We don ’t talk in terms of supply numbers. We talk in terms of days.
Brown paper bags line the windowsill of the COVID-19 intensive care unit at Eskenazi Hospital in downtown Indianapolis. The bags are filled with the N95 masks we’re reusing, labeled with the handwritten names of my staff: Patrick, Angela, Brittany. They are mothers, fathers, brothers, and sisters. As of this writing, we are caring for more […]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 - April 10, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/w-graham-carlos" rel="tag" > W. Graham Carlos, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs
How Germany Leveraged Digital Health to Combat COVID-19
If you take a look at the number of novel coronavirus cases, you will notice that Germany ranks among the top in terms of most cases. Now, if you take a closer look, you will see that the number of fatal cases in the country is merely a fraction of the total cases. Their mortality rate has been consistently lower than that of those nations sharing a similarly high number of confirmed cases like China, Italy and Spain.
How does Germany manage those numbers? The truth is that even experts aren’t sure. “We don’t know the reason for the lower death rate,” Marieke Degen, deputy spokeswoman of Germany’s Robert Koch ...
Source: The Medical Futurist - April 9, 2020 Category: Information Technology Authors: Prans Tags: Future of Medicine Healthcare Policy digital health coronavirus covid covid19 germany Source Type: blogs
Should we use an “ aerosol box ” for intubation?
Albert Chan Should we use an “aerosol box” for intubation?
Dr Albert Chan shares his findings from simulation testing of the "aerosol box" for the intubation of COVID-19 patients. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 9, 2020 Category: Emergency Medicine Authors: Albert Chan Tags: Anaesthesiology Emergency Medicine Intensive Care LITFL aerosol box albert chan coronavirus covid-19 covid19 Intubation Source Type: blogs
CroResp Makeshift Respirator Mask for COVID-19 Pandemic: Interview with Ivor Kovic, MD
The COVID-19 pandemic has resulted in significant shortages of PPE for medical staff. This is extremely concerning, as it means that clinicians can’t adequately protect themselves, and infections among medical staff will lead to staff shortages at a time when every member of staff is needed. Similarly, infections among clinicians could promote the spread of the virus between patients.
In such a situation, medical staff need to find new and imaginative ways to protect themselves and their patients. A group of doctors in Croatia has developed a makeshift protective respirator mask called the CroResp that relies on a scu...
Source: Medgadget - April 8, 2020 Category: Medical Devices Authors: Conn Hastings Tags: Materials Medicine Public Health Source Type: blogs
What ’s it like to be a healthcare worker in a pandemic?
We all know that some jobs are more dangerous than others. Truck drivers, loggers, and construction workers are more likely to die on the job than most others. Firefighters and police officers also face more than the average amount of risk while at work. It’s expected that people who take on these jobs understand the risks and follow guidelines to stay as safe as possible.
But what would you do if your job suddenly became much more dangerous? And what if your workplace was unable to follow recommended guidelines to reduce that increased risk?
That’s the situation now facing millions of healthcare workers who provide me...
Source: Harvard Health Blog - April 8, 2020 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Health care Infectious diseases Safety Source Type: blogs
Cross Post: Boris Johnson Will Be Receiving The Same Special Treatment Other Patients Do In NHS Intensive Care
This article originally appeared in The Conversation In a world where the adjective “unprecedented” has become commonplace, the news of British Prime Minister Boris Johnson being admitted to the intensive care unit of St Thomas’ Hospital with COVID-19 seemed to take it to a new level. There is […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 8, 2020 Category: Medical Ethics Authors: Practical Ethics Tags: Decision making Ethics Health Care Boris Johnson Coronavirus; Pandemic; Ethics; Public Health COVID-19 Cross Post Dominic Wilkinson's Posts ICU NHS syndicated Source Type: blogs
What's new in midwifery - 8th April 2020
Some recent things you may need to know...PPERCM guidanceRCM press release A reminder ofPublic Health England guidance.RCOG e-learningUniversity of Leicester students have free access to this through the LME Network (students elsewhere should check with their education provider). To access you need an RCOG e-learning account. There is material on many topics including neonatal high dependency and intensive care, maternal resuscitation, labour ward management and gestational diabetes.ResearchEffectiveness of a brief motivational intervention to increase the breastfeeding duration in the first 6 months ...
Source: Browsing - April 8, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs
Coronavirus disease 2019 (COVID-19)
Dr Gregory Brogan Coronavirus disease 2019 (COVID-19)
Overview of COVID-19, including assessment and management, from an Australia and New Zealand critical care perspective. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 6, 2020 Category: Emergency Medicine Authors: Dr Gregory Brogan Tags: CCC Intensive Care coronavirus COVID covid-19 SARS-CoV-2 Source Type: blogs
The unintended consequences of isolating our dying COVID-19 patients
Lisa’s heart pauses every time her phone rings. She’s unsure if the call she is answering is going to be the final update she will ever receive from the intensive care doctor caring for her love, John. Her 55-year-old husband of 31 years was placed on the ventilator eight days ago for a lung infection […]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 - April 5, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/dee-bonney" rel="tag" > Dee Bonney, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Emergency Medicine Infectious Disease Source Type: blogs
The COVID-19 Pandemic: Critical Care Allocated in Extremis
Dr. Goold’s post is a commentary on Laurence McCullough’s post, “In Response to COVID-19 Pandemic Physicians Already Know What to Do”
by Susan Dorr Goold, MD, MHSA, MA
Professor McCullough, a distinguished scholar in bioethics and the history of bioethics, wisely exhorts us to learn from past experience as we confront the COVID-19 pandemic. We should not rush to develop brand new criteria for allocating scarce resources in intensive care units (ICUs), says McCullough, but should instead rely on what we have learned over many years.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 3, 2020 Category: Medical Ethics Authors: Susan Dorr Goold Tags: Decision making Featured Posts professional ethics Public Health #diaryofaplagueyear COVID-19 rationing Rationing/ Resource Allocation Source Type: blogs
Governors Send Out S.O.S. for More Doctors —Immigrant Doctors Can Heed the Call
Jeffrey A. SingerAs hospital emergency rooms and intensive care units swell with patients infected with the COVID-19 virus, political leaders coordinating responses in “hot spots” are asking doctors and other medical professionals in parts of the country less impacted by the pandemic to come to the rescue. New York Governor Andrew Cuomo issued such a plea the other day. Governors are issuing executive orders that relaxoccupational licensing restrictions on the free movement of health care practitioners. Some are also expanding thescope of practice of various licensed health care professionals, permitting them to p...
Source: Cato-at-liberty - April 1, 2020 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
COVID-19: If you ’re older and have chronic health problems, read this
By now, you’ve probably heard this warning about the new coronavirus pandemic: those who are older and have a chronic medical condition are at increased risk for severe disease and death. If you fall into this category, here’s important information about the coronavirus outbreak tailored to you.
If you look at the data, older adults and those with chronic health problems who get COVID-19 are more likely to require hospitalization and admission to an intensive care unit. And so far in the US, 80% of the deaths from the new coronavirus virus have occurred in people who were older.
But this raises a number of questions:
...
Source: Harvard Health Blog - April 1, 2020 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Health Healthy Aging Infectious diseases Men's Health Prevention Women's Health Source Type: blogs
Shared ventilation: how to do it if you have to
Simran Kaur Matta, MD Shared ventilation: how to do it if you have to
Dr Simran Kaur Matta explains how to "split" a ventilator so that you can provide shared ventilation to multiple patients if you have to. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 1, 2020 Category: Emergency Medicine Authors: Simran Kaur Matta, MD Tags: Infectious Disease Intensive Care coronavirus COVID covid disease covid-19 covid19 Dr Simran Kaur Matta Pandemic shared ventilation split ventilation Ventilator Source Type: blogs
RAPIDPoint 500e Blood Gas Analyzer FDA Cleared to Help Ventilated Patients
To help address the COVID-19 emergency that’s taking over emergency rooms and intensive care units in the United States, the FDA has cleared the RAPIDPoint 500e blood gas system from Siemens Healthineers.
The device uses the company’s Integri-sense technology to provide results on blood gas, electrolyte, metabolite, CO-oximetry, and neonatal bilirubin. This is important during the crisis, as mechanically ventilated patients require regular blood gas testing to maintain proper ventilator settings and to adjust any other therapies being delivered.
The system already has the CE Mark, clearing its use in...
Source: Medgadget - March 31, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Anesthesiology Cardiology Critical Care Diagnostics Emergency Medicine Pediatrics Source Type: blogs
A Practical Approach to Running a Scarce Resource Allocation Team (SRAT)
Jack Iwashyna A Practical Approach to Running a Scarce Resource Allocation Team (SRAT)
Practical guidance on how Scarce Resource Allocation Teams (SRATs) should conduct themselves if hospital resources are overwhelmed. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - March 28, 2020 Category: Emergency Medicine Authors: Jack Iwashyna Tags: Intensive Care coronavirus Coronaviruses covid-19 covid19 ethics rationing SARS-CoV-2 Scarce Resource Allocation Teams SRAT Source Type: blogs
