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This half day hand trauma symposium focused on delivering care for hand patients across the world during the COVID-19 crisis, aimed at our BFIRST and BSSH overseas friends and colleagues. The session focused on an array of topics including Wide Awake Hand Surgery with No Tourniquet (WALANT), redesign of a hand trauma pathway and UK guidelines, as well as useful technologies like the Hand Trauma App and Hand Therapy App. We were very honoured to be joined by Professor Don Lalonde who presented a lecture on WALANT and led the discussion on its uses and applications where there is a lack of resources. The webinar also featured an expert panel of international speakers including Nikolas Jagodzinski, Dave Bell, Barbara Jemec, Sarah Tucker, Jonathan Jones and Wee Lam. The following points were also covered: – Current BSSH, BOA and BAPRAS guidelines – Redesigning the Hand Surgery/Therapy service during COVID – Wide awake hand surgery and evidence-based sterility – Hand fractures and Soft tissue cover – Complex Cases discussion