Chest Medicine (all articles)
Editorials: Covid-19 Testing Times
9 Apr, 2020 | 03:26h | UTCCovid-19: testing times – The BMJ
See also: Humanity tested – Nature Biomedical Engineering
PCR Assays May Turn Positive After Discharge
9 Apr, 2020 | 03:29h | UTCPCR Assays Turned Positive in 25 Discharged COVID-19 Patients – Clinical Infectious Diseases
Related Commentary on Twitter
New in CID
14.5% of discharged #COVID19 patients who had ➖ PCR on discharge subsequently had a ➕ PCR again & were readmitted.
There was 0️⃣ evidence of recurrent/worsened clinical disease in these patients
Take-home ?: don’t do follow-up PCRs! https://t.co/0ExhcEx4pD pic.twitter.com/cVQWGXLlzs
— Ilan Schwartz MD PhD (@GermHunterMD) April 8, 2020
Disruptive Opinion on the Use of Ventilators in COVID-19
9 Apr, 2020 | 03:22h | UTCWith ventilators running out, doctors say the machines are overused for Covid-19 – STAT
Related: COVID-19 pneumonia: different respiratory treatment for different phenotypes? – Intensive Care Medicine AND Covid-19 Does Not Lead to a “Typical” Acute Respiratory Distress Syndrome – American Journal of Respiratory and Critical Care Medicine
Taking Care of COVID-19 Survivors
9 Apr, 2020 | 03:17h | UTCFor survivors of severe COVID-19, beating the virus is just the beginning – Science
Case Reports: Coagulopathy and Antiphospholipid Antibodies in Patients with Covid-19
9 Apr, 2020 | 03:20h | UTC
WHO Advice on the Use of Masks in the Context of COVID-19
8 Apr, 2020 | 01:33h | UTCAdvice on the use of masks in the context of COVID-19 – World Health Organization
Commentary: Expert reaction to new WHO advice on use of facemasks in the context of COVID-19 – Science Media Centre
Review: Intensive Care Management of COVID-19
8 Apr, 2020 | 01:36h | UTCCommentary: Understanding pathways to death in patients with COVID-19 – The Lancet Respiratory Medicine
Video: COVID-19 Clinical Update
8 Apr, 2020 | 01:35h | UTCCOVID-19 Clinical Update – JAMA
COVID‐19: ATS Interim Guidance on Management Pending Empirical Evidence
7 Apr, 2020 | 04:39h | UTCCommentary: ATS publishes new guidance on COVID-19 management – American Thoracic Society
Study: Effectiveness of Surgical and Cotton Masks in Blocking SARS–CoV-2
7 Apr, 2020 | 04:24h | UTCCommentary: Neither surgical nor cotton masks effectively filter SARS COV-2 – American College of Physicians
Editorial: Is CPR Justified for Hospital Patients with Covid-19?
7 Apr, 2020 | 04:26h | UTCEditorial: Cardiopulmonary Resuscitation after Hospital Admission with Covid-19 – The BMJ
“This pandemic has changed the risk-benefit balance for CPR: from “there is no harm in trying” to “there is little benefit to the patient, and potentially significant harm to staff.””
Meta-Analysis: Medical Masks vs. N95 Respirators for Preventing COVID‐19 in Health Care Workers
7 Apr, 2020 | 04:22h | UTCCommentary: Surgical masks likely good for most COVID-19 treatment – McMaster University
Study: Convalescent Plasma Therapy in Severe COVID-19 Patients
7 Apr, 2020 | 04:14h | UTCRelated Studies: Treatment with convalescent plasma for critically ill patients with SARS-CoV-2 infection – CHEST AND Treatment of 5 Critically Ill Patients With COVID-19 With Convalescent Plasma – JAMA
COVID-19: More Opinions on Hydroxychloroquine
7 Apr, 2020 | 04:17h | UTCHydroxychloroquine Update For April 6 – Science Translational Medicine
The Debacle of Hydroxychloroquine and Azithromycin for COVID19 – Dr. John M.
Summary: wait for proper studies before prescribing.
Richard Lehman’s Covid-19 Reviews—6 April 2020
7 Apr, 2020 | 04:16h | UTCRichard Lehman’s covid-19 reviews, 6 April 2020 – The BMJ Opinion
In this weekly round-up, Richard Lehman looks at a personal selection of articles of relevance to clinicians dealing with covid-19.
NICE Publishes new COVID-19 Guidelines
6 Apr, 2020 | 01:57h | UTC- News Release: NICE publishes new COVID-19 guidelines on severe asthma, pneumonia, rheumatological disorders and symptom management – National Institute for Health and Care Excellence
- COVID-19 rapid guideline: severe asthma
- COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community
- COVID-19 rapid guideline: rheumatological autoimmune, inflammatory and metabolic bone disorders
- COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community
See other recent NICE Guidelines on COVID-19: COVID-19 rapid guideline: critical care in adults AND COVID-19 rapid guideline: haematopoietic stem cell transplantation AND COVID-19 rapid guideline: dialysis service delivery AND COVID-19 rapid guideline: delivery of radiotherapy AND COVID-19 rapid guideline: delivery of systemic anticancer treatments
Study: Wearing Surgical Masks in Public Could Help Slow Spreading of COVID-19
6 Apr, 2020 | 01:55h | UTCRespiratory virus shedding in exhaled breath and efficacy of face masks – Nature
Commentaries: Why wear face masks in public? Here’s what the research shows – The Conversation AND The new coronavirus might spread when people talk, but scientists say masks can help – The Telegraph AND Wearing surgical masks in public could help slow COVID-19 pandemic’s advance – University of Maryland
Related: Stability of SARS-CoV-2 in different environmental conditions – National Geographic
CDC Now Recommends Wearing Cloth Face Coverings in Public Settings
6 Apr, 2020 | 01:53h | UTCCommentaries: The CDC Now Recommends Americans Wear Face Masks – Wired AND Everyone should wear face ‘masks’ in public, CDC now recommends – Live Science AND CDC Now Recommends Americans Consider Wearing Cloth Face Coverings In Public – NPR AND The CDC now recommends everyone use cloth masks in public – Vox AND The CDC is recommending that people wear face coverings or cloth masks if they go out in public – Business Insider
“CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies) especially in areas of significant community-based transmission.”
CDC Guideline: Use of Cloth Face Coverings to Help Slow the Spread of COVID-19
6 Apr, 2020 | 01:51h | UTCCommentary: What’s the Best Material for a Mask? – The New York Times
Study: No Benefit from Hydroxychloroquine and Azithromycin in Patients with Severe COVID-19 Infection
6 Apr, 2020 | 01:46h | UTC
COVID-19: Thrombosis, Coagulopathy and Disseminated Intravascular Coagulation
6 Apr, 2020 | 01:42h | UTCGuidelines: Practical guidance for the prevention of thrombosis and management of coagulopathy and disseminated intravascular coagulation of patients infected with COVID-19 – Thrombosis UK AND ISTH interim guidance on recognition and management of coagulopathy – Journal of Thrombosis and Haemostasis
Observational Studies: Anticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy – Journal of Thrombosis and Haemostasis AND Abnormal Coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia – Journal of Thrombosis and Haemostasis (free PDF)
Q & A: COVID-19 and Coagulopathy: Frequently Asked Questions – American Society of Hematology
COVID-19 Pneumonia: Different Respiratory Treatment for Different Phenotypes?
6 Apr, 2020 | 01:40h | UTC
Opinion: Covid-19 Does Not Lead to a “Typical” Acute Respiratory Distress Syndrome
3 Apr, 2020 | 04:14h | UTC“After considering that, all we can do ventilating these patients is “buying time” with minimum additional damage: the lowest possible PEEP and gentle ventilation. We need to be patient.”
Guide to Lung Ultrasound in COVID-19 Patients
3 Apr, 2020 | 04:02h | UTCComplete GUIDE to Lung Ultrasound in COVID-19 (Coronavirus) Patients – POCUS 101
Related: Proposal for international standardization of the use of lung ultrasound for COVID‐19 patients; a simple, quantitative, reproducible method – Journal of Ultrasound in Medicine AND Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic – Intensive Care Medicine AND Can Lung US Help Critical Care Clinicians in the Early Diagnosis of Novel Coronavirus (COVID-19) Pneumonia? – Radiology AND Point-of-Care Lung Ultrasound findings in novel coronavirus disease-19 pnemoniae: a case report and potential applications during COVID-19 outbreak – European Review for Medical and Pharmacological Sciences AND ACEP Guideline on COVID-19: Ultrasound Machine and Transducer Cleaning
CDC Guidance: Decontamination and Reuse of Filtering Facepiece Respirators
2 Apr, 2020 | 04:24h | UTC