individuals was able to perform over 75 procedures on 25 pediatric patients in 4 operative days. We applied a variety of protective strategies and altered mission protocol to limit exposure and transmission risk while focusing heavily on education and training. Additionally, we increased the use of telemedicine and eliminated typical in-person clinic visits. We increased operative complexity to increase impact while limiting patient exposure. Rigorous perioperative safety and follow-up protocols were implemented. The increased use of telemedicine, reduction of in-person visits, emphasis on education, and implementation of safety and follow-up protocols have led to an improvement in efficiency, safety, and accountability. Our adaptations have provided guidance on responsibly resuming surgical outreach missions, with changes that are likely to endure beyond the COVID-19 pandemic.<\/jats:p>","DOI":"10.1093\/jbcr\/irac049","type":"journal-article","created":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T11:18:40Z","timestamp":1650453520000},"page":"1410-1415","source":"Crossref","is-referenced-by-count":6,"title":["Resumption of Short-term Burn Reconstruction Missions to Ukraine in Light of COVID-19: A Paradigm Shift"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4738-4518","authenticated-orcid":false,"given":"Robert J","family":"Dabek","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ascension Saint Agnes Hospital , Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexey","family":"Vlasov","sequence":"additional","affiliation":[{"name":"Regional Children\u2019s Hospital , Dnipro , Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxim","family":"Savenko","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dnipro State Medical School , Dnipro , Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artem","family":"Pasunko","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Regional Children\u2019s Hospital , Dnipro , Ukraine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel N","family":"Driscoll","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School , Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin G","family":"Knittel","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Washington University School of Medicine , St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gennadiy","family":"Fuzaylov","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School , Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"author":"The Economist","key":"2022110208591261500_CIT0001"},{"key":"2022110208591261500_CIT0002","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1016\/j.burns.2020.05.022","article-title":"Effects of COVID-19 pandemic on burns epidemiology","volume":"46","author":"Farroha","year":"2020","journal-title":"Burns"},{"key":"2022110208591261500_CIT0003","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1016\/j.burns.2020.06.028","article-title":"Paediatric burns epidemiology during COVID-19 pandemic and \u201cstay home\u201d era","volume":"46","author":"D\u2019Asta","year":"2020","journal-title":"Burns"},{"key":"2022110208591261500_CIT0004","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1093\/jbcr\/iraa112","article-title":"Increased burn center admissions during COVID-19 pandemic","volume":"41","author":"Williams","year":"2020","journal-title":"J Burn Care Res"},{"key":"2022110208591261500_CIT0005","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/BCR.0b013e3182779b40","article-title":"Use of telemedicine to improve burn care in Ukraine","volume":"34","author":"Fuzaylov","year":"2013","journal-title":"J Burn Care Res"},{"key":"2022110208591261500_CIT0006","doi-asserted-by":"crossref","first-page":"2709","DOI":"10.1097\/SCS.0000000000007753","article-title":"Overturning the impact of COVID-19 on surgical outreach programs through innovation: the role of telehealth","volume":"32","author":"Chahine","year":"2021","journal-title":"J Craniofac Surg"},{"key":"2022110208591261500_CIT0007","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/j.burns.2020.07.016","article-title":"Adjustment for international surgical outreach missions due to COVID-19","volume":"47","author":"Fuzaylov","year":"2021","journal-title":"Burns"},{"key":"2022110208591261500_CIT0008","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1002\/hpm.3036","article-title":"Tele-healthcare to combat COVID-19 pandemic in developing countries: a proposed single centre and integrated national level model","volume":"35","author":"Keri","year":"2020","journal-title":"Int J Health Plan Manage"},{"key":"2022110208591261500_CIT0009","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijporl.2020.110494","article-title":"Leveraging telemedicine to preserve pediatric global health missions in the era of COVID-19","volume":"140","author":"Patel","year":"2021","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2022110208591261500_CIT0010","doi-asserted-by":"crossref","DOI":"10.7189\/jogh.11.03047","article-title":"The introduction of telemedicine is required immediately in Cambodia: barriers and lessons from COVID-19","volume":"11","author":"Nit","year":"2021","journal-title":"J Glob Health"},{"key":"2022110208591261500_CIT0011","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1016\/j.jpedsurg.2017.11.037","article-title":"Guidelines and checklists for short-term missions in global pediatric surgery: recommendations from the American Academy of Pediatrics Delivery of Surgical Care Global Health Subcommittee, American Pediatric Surgical Association Global Pediatric Surgery Committee, Society for Pediatric Anesthesia Committee on International Education and Service, and American Pediatric Surgical Nurses Association, Inc. Global Health Special Interest Group","volume":"53","author":"Butler","year":"2018","journal-title":"J Pediatr Surg"},{"author":"World Health Organization","key":"2022110208591261500_CIT0012"},{"author":"Centers for Disease Control and Prevention (CDC)","key":"2022110208591261500_CIT0013"},{"author":"World Health Organization","key":"2022110208591261500_CIT0014"},{"author":"Our World in Data","key":"2022110208591261500_CIT0015"},{"author":"Centers for Disease Control and Prevention (CDC)","key":"2022110208591261500_CIT0016"},{"author":"Food and Drug Administration (FDA)","key":"2022110208591261500_CIT0017"},{"key":"2022110208591261500_CIT0018","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.arcmed.2022.01.001","article-title":"Is omicron the last SARS-CoV-2 variant of concern?","volume":"53","author":"Rahimi","year":"2022","journal-title":"Arch Med Res"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irac049\/43525316\/irac049.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/43\/6\/1410\/46686135\/irac049.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/43\/6\/1410\/46686135\/irac049.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T09:04:16Z","timestamp":1667379856000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/43\/6\/1410\/6571283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,20]]},"references-count":18,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,4,20]]},"published-print":{"date-parts":[[2022,11,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irac049","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"type":"print","value":"1559-047X"},{"type":"electronic","value":"1559-0488"}],"subject":[],"published-other":{"date-parts":[[2022,11,1]]},"published":{"date-parts":[[2022,4,20]]}}}