Health & Fitness

COVID-19 Day by day: Lung Ultrasound Triage, Telemedicine Ideas

Editor’s observe: Discover the newest COVID-19 information and steerage in Medscape’s Coronavirus Useful resource Heart.

Listed here are the newest coronavirus tales Medscape’s editors across the globe assume you could learn about at this time:

Proposed Triage Protocol

Physicians within the emergency division of a hospital in Turin, Italy, shortly realized that they could not use age or comorbid situations to foretell which sufferers coming in with COVID-19 would develop extreme pneumonia. “We see in any other case wholesome sufferers with acute signs of pneumonia because of the virus,” Giovanni Volpicelli, MD, instructed Medscape Medical Information. He developed a brand new protocol to triage sufferers utilizing bedside lung ultrasounds. Now he and his colleagues are satisfied ultrasound evaluation successfully distinguishes sufferers who should be admitted from those that may be despatched dwelling to convalesce below quarantine.

Doctor Tales on Social Media

The straightforward act of going to work today could put clinicians’ lives in danger. Lots of them are sharing their tales on social media, and we have pulled collectively a number of from Instagram. Requirements for private protecting tools (PPE) have modified as provides turned scarce, one emergency division doctor from Tennessee stated: “Final week we might not have accepted this, and that issues me.”

Fateful Early Testing Choices

In early February, the US Facilities for Illness Management and Prevention (CDC) distributed 200 check kits it had produced to greater than 100 public well being labs run by states and counties, every equipment containing materials to check 300 to 400 sufferers. Issues with these check kits shortly emerged. Specialists now say the flawed exams and lack of focused distribution name into query whether or not states akin to New York and Washington “even stood an opportunity to comprise the outbreaks that may emerge,” based on a Kaiser Well being Information report.

Telemedicine Startup Information

The Facilities for Medicare & Medicaid Companies (CMS) have modified a bunch of guidelines about telemedicine use all through the COVID-19 public well being emergency. Now, it is doable for a lot of kinds of clinicians to receives a commission for telehealth visits with Medicare sufferers whereas they continue to be at dwelling, in nursing services or hospital outpatient departments, and even throughout state traces. Right here’s what clinicians must know to get began.

ICU Report from Italy

In hard-hit Italy, the variety of sufferers in intensive care with COVID-19 doubled each 2 to three days at first, based on an Italian engineering professor who analyzed official knowledge. The doubling charge later slowed barely, with sufferers staying within the ICU a median of 15 days. “Daily counts,” the professor confused.

Chloroquine Dying

After preliminary scientific studies that the anti-malaria drug chloroquine could possibly be examined as a remedy for COVID-19 — and President Trump’s endorsement in a press convention — a Phoenix-area man and his spouse consumed chloroquine phosphate, a unique formulation of the compound used to scrub fish tanks. The person died and his spouse was in crucial situation.

Ellie Kincaid is Medscape’s affiliate managing editor. She has beforehand written about healthcare for Forbes, the Wall Avenue Journal, and Nature Medication.

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