PMC:7153689 / 5184-6834
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7153689","sourcedb":"PMC","sourceid":"7153689","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7153689","text":"Challenges to Healthcare Workers\nUntil a vaccine is developed, healthcare workers who are in close contact with a suspect or a person under investigation (PUI) are at high risk of exposure to the virus. Other than doctors at the frontlines, i.e. screening and critical care units, certain specialties may have increased risks of aerosolised exposure, including respiratory medicine; otolaryngology; ophthalmology; and dental services. Many non-urgent procedures have been cancelled or postponed, including non-emergency surgeries. Other than the aerosolised risk, the virus may contaminate the operating theatre during surgery. Many learned societies, including the Academy of Medicine of Malaysia, have started releasing statements and guidelines to assist their members (9).\nMeanwhile, grey areas and dilemmas exist without clear consensus, including guidelines for cancer patients on chemotherapy or those needing early surgical treatments. Furthermore, other issues should be addressed by hospitals through a management protocol or algorithm in place for frontline workers (10). For example, although many resources are being diverted to the frontlines and critical care, they will be inadequate during the height of the pandemic. Thus, there is an ethical but pragmatic challenge in the allocation of critical resources, such as intensive care unit (ICU) beds and ventilators (11). Age is often the sole criterion used for decision-making regarding ventilation, which can be morally difficult for people in general. Therefore, it is imperative that such decisions be made by a different team, and that the triage algorithm be reviewed 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