Please don ’t call me a hero. This is what nurses have always done.
Before becoming a certified registered nurse anesthetist (CRNA), I was a surgical intensive care unit (SICU) nurse for decades. During that time, I often saw patients during their greatest time of need – trauma victims, transplant recipients, patients with brain tumors, ruptured aortas, and septic shock. I thought I had seen it all, but working […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 4, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Conditions COVID-19 coronavirus Critical Care Infectious Disease Source Type: blogs
COVID-19: Physicians in Shackles
By ANISH KOKA, MD
A number of politically tinged narratives have
divided physicians during the pandemic. It would be unfortunate if politics
obscured the major problem brought into stark relief by the pandemic: a system
that marginalizes physicians and strips them of agency.
In practices big and small, hospital-employed
or private practice, nursing homes or hospitals, there are serious issues
raising their heads for doctors and their patients.
No masks for you
When I walked into my office Thursday, March 12th, I assembled the office staff for the first time to talk about COVID. The prior weekend had been awa...
Source: The Health Care Blog - May 2, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Medical Practice Physicians Anish Koka medical autonomy Pandemic Source Type: blogs
Reinstate the Patient Self Determination Act
In light of a renewed emphasis on advance care planning during the COVID-19 pandemic, it seems odd that USDHHS has waived healthcare facility duties under the Patient Self Determination Act.
Normally, the Patient Self-Determination Act requires healthcare facilities:To inform patients of their legal right to accept or refuse medical treatment.
To advise patients of their rights under state law to document their end-of-life care preferences in an advance directive, if they can no longer speak for themselves.
To share their written policies respecting the implementation of such rights.
In response, Compassion & Choices h...
Source: blog.bioethics.net - April 30, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
Is the COVID-19 Antibody Seroprevalence in Santa Clara County really 50-85 fold higher than the number of confirmed cases?
Conclusions
In this rather long post, I undertook a Bayesian analysis of the seroprevalence survey in Santa Clara county. Contrary to the author’s assertions, this formal Bayesian analysis suggests a much lower seroprevalence of COVID19 infections. The estimated fold increase is only 20 times higher (point estimate), rather than 50-80 fold higher and with a 95% credible interval 0.75 -55 fold for the most probable model.
The major driver of the prevalence, is the specificity of the assay (not the sensitivity), so that particular choices for this parameter will have a huge impact on the estimated prevalence of ...
Source: The Health Care Blog - April 24, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Christos Argyropoulos Pandemic public health santa clara Source Type: blogs
Life after COVID-19: What Will Change?
The news is ripe with information surrounding the COVID-19 pandemic. We saw the number of confirmed cases is plummeting in countries like South Korea. In a surprise move, Apple and Google teamed up to help track the virus. Some countries are even thinking of lifting their lockdowns altogether. Yes, that’s the good news we’re all looking forward to: when this will be finally behind us.
Let’s have no doubt about it, this will come to an end, like we discussed in a recent article. We will have a vaccine and new, approved treatments based on millions of patients’ data. We will have new public health protocols to...
Source: The Medical Futurist - April 21, 2020 Category: Information Technology Authors: Prans Tags: Future of Medicine Healthcare Policy Telemedicine & Smartphones ptsd healthcare systems data privacy tracking coronavirus covid19 immunity passport vaccine research Source Type: blogs
The Dirty Dozen
Jack Iwashyna, MD The Dirty Dozen
"The Dirty Dozen" common errors to avoid on discharging patients who are recovering from critical illness; co-authored by clinicians and researchers (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 21, 2020 Category: Emergency Medicine Authors: Jack Iwashyna, MD Tags: Intensive Care Critical Illness dirty dozen discharge erros mechanical ventilation mistakes recovery respiratory failure sepsis Top 10 transition of care twelve rules Source Type: blogs
The Official Estimates of COVID-19 Deaths Are Way Too Low
By KEN TERRY
While President Trump mulls whether to reopen the country again in May, and as Fox & Friends host Brian Kilmeade suggests that “only” 60,000 people will die from the coronavirus, there are some warning signs that the White House COVID-19 Task Force’s prediction of 100,000-240,000 deaths may be way too low.
That isn’t surprising, considering that Administration
officials said this projection depended on us doing everything right. Of
course, it appears that large sections of the country have done many things
wrong—whether it’s Florida Governor Ron DeSantis’ reluctance to close houses of
...
Source: The Health Care Blog - April 17, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy COVID-19 deaths Ken Terry Pandemic Trump Source Type: blogs
Imaging of COVID-19 pneumonia: a critical care perspective
Dr Gregory Brogan Imaging of COVID-19 pneumonia: a critical care perspective
Overview of lung imaging for COVID-19 pneumonia, from a critical care perspective (Critical Care Compendium) (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 17, 2020 Category: Emergency Medicine Authors: Dr Gregory Brogan Tags: CCC Emergency Medicine Infectious Disease Intensive Care Radiology Ultrasound Library coronavirus COVID covid-19 COVID-19 pneumonia covid19 CXR imaging radiography SARS-CoV-2 Source Type: blogs
National Healthcare Decisions Day in the Era of COVID
by Emily Riegel (@emriegel)“Why did I keep stressing what was and was not normal, when nothing ... was?” -- Joan Didion,The Year of Magical Thinking“Certainty? In this world nothing is certain but death and taxes.” -- Benjamin FranklinIn normal times, under non-pandemic circumstances, yesterday being April 15 would have marked the United States ’ traditional Tax Day. With one certainty, taxes, already rescheduled, we know that we are not in certain or normal times. This year, the novel coronavirus pandemic elevates the immediacy of that other certainty: death.Since 2008, April 16 is designated as National Healthc...
Source: Pallimed: A Hospice and Palliative Medicine Blog - April 17, 2020 Category: Palliative Care Tags: advance care planning covid nhdd riegel Source Type: blogs
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Christina Pagel, Ph.D., is a professor of operational research at University College London, where she applies mathematical modeling to problems in health care. In 2016, she was awarded a Harkness Fellowship from the Commonwealth Fund to study how clinical decision support tools could be better used in intensive care units (ICUs). The Commonwealth Fund asked Pagel what clinicians, hospital leaders, and policymakers should consider if and when ICU services for COVID-19 patients need to be rationed.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - April 17, 2020 Category: International Medicine & Public Health Authors: Reginald D. Williams II, Roosa Tikkanen Source Type: blogs
TransAeris Diaphragm Pacing System Gets FDA Emergency Use Authorization for Quicker Ventilator Weaning
As hospitals face the possibility of ventilator shortages for COVID-19 patients, Synapse Biomedical announced that it received FDA Emergency Use Authorization for a device that helps wean patients off ventilators quicker. This, in turn, could free up ventilators for use by other patients.
Weaning
off of mechanical ventilation is a constant challenge in intensive care units,
as prolonged ventilation can lead to diaphragm disuse atrophy and ventilator-induced
diaphragmatic dysfunction (VIDD). VIDD makes it harder for patients to return
to breathing on their own and increases ventilation time.
TransAeris helps to p...
Source: Medgadget - April 16, 2020 Category: Medical Devices Authors: Cici Zhou Tags: Critical Care Public Health Source Type: blogs
Who Will Reopen the Economy —the President, the Governors, or the People?
David BoazResponding to President Trump ’s claim on Monday that he had “total authority” to decide when to “open up the states” and the economy, Washington Post columnist Eugene Robinsonwrote:Trump is not the one who decided to shut everything down: He never issued a nationwide stay‐at‐home order. We are sequestered and socially distanced because ourgovernors and mayors told us we needed to be.But that ’s not really true. We’re mostly staying home because we decided to — we as individuals, and businesses, and civil society. Consider this timeline of decisions:March 6 — SXSW canceledMarch 10 ...
Source: Cato-at-liberty - April 15, 2020 Category: American Health Authors: David Boaz Source Type: blogs
COVID-19: Hidden Coinfections and Chain Reactions Parasitic Infectious Relationships within Us
By SIMON YU, MD, LT COL, USA (Ret)
Dr. Tom Frieden, former director of the Centers for Disease Control and Prevention (CDC), opened up a new front in the Coronavirus War by saying we don’t just need to treat the acute disease, we need to treat the underlying conditions that make people more susceptible to serious disease progression. He focused on heart disease, and managing mitigating risk factors such as CVD, diabetes, hypertension and smoking in order to increase people’s odds for recovery. The initial focus has been pneumonia and acute respiratory distress syndrome (ARDS), with risk factors including asthma, chr...
Source: The Health Care Blog - April 15, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 CDC chronic disease holistic care Pandemic SDoH Source Type: blogs
Apnoeic CPAP for oxygenation of COVID-19 patients prior to intubation
Dr Chris Nickson Apnoeic CPAP for oxygenation of COVID-19 patients prior to intubation
Dr Stacey Turner demonstrates the pros and cons of different strategies for apnoeic CPAP for pre-oxygenation of COVID-19 patients prior to intubation (video). (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 12, 2020 Category: Emergency Medicine Authors: Dr Chris Nickson Tags: Anaesthesiology Emergency Medicine Intensive Care Retrieval apneic apnoeic Bag-Valve-Mask BVM coronavirus covid-19 covid19 CPAP PEEP stacey turner Source Type: blogs
