ER doctor fired for criticizing hospital's preparedness
ER doctor who criticized Bellingham hospital’s coronavirus protections has been fired An emergency room physician has been fired after he publicly decried what he called a lack of protective measures against the novel coronavirus at PeaceHealth St. Joseph Medical Center. The hospital is the only emergency facility for some 250,000 people... www.seattletimes.com Just shut up and do your job while risking your and your family's health. Unbelievable times we are living in.
This article discusses guidelines specifically for anesthesiologists dealing with ophthalmic surgeries with suspected or confirmed COVID-19 patients. Anesthesiologists always work in the proximity of the patient's face while performing either ocular regional anesthesia or while managing the airway in the process of intubation/extubation. Within these guidelines, the emphasis is provided on thorough preoperative screening to identify COVID-19 patients and to prevent the exposure of healthcare staff by following standard personal protective equipment (PPE) precautions.
Conclusion: There are several anesthetic considerations in the care of pregnant women with COVID-19 due to their unique physiological changes. We provide considerations and recommendations for departmental and institutional leadership as well as the obstetric anesthesia providers. These recommendations may apply and can be edited, for future droplet or airborne based pandemics. The rapidly evolving literature makes it important to get updates directly from the relevant medical societies' websites.
In this report, we have summarized the guidelines necessary for airway management of suspected/confirmed COVID-19 patient. Since the COVID-19 outbreak is up to date existed, therefore this report is considered as interim guidelines for airway management of the suspected/confirmed patients. The guidelines will be revisited and modified in the future, if necessary.
As the backbone for the treatment of patients with coronavirus disease 2019 (COVID-19), nurses have been actively playing key roles in cabin hospitals, isolation wards, and intensive care units (ICUs) for critical cases. Anesthesia nurses have their own professional specialties, such as airway management, the use and maintenance of life support equipment, including ventilators, and the use of high-flow oxygen equipment. With rich experience in emergency responses and nursing, anesthesia nurses, along with emergency nurses and critical care nurses, play important roles during the treatment of COVID-19 patients.
ACCORDING TO THE American Society of Echocardiography (ASE), the 2019 novel coronavirus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) can be easily spread during echocardiographic studies, with transesophageal echo (TEE) carrying a heightened risk because it can provoke aerosolization of the virus. Therefore, it is recommended that TEE be avoided in suspected or confirmed coronavirus disease –2019 (COVID-19) patients if an alternative imaging modality, such as transthoracic echo (TTE), can provide equivalent information.
Dr Tazeen Beg, 53, an anesthesiologist at Stony Brook University Hospital in Long Island, New York, spoke with DailyMail.com about what it's like to be a frontline worker during the novel coronavirus.
Since its emergence in December 2019, the outbreak of novel coronavirus disease 2019 (COVID-19) has infected over 2 626 321 people globally.1 COVID-19 is associated with wide variability in disease severity, ranging from asymptomatic to severe critical presentations. In initial data from China, mild thrombocytopenia was found to occur in just over a third of non-pregnant patients admitted to hospital with COVID-19. A more recent meta-analysis found that thrombocytopenia is associated with a three-fold greater risk of severe COVID-19.
THE CORONAVIRUS DISEASE 2019 (COVID-19) outbreak that spread from Wuhan, China, in December 2019 became a global pandemic within about 2 months, causing more than 330,000 deaths worldwide so far (at the time of writing).1 This has forced hospitals in the most affected countries and regions around the world to rearrange their activity, creating new spaces and pathways while reducing nonurgent admissions and health services.2 Although only a minority of patients infected with the new severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) develop symptoms severe enough to require intensive care unit (ICU) admission,3 th...
We report preliminary experience with the efficacy of an enclosure with augmented airflow to decrease the risk of exposure to aerosolized pathogens during airway management including endotracheal intubation. A particle generator was used to test the efficacy of the reduction of aerosolized particles by measuring their concentration within the enclosure and in the environment. No reductionin the concentration of aerosolized particles was noted with the enclosure flap open, whether the interior suction was on or off. However, with the enclosure closed and no augmented air flow (suction off), the particle concentration decrea...