This is a recorded zoom talk from the EM Sling online conference in December 2020. Different times call for a different style of conferencing for a topic in which you can make a difference.
Ever think that patient with a subtle TWI in AVL could have been “cathed” earlier? Is it always 2mm elevations or will something less do? Can you convince anyone that a deWinters wave is trouble brewing?
If so, then maybe you are a growing part of the EM populace which thinks that STEMI or NSTEMI doesn’t quite cut it as a sole paradigm for coronary intervention.
Heretic or convert or something in between… I offer no miracles - only perspectives.
- Good command and control from the beginning
- One source of Information/dissemination + Updated info passed onto the floor daily
- Swab & Go protocols
- Segregation of fever & non fever areas in the ED
- Fever area - PPE is gown / gloves /N95 / face goggles or shield
- Resus - PPE is N95 / gloves
- Resus (intubating and arrests) - PAPR with N95
- Non fever areas - Surgical mask and gloves
Other good resources:
The original article of the index cases
Handbook by Chinese hospitals
Johns Hopkins datacentre
Probably the best video you can get on the subject is this detailed look into the pathophysiology and management by ESICM:
And finally when to ECMO:
Not just for pre-hospital teams but also for ED situations.