The Great Disruptor: Covid-19

Covid-19 will be long remembered by this generation. This low lethality but high impact event has left a scar not only on medical fields but theplanet itself. Thoough suffering from a second wave currently, Singapore has a well documented way of dealing with this and our ED/hospital "positives" can be summarised into:
  • 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

Covid calculators

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:

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