Taking Care of COVID-19 Survivors

9 Apr, 2020 | 03:17h | UTC

Editorial: 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.””


NICE Publishes new COVID-19 Guidelines

6 Apr, 2020 | 01:57h | UTC

How Hospitals Can Protect Frontline Healthcare Workers From COVID-19 – Medium


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N95 Re-Use Instructions

30 Mar, 2020 | 02:06h | UTC

Primary 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


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Practical Advice: PPE Pearls

26 Mar, 2020 | 01:49h | UTC

Report: N95 Mask Decontamination

25 Mar, 2020 | 02:18h | UTC

Report: 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)


Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19 – World Health Organization (PDF)

Related Study: COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020 – CDC Morbidity and Mortality Weekly Report (free)

“Introduction of COVID-19 into a long-term residential care facility in Washington resulted in cases among 81 residents, 34 staff members, and 14 visitors; 23 persons died” (from CDC)


Study: SARS-CoV-2 Infection in Children

19 Mar, 2020 | 10:59h | UTC

Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected – World Health Organization (free PDF)

Related: Severe SARS-CoV-2 Infections: Practical Considerations and Management Strategy for Intensivists (free studies and reviews)


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Mental Health and Psychosocial Considerations During COVID-19 Outbreak – World Health Organization (free PDF)

Related: The psychological impact of quarantine and how to reduce it: rapid review of the evidence – The Lancet (free) AND Behavioural scientists form new front in battle against coronavirus – The Guardian (free)

“Minimize watching, reading or listening to news that causes you to feel anxious or distressed; seek information only from trusted sources and mainly to take practical steps to prepare your plans and protect yourself and loved ones.”


Characteristics of pediatric SARS-CoV-2 infection and potential evidence for persistent fecal viral shedding – Nature Medicine (free)

Commentaries: How Does The Coronavirus Affect Kids? What We Know So Far About COVID-19 In Children – Forbes (free) AND Coronavirus study finds children with COVID-19 show milder symptom pattern – Reuters (free)

“Children infected with the #COVID19 outbreak coronavirus, SARS-CoV-2, show mild symptoms but prolonged shedding of viral RNA in feces, suggesting that the fecal–oral route might play a role in virus transmission #CORONAVIRUS” (via @NatureMedicine see Tweet)


Coronavirus disease 2019 (covid-19): a guide for UK GPs – The BMJ (free)

See also: Latest Research on the COVID-19 Outbreak (free resources)


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Former CDC director: A coronavirus pandemic is inevitable. What now? – CNN (free)

Related: Opinion on COVID-19 Outbreak – “Past Time to Tell the Public: “It Will Probably Go Pandemic, and We Should All Prepare Now”” (related opinions on the subject)

See also: Novel Coronavirus Disease (COVID-19) Latest Articles, Guidelines, News & Perspectives / 26 February 2020 Edition (free resources on the subject – updated daily)


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Should the first rule of medicine be not “Do no harm” but rather “Be kind”? – The BMJ Opinion (free)


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Daily emollient during infancy for prevention of eczema: the BEEP randomised controlled trial – The Lancet (free)

Related Study: Skin emollient and early complementary feeding to prevent infant atopic dermatitis (PreventADALL): a factorial, multicentre, cluster-randomised trial – The Lancet (link to abstract – $ for full-text)

Commentaries: Emollients for prevention of atopic dermatitis in infancy – The Lancet (free) AND Daily moisturizer does not prevent eczema according to new research – News Medical (free)


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Contact isolation versus standard precautions to decrease acquisition of extended-spectrum β-lactamase-producing Enterobacterales in non-critical care wards: a cluster-randomised crossover trial – The Lancet Infectious Diseases (link to abstract – $ for full-text)


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Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research – BMJ Quality & Safety (free)


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Nonsedation or Light Sedation in Critically Ill, Mechanically Ventilated Patients – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: No Sedation: An Option in Mechanically Ventilated ICU Patients – MedPage Today (free registration required)


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Recommended Adult Immunization Schedule, United States, 2020 – Annals of Internal Medicine (free)

Commentary: ACIP releases updated vaccination schedule with several changes – ACP Hospitalist (free)


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Perspective: CPR, by Default

2 Feb, 2020 | 19:45h | UTC

CPR, by Default – The New York Times (10 articles per month are free)


Eliminating Medication Overload: A National Action Plan – Lown Institute (free PDF)

Press Release: Millions of Older Americans Harmed by Too Many Medications – Lown Institute (free)

Commentary: ‘Small’ tactics to counter Big Pharma’s influence on medication overload – STAT (free)

Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)


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New baby: fads, fashions and evidence for new parents – Evidently Cochrane (free)


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Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019 – Anaesthesia (free)


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Evaluating a digital sepsis alert in a London multisite hospital network: a natural experiment using electronic health record data – Journal of the American Medical Informatics Association (free)

Commentary: Digital monitoring system helps improve hospital care of sepsis patients – OnMedica (free) AND Sepsis digital alert ‘led to faster treatment with antibiotics’ – BBC (free)


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AHA Updates in Pediatric Life Support

18 Nov, 2019 | 00:55h | UTC

Podcast: Management of Multimorbidity

10 Nov, 2019 | 13:55h | UTC

Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial – Critical Care Medicine (link to abstract – $ for full-text)

Source: EvidenceAlerts


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Position Paper: Sarcopenia

16 Oct, 2019 | 10:33h | UTC

Offline: Touch—the first language – The Lancet (free)

Related: Of Slide Rules and Stethoscopes: AI and the Future of Doctoring – The Hastings Center Report (free)


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Disappointment in the Value-Based Era: Time for a Fresh Approach? – JAMA (free for a limited period)

Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund (free) AND Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health – National Academy of Medicine (free PDF) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (free) AND  Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open (free) AND Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal (free) AND Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free) AND The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports (free) AND Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) AND Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND  Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs (free) AND Playbook: Better Care for People with Complex Needs – Institute for Healthcare Improvement (free)


NCCN Guideline: Distress Management

10 Oct, 2019 | 09:06h | UTC

Podcast: In-Flight Emergencies

8 Oct, 2019 | 10:06h | UTC

I’ve noticed a change in my colleague’s behaviour. What should I do? – The BMJ (free) (via @brhospitalist)


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World Health Organization Campaign on World Patient Safety Day (free resources)

News Release: WHO calls for urgent action to reduce patient harm in healthcare (free)

See also: Patient Safety Fact Sheet (free) 10 facts on patient safety (free) AND The Lancet Editorial: Patient safety: too little, but not too late (free)


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