Patient Safety & Quality
Pandemic Palliative Care: Beyond Ventilators and Saving Lives
1 Apr, 2020 | 05:55h | UTCPandemic palliative care: beyond ventilators and saving lives – Canadian Medical Association Journal
Commentary: A COVID-19 palliative care pandemic plan: An essential tool – Canadian Medical Association Journal
Related: The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19) – JAMA AND Covid-19: The role of palliative care had to be adapted to manage this “ultra-emergency” – The BMJ Opinion AND COVID-19: decision making and palliative care – Swiss Medical Weekly AND COVID-19 pandemic: palliative care for elderly and frail patients at home and in residential and nursing homes – Swiss Medical Weekly AND End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19) – Canadian Journal of Emergency Medicine
More Opinions on the Use of Facemasks by the Population
1 Apr, 2020 | 05:53h | UTCPerspectives: CDC considering recommending general public wear face coverings in public – The Washington Post AND Wear a face mask if you feel it’s necessary, but know it won’t necessarily help – The Globe and Mail AND It’s Time to Face Facts, America: Masks Work – Wired AND Should We All Be Wearing Masks In Public? Health Experts Revisit The Question – NPR AND Should I Make My Own Mask? – The New York Times
‘Panic Prescribing’ Untested Coronavirus Treatments
1 Apr, 2020 | 05:51h | UTC- ‘Panic Prescribing’ Untested Coronavirus Treatments: A Danger To Patients Today and Tomorrow – Health Affairs
- We shouldn’t rush to use an unproven malaria drug to treat the coronavirus – STAT
- See also: Twitter Thread on the Latest Study Testing Hydroxychloroquine, by Lucas Morin
COVID-19 in Older Adults: Key Points for Emergency Department Providers
1 Apr, 2020 | 05:46h | UTCCommentary: Caring for seniors during COVID-19 pandemic – Regenstrief Institute
Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic
1 Apr, 2020 | 05:41h | UTCAuthor Interview: Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic
Ethical Considerations in the Allocation of Critical Care Resources When Capacity is Overwhelmed
31 Mar, 2020 | 04:37h | UTC
N95 Re-Use Instructions
30 Mar, 2020 | 02:06h | UTCN95 Re-Use Instructions – SAGES
Related: Conserving Supply of Personal Protective Equipment—A Call for Ideas – JAMA AND N95 mask can be decontaminated without decreasing filtration efficiency – Stanford Medicine
COVID-19: Controversies on the Use of Face Masks
30 Mar, 2020 | 02:10h | UTC- Would everyone wearing face masks help us slow the pandemic? – Science
- Not wearing masks to protect against coronavirus is a ‘big mistake,’ top Chinese scientist says – Science
- More Americans Should Probably Wear Masks for Protection – The New York Times
- Experts say face masks can help slow COVID-19, despite previous claims – New York Post
- Coronavirus: Chinese scientist advises people in Europe, US to wear face masks in public – South China Morning Post
Related Guidance: WHO Recommendations on when and how to use masks – World Health Organization AND Strategies for Optimizing the Supply of Facemasks – Centers for Disease Control and Prevention
Primary Care & Coronavirus (COVID 19): Key Guidance, Information and Support
30 Mar, 2020 | 01:45h | UTCPrimary care & Coronavirus (COVID 19): key guidance, information and support – Medium
Related: Coronavirus disease 2019 (covid-19): a guide for UK GPs – The BMJ AND Covid-19: a remote assessment in primary care – The BMJ
Related Commentary on Twitter
I've written a blog for primary care on #coronavirus:
🗣️ Preparing, comms, diagnosis
📞 Remote consulting
😷 PPE
💊 Coding/meds
👨👨👦👦 Pt resources
🏥 Clinical advice for diff groups/ways of working
🌍 General resources
🛏️ Professional support— Dipesh Gopal (@DipeshGopal) March 28, 2020
Video: Coronavirus (COVID-19) Update: Fairly Rationing ICU Care
30 Mar, 2020 | 01:30h | UTCCoronavirus (COVID-19) Update: Fairly Rationing ICU Care – JAMA
The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19)
30 Mar, 2020 | 01:33h | UTC
Must-see Video! Perspectives on the Pandemic with Dr. John Ioannidis
27 Mar, 2020 | 04:03h | UTCPerspectives on the Pandemic with Dr. John Ioannidis
Related Article: Editorial by John P.A. Ioannidis: COVID-19: The Harms of Exaggerated Information and Non‐evidence‐based Measures (free study and commentaries)
Analysis: Managing Mental Health Challenges Faced by Healthcare Workers During Covid-19 Pandemic
27 Mar, 2020 | 03:55h | UTCManaging mental health challenges faced by healthcare workers during covid-19 pandemic – The BMJ
Related Study: Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 – JAMA Network Open AND Commentary: Survey Finds COVID-19 Takes Heavy Psychological Toll on Health Care Workers – Psychiatric News Alert
Rapid Review: Standard Face Masks vs. Respirator Masks to Prevent COVID-19 in Primary Care Staff
27 Mar, 2020 | 03:45h | UTC
Postacute Care Preparedness for COVID-19: Thinking Ahead
26 Mar, 2020 | 01:52h | UTCPostacute Care Preparedness for COVID-19: Thinking Ahead – JAMA
“Post-acute care preparedness for COVID19: we need to strengthen capacity in primary and community care to deal with those discharged from hospital.” (via @trishgreenhalgh see Tweet)
WHO Guidance: Maintaining a Safe and Adequate Blood Supply During the Pandemic Outbreak of COVID-19
26 Mar, 2020 | 02:08h | UTC
Practical Advice: PPE Pearls
26 Mar, 2020 | 01:49h | UTCPersonal Protective Equipment (PPE) Pearls – COVID-19 – emDocs
Study: Persistence of Coronaviruses on Inanimate Surfaces and Their Inactivation with Biocidal Agents
26 Mar, 2020 | 02:06h | UTCCommentaries: Coronavirus: household cleaning products can kill the virus – an expert on which ones to use – The Conversation AND One graphic shows how long the coronavirus lives on surfaces like cardboard, plastic, and steel – Business Insider
Related Study: Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1 – New England Journal of Medicine
COVID Ethics: Should clinicians see patients without appropriate PPE?
26 Mar, 2020 | 01:48h | UTCCOVID Ethics: Should clinicians see patients without appropriate PPE? – First10EM
See also: COVID-19: Updates in Bioethics
Covid-19: A Remote Assessment in Primary Care
26 Mar, 2020 | 01:45h | UTCCovid-19: a remote assessment in primary care – The BMJ
Study Estimates Impact of Social Distancing on Reducing Spread of COVID-19
25 Mar, 2020 | 02:51h | UTCCommentaries: Singapore modelling study estimates impact of physical distancing on reducing spread of COVID-19 – The Lancet AND Scientific and ethical basis for social-distancing interventions against COVID-19 – The Lancet Infectious Diseases AND Study: Social distancing might reduce COVID-19 spread by as much as 99% – UPI
AHA: Interim Guidance to Reduce COVID-19 Transmission During Resuscitation Care
25 Mar, 2020 | 02:47h | UTCInterim Guidance for Healthcare Providers during COVID-19 Outbreak – American Heart Association (free PDF)
News Release: Interim guidance to reduce COVID-19 transmission during resuscitation care – American Heart Association (free)
See also: COVID-19: Updates for Cardiologists
Report: N95 Mask Decontamination
25 Mar, 2020 | 02:18h | UTCReport: N95 mask can be decontaminated without decreasing filtration efficiency – Stanford Medicine
“Stanford: N95 masks can be decontaminated without decreasing filtration efficiency using 70C heat for 30 min. Alcohol and bleach should not be used.” (via @CMichaelGibson see Tweet)
Fair Allocation of Scarce Medical Resources in the Time of Covid-19
24 Mar, 2020 | 11:42h | UTCCommentary: Life, or death? Experts guide pandemic medical equipment decisions – CIDRAP
Related Perspective: The Toughest Triage — Allocating Ventilators in a Pandemic – New England Journal of Medicine
FDA Recommendations for Conserving Medical Supplies
24 Mar, 2020 | 11:23h | UTC- Ventilator Supply Mitigation Strategies: Letter to Health Care Providers – U.S. Food & Drug Administration
- Medical Glove Conservation Strategies: Letter to Health Care Providers – U.S. Food & Drug Administration
- Surgical Mask and Gown Conservation Strategies – Letter to Healthcare Providers – U.S. Food & Drug Administration
See also: Strategies for Optimizing the Supply of Facemasks – Centers for Disease Control and Prevention (free)