COVID-19: Cutaneous Manifestations and “COVID toes”

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We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes. This episode was recorded 4/28/20

Recalcati – general overview of 18 cases of cutaneous manifestations in COVID-19
Manalo – Describes a case of transient livedo reticularis
Fernandez-Nieto 
Piccolo et al
Duong et al
Alrantham, Aldaraji
Recalcati et al
Kolivras et al
Zhang et al.
Zhang et al

COVID-19: Autopsy Studies & Venous Thromboembolism

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We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes. This episode was recorded 4/26/20

Carsana et al 
Dolhnikoff et al
Barton et al
Fox et al
Obi et al

COVID-19: Self proning oxygenation

Apple Podcasts or Listen Here

We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes. This episode was recorded 4/23/20

Caputo, Strayer, Levitan Academic Emergency Medicine 2020 (in press)

COVID-19: The Paradigm Shift From Early Intubation

Apple Podcasts or Listen Here

We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes.

We are joined by Dr. Rory Spiegel (@EMNerd_) who blogs at EMcrit and discuss why many places have switched from an “intubate early” paradigm in COVID-19 to a “try not to intubate” protocol.

Example of respiratory protocols we discuss (collection at REBEL EM)

More discussion on this article here
Wang et al. The experience of high-flow nasal cannula
in hospitalized patients with 2019 novel coronavirus-infected pneumonia in two hospitals of Chongqing, ChinaAnn Intensive Care. 2020 10(37)
We discuss several articles including:
Sun et al. Ann. Lower mortality of COVID-19 by early recognition and intervention: experience from Jiangsu Province. Intensive Care (2020) 10:33
Ding et al. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Critical Care. 24(28). 2020
Scaravilli V, Grasselli G, Castagna L, et al. Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: A retrospective study. J Crit Care 2015;30(6):1390–4.
Check out podcast here

COVID-19: Thrombosis (VTE guidelines & MI)

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We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes.

This post builds on our prior podcast episode that was a more in-depth review of hypercoagulability in COVID-19.

JACC COVID-19 guidelines
Bangalore. NEJM. 2020. doi: 10.1056/NEJMc2009020

COVID-19: Special Populations

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We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes.

MMWR . 2020 Weekly. CDC. 69(15);477–481. April 17, 2020. 
Yancy Clyde W. JAMA. doi:10.1001/jama.2020.6548
Baggett T et al. MedRxiv Pre-print. 10.1101/2020.04.12.20059618

COVID-19: Testing Issues + Hydroxychloroquine Update

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We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes.

Sutton et al. Universal Screening for SARS-CoV-2 in Women Admitted for Delivery. NEJM. April 13, 2020.
Wee LE, Fua TP, Chua YY, et al. Containing COVID-19 in the emergency room: the role of improved case detection and segregation of suspect cases. Acad Emerg Med. 2020; In press. 
Mahevas et al. MedRxiv Pre-print. doi: 10.1101/2020.04.10.20060699

More uncontrolled hydroxychloroquine + azithromycin data from Raoult et al. Abstract and table. [not yet formally published]

COVID-19: Risk Stratification

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We are bringing you near-daily updates on COVID-19. There is a firehose of information and most of us are too busy to read and digest it all. Note: If you are listening to these more than a few days in the future, please beware that information may have changed and check subsequent episodes.

Today we have Dr. Rory Spiegel (@EMNerd_) who blogs at EMcrit joining us to discuss risk stratification

Zhou et al [pre-print]
Gong et al [pre-print]