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1.
J Contin Educ Health Prof ; 2020 Jul 09.
Artículo en Inglés | MEDLINE | ID: covidwho-643961

RESUMEN

The COVID-19 pandemic has required a substantial change to the approach used for traditional, in-person continuing professional development (CPD) conferences. Running a virtual CPD conference will necessitate consideration of digital platforms and conversion of large group and small group sessions, abstract presentations, and networking events to a digital medium. This paper will discuss these challenges and present strategies to address them for CPD conference planning in the era of COVID-19.

2.
AEM Education and Training ; n/a(n/a), 2020.
Artículo | WHO COVID | ID: covidwho-639518

RESUMEN

Abstract In mid-March 2020, many North American emergency medicine (EM) physician educators found their campuses closed, educational programs canceled, and research projects furloughed as operations were directed to the clinical arena due to the novel coronavirus of 2019 (COVID-19) pandemic Widespread need for personal protective equipment (PPE) and viral testing led to concerns over supply and rationing

3.
The American Journal of Emergency Medicine ; 2020.
Artículo | WHO COVID | ID: covidwho-634245

RESUMEN

Introduction Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is an emerging viral pathogen that causes the novel coronavirus disease of 2019 (COVID-19) and may result in hypoxemic respiratory failure necessitating invasive mechanical ventilation in the most severe cases Objective This narrative review provides evidence-based recommendations for the treatment of COVID-19 related respiratory failure requiring invasive mechanical ventilation Discussion In severe cases, COVID-19 leads to hypoxemic respiratory failure that may meet criteria for acute respiratory distress syndrome (ARDS) The mainstay of treatment for ARDS includes a lung protective ventilation strategy with low tidal volumes (4–8 mL/kg predicted body weight), adequate positive end-expiratory pressure (PEEP), and maintaining a plateau pressure of < 30 cm H2O While further COVID-19 specific studies are needed, current management should focus on supportive care, preventing further lung injury from mechanical ventilation, and treating the underlying cause Conclusions This review provides evidence-based recommendations for the treatment of COVID-19 related respiratory failure requiring invasive mechanical ventilation

4.
Am J Emerg Med ; 38(9): 1715-1721, 2020 Jun 06.
Artículo en Inglés | MEDLINE | ID: covidwho-549274

RESUMEN

The novel coronavirus disease of 2019 (COVID-19) is associated with significant morbidity and mortality. While much of the focus has been on the cardiac and pulmonary complications, there are several important dermatologic components that clinicians must be aware of. OBJECTIVE: This brief report summarizes the dermatologic manifestations and complications associated with COVID-19 with an emphasis on Emergency Medicine clinicians. DISCUSSION: Dermatologic manifestations of COVID-19 are increasingly recognized within the literature. The primary etiologies include vasculitis versus direct viral involvement. There are several types of skin findings described in association with COVID-19. These include maculopapular rashes, urticaria, vesicles, petechiae, purpura, chilblains, livedo racemosa, and distal limb ischemia. While most of these dermatologic findings are self-resolving, they can help increase one's suspicion for COVID-19. CONCLUSION: It is important to be aware of the dermatologic manifestations and complications of COVID-19. Knowledge of the components is important to help identify potential COVID-19 patients and properly treat complications.

5.
Ann Glob Health ; 86(1): 51, 2020 05 18.
Artículo en Inglés | MEDLINE | ID: covidwho-460242

RESUMEN

The developed countries of the world were ill-prepared for the pandemic that they have suffered. When we compare developed to developing countries, the sophisticated parameters we use do not necessarily address the weaknesses in the healthcare systems of developed countries that make them susceptible to crises like the present pandemic. We strongly suggest that better preparation for such events is necessary for a country to be considered developed.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud , Países Desarrollados/clasificación , Reglamento Sanitario Internacional , Pandemias , Neumonía Viral/epidemiología , Salud Pública , Betacoronavirus/aislamiento & purificación , Defensa Civil/organización & administración , Defensa Civil/normas , Prestación de Atención de Salud/organización & administración , Prestación de Atención de Salud/normas , Humanos , Reglamento Sanitario Internacional/organización & administración , Reglamento Sanitario Internacional/normas , Salud Pública/normas
6.
AEM Education and Training ; n/a(n/a), 2020.
Artículo | WHO COVID | ID: covidwho-458959

RESUMEN

Abstract The 2019 coronavirus disease (COVID-19) pandemic has prompted graduate medical education (GME) programs to revisit the concept of virtual interviews for applicants given uncertainty over the duration of social distancing measures and travel restrictions A ?virtual interview? refers to the process of conducting interactions over a video-conferencing platform instead of the traditional model of traveling to an on-site location with face-to-face interactions

8.
J Am Soc Echocardiogr ; 2020 May 23.
Artículo en Inglés | MEDLINE | ID: covidwho-342809

RESUMEN

BACKGROUND: The COVID-19 pandemic has placed an extraordinary strain on healthcare systems across North America. Defining the optimal approach for managing a critically ill COVID-19 patient is rapidly changing. Goal-directed transesophageal echocardiography (TEE) is frequently used by physicians caring for intubated critically ill patients as a reliable imaging modality that is well suited to answer questions at bedside. METHODS: A multidisciplinary (intensive care, critical care cardiology, and emergency medicine) group of experts in point-of-care echocardiography and TEE from the United States and Canada convened to review the available evidence, share experiences, and produce a consensus statement aiming to provide clinicians with a framework to maximize the safety of patients and healthcare providers when considering focused point-of-care TEE in critically ill patients during the COVID-19 pandemic. RESULTS: Although transthoracic echocardiography can provide the information needed in most patients, there are specific scenarios in which TEE represents the modality of choice. TEE provides acute care clinicians with a goal-directed framework to guide clinical care and represents an ideal modality to evaluate hemodynamic instability during prone ventilation, perform serial evaluations of the lungs, support cardiac arrest resuscitation, and guide veno-venous ECMO cannulation. To aid other clinicians in performing TEE during the COVID-19 pandemic, we describe a set of principles and practical aspects for performing examinations with a focus on the logistics, personnel, and equipment required before, during, and after an examination. CONCLUSIONS: In the right clinical scenario, TEE is a tool that can provide the information needed to deliver the best and safest possible care for the critically ill patients.

9.
CJEM ; : 1-4, 2020 May 22.
Artículo en Inglés | MEDLINE | ID: covidwho-326701

RESUMEN

A 53-year-old male presents with cough, fever, and myalgias for 7 days. Vitals include temperature, 38.0°C; heart rate, 110; blood pressure, 118/70 mm Hg; respiration rate, 28; and oxygen saturation 83% on room air. His only past medical history is hypertension. Your community is in the midst of the coronavirus disease 2019 (COVID-19) pandemic. The patient is hypoxic but responds to oxygen supplementation with nasal cannula and a face mask. His chest x-ray demonstrates multifocal infiltrates. Are there any therapeutic agents currently available for COVID-19?

10.
Am J Emerg Med ; 38(7): 1549.e3-1549.e7, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-276970

RESUMEN

BACKGROUND: Much of the focus regarding the global pandemic of coronavirus disease of 2019 (COVID-19) has been on the cardiovascular, pulmonary, and hematologic complications. However, neurologic complications have arisen as an increasingly recognized area of morbidity and mortality. OBJECTIVE: This brief report summarizes the neurologic complications associated with COVID-19 with an emphasis on the emergency medicine clinician. DISCUSSION: COVID-19 has infected over 3.5 million people and killed over 240,000 people worldwide. While pulmonary complications are profound, the neurologic system is also significantly impacted, with complications including acute cerebrovascular events, encephalitis, Guillain-Barré syndrome, acute necrotizing hemorrhagic encephalopathy, and hemophagocytic lymphohistiocytosis. Additionally, patients on immunosuppressive medications for pre-existing neurologic issues are at an increased risk for complications with COVID-19 infection, and many of the currently proposed COVID-19 therapies can interact with these medications. CONCLUSIONS: When caring for COVID-19 patients, emergency medicine clinicians should be aware of the neurologic complications from COVID-19.


Asunto(s)
Infecciones por Coronavirus/fisiopatología , Neumonía Viral/fisiopatología , Betacoronavirus , Encefalopatías/etiología , Encefalopatías/fisiopatología , Trastornos Cerebrovasculares/etiología , Trastornos Cerebrovasculares/fisiopatología , Infecciones por Coronavirus/complicaciones , Encefalitis/etiología , Encefalitis/fisiopatología , Síndrome de Guillain-Barré/etiología , Síndrome de Guillain-Barré/fisiopatología , Humanos , Linfohistiocitosis Hemofagocítica/etiología , Linfohistiocitosis Hemofagocítica/fisiopatología , Pandemias , Neumonía Viral/complicaciones
11.
CJEM ; : 1-4, 2020 May 13.
Artículo en Inglés | MEDLINE | ID: covidwho-244803

RESUMEN

A 37-year-old female presents with cough, fever, dyspnea, and myalgias for five days after recent contact with a family member with confirmed 2019 coronavirus disease (COVID-19). Her vital signs include T 38.3° C, HR 108, BP 118/70 mm Hg, RR 26 breaths per minute, and oxygen saturation 67% on room air. She is not in respiratory distress currently and is protecting her airway. Her chest X-ray reveals bilateral airspace opacities. You plan to immediately intervene and address her hypoxia.

12.
Am J Emerg Med ; 38(7): 1504-1507, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-72543

RESUMEN

BACKGROUND: The coronavirus disease of 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While systemic inflammation and pulmonary complications can result in significant morbidity and mortality, cardiovascular complications may also occur. OBJECTIVE: This brief report evaluates cardiovascular complications in the setting of COVID-19 infection. DISCUSSION: The current COVID-19 pandemic has resulted in over one million infected worldwide and thousands of death. The virus binds and enters through angiotensin-converting enzyme 2 (ACE2). COVID-19 can result in systemic inflammation, multiorgan dysfunction, and critical illness. The cardiovascular system is also affected, with complications including myocardial injury, myocarditis, acute myocardial infarction, heart failure, dysrhythmias, and venous thromboembolic events. Current therapies for COVID-19 may interact with cardiovascular medications. CONCLUSIONS: Emergency clinicians should be aware of these cardiovascular complications when evaluating and managing the patient with COVID-19.


Asunto(s)
Enfermedades Cardiovasculares/patología , Arritmias Cardíacas/patología , Arritmias Cardíacas/virología , Betacoronavirus , Enfermedades Cardiovasculares/virología , Infecciones por Coronavirus/inmunología , Insuficiencia Cardíaca/patología , Insuficiencia Cardíaca/virología , Humanos , Miocarditis/patología , Miocarditis/virología , Pandemias , Neumonía Viral/inmunología
13.
(AEM Edu. Train.).
No convencional en Inglés | ELSEVIER | ID: covidwho-19654

RESUMEN

The COVID-19 pandemic requires a substantial change to the traditional approach to conference didactics. Switching to a virtual medium for conference sessions presents several challenges, particularly with regard to aspects that rely heavily on in-person components (e.g., simulation, ultrasound). This paper will discuss the challenges and strategies to address them for conference planning in the era of COVID-19.

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