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Showing results for tags 'Treatment'.
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Content ArticleThis document should be used to guide clinicians on the appropriate use of continuous positive airway pressure (CPAP), non-invasive ventilation (NIV), here referring to bilevel positive airway pressure (BiPAP) and high flow nasal oxygen (HFNO, such as OptiflowTM) in patients with confirmed or suspected COVID-19. Published evidence, clinical guidelines and personal communications with colleagues in China and Italy have informed this document. The guidance is not designed to be prescriptive but to provide a useful aid to use alongside clinical judgement. It can be adjusted to suit individual clinical environments. Decisions relating to the escalation of ventilatory support (whether as a trial of treatment, as a ceiling of care, or as a possible bridge to ongoing invasive ventilation) need to be made early and by experienced clinical decision-makers.
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- Ventilators
- Treatment
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Content Article
Ambulance trusts: practical guidance
Claire Cox posted an article in Guidance
These resources, set out by NHS England, give guidance for ambulance trusts on the following: assessment and diagnosis management - suspected coronavirus (COVID-19) cases infection Control discharge COVID-19 patient transport services: requirements and funding.- Posted
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- Infection control
- PPE (personal Protective Equipment)
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Content ArticleThe Royal College of Physicians has published ethical guidance for frontline staff dealing with the COVID-19 pandemic, supported by more than a dozen other health organisations. Members of the RCP’s Committee on Ethical Issues in Medicine, chaired by Dr Alexis Paton, developed the guidance, which is supported by nine other Royal Colleges and five medical faculties. It takes into consideration recent joint statements from the General Medical Council (GMC), the NHS and the UK’s four Chief Medical Officers. The guidance reminds frontline staff that while so much has changed during the pandemic, they still need to ensure that care is provided in a fair and equitable way.
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Content Article
Covid-19 Resource Centre: Critical Care
PatientSafetyLearning Team posted an article in Coronavirus (COVID-19)
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- ICU/ ITU/ HDU
- Virus
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Content ArticleNovel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 threatens healthcare resources throughout the world. This is particularly true for the patients who develop moderate to severe respiratory failure and require oxygen supplementation devices such as high-flow nasal cannula (HFNC). The HFNC uses humidification to allow the delivery of up to 100% oxygen at flow rates of up to 60 Lmin-1 ; however, there is a concern this may aerosolize respiratory tract pathogens. This report states that patient requiring HFNC are at least used in single occupancy rooms or negative pressure airborne isolation rooms. Healthcare workers caring for those using HFNC should be wearing full airborne personal protective equipment (i.e., N95 mask or equivalent, gown, gloves, goggles, hair covers, and face shield or hoods).
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- Treatment
- Medicine - Infectious disease
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Content ArticleThe information contained in this evidence table is emerging and rapidly evolving because of ongoing research and is subject to the professional judgment and interpretation of the practitioner due to the uniqueness of each medical facility’s approach to the care of patients with COVID-19 and the needs of individual patients. It has been rpoduced by the US-based organisation, the American Society of Health-System Pharmacists (ASHP). ASHP provides this evidence table to help practitioners better understand current approaches related to treatment and care. ASHP has made reasonable efforts to ensure the accuracy and appropriateness of the information presented. However, any reader of this information is advised ASHP is not responsible for the continued currency of the information, for any errors or omissions, and/or for any consequences arising from the use of the information in the evidence table in any and all practice settings. Any reader of this document is cautioned that ASHP makes no representation, guarantee, or warranty, express or implied, as to the accuracy and appropriateness of the information contained in this evidence table and will bear no responsibility or liability for the results or consequences of its use. Public access to AHFS Drug Information® (https://www.ahfscdi.com/login) is available for the next 60 days with the username "ahfs@ashp.org" and password "covid19." ASHP's patient medication information is available at http://www.safemedication.com/.
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Content Article
Video: Intubation in the ICU – COVID-19
Claire Cox posted an article in Good practice and useful resources
This video demonstrates how to perform an intubation safely on a patient with coronavirus.- Posted
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- ICU/ ITU/ HDU
- Treatment
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Content ArticleThis American Society for Reproductive Medicine (ASRM) guidance is in response to the coronavirus (COVID-19) global pandemic. Their goal is to provide practices with recommendations that guard the health and safety of their patients and staff, and recognise our social responsibility, as an organisation and as a community of providers and experts, to comply with national public health recommendations.
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Content ArticleThese instructions are for patients who have been advised to undertake 'conscious proning'. Proning is the medical term for lying on your tummy or front. Proning has been proved to help with breathing in patient who have coronavirus.
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Content Article
COVID-19 therapies in the US
Claire Cox posted an article in Good practice and useful resources
This document designed by the Patient Safety Movement is a dynamic document that gives a summary of therapies given to COVID patients in the US.- Posted
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- ICU/ ITU/ HDU
- Pneumonia
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Content ArticleAs the coronavirus pandemic focuses medical attention on treating affected patients and protecting others from infection, how do we best care for people with non–Covid-related disease? In her article in the New England Journal of Medicine, Lisa Rosenbaum discusses the impact the pandemic is having and how we help those people who are afraid to seek care.
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- Virus
- Tests / investigations
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Content ArticlePaediatric cardiac arrest is unlikely to be caused by a cardiac problem and is more likely to be a respiratory one, making ventilations crucial to the child’s chances of survival. However, for those not trained in paediatric resuscitation, the most important thing is to act quickly to ensure the child gets the treatment they need in the critical situation. This page contains:an EPALS algorithm for paediatric COVID-19 patients.a flowchart on the resuscitation of paediatric COVID-19 patients in hospital.
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Content Article
BBC Radio 4: The NHS Frontline
Claire Cox posted an article in Good practice and useful resources
Recordings with frontline staff at Bradford Royal Infirmary, taking you behind the scenes on the wards as they plan for the onset of COVID-19 and then cope as the patients arrive. -
Content ArticleWorking in collaboration, The Faculty of Intensive Care Medicine, Intensive Care Society, Association of Anaesthetists and Royal College of Anaesthetists have developed this website to provide the UK intensive care and anaesthetic community with information, guidance and resources required to support their understanding of and management of COVID-19. Intensive care practitioners and anaesthetists are integral to the safe and effective care of patients diagnosed with COVID-19, and play a role in informing and reassuring the public about this viral outbreak.
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- ICU/ ITU/ HDU
- HDU / ICU
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Content ArticleThis is a guide to end of life care symptom control when a person is dying from COVID19 for General Practice Teams, prepared by the Royal College of General Practitioners (RCGP) and the Association for Palliative Medicine.
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- End of life care
- Medicine - Palliative
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Content ArticleThis document from the British Thoracic Society links to updated guidance in the treatment of COPD patients and COVID-19.
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- Medicine - Respiratory
- Treatment
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Content ArticleThe Resuscitation Council UK issued guidance on how to manage a cardiac arrest in the COVID positive patient. Imperial College Hospital in conjunction with the Imperial College School for Medicine have produced this video to accompany the guidance and shows practically what the process is.
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- Anaesthetist
- Doctor
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Content ArticleThe Association of Chartered Physiotherapists in Respiratory Care (ACPRC) has published the Physiotherapy management for COVID-19 in the acute hospital setting: recommendations to guide clinical practice.This was based on international collaboration to provide guidance for clinical practice in patients with COVID-19. Please note that this is guidance only, and should be applied as appropriate to your own clinical area and local policies and guidance.
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- Virus
- Physiotherapist
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Content ArticleSince the severity of disease is closely related to the prognosis, the basic and essential strategies to improve outcomes that we should adhere to remain the early detection of high-risk and critically ill patients This retrospective analysis of casein Jiangsu Province proved a good consistency between early screening of SpO2, RR, HR and early warning model. Therefore, a flowchart integrating early warning model and early screening procedure is recommended for high risk patients recognition and all patients’ screening to make it possible for early intervention. This article includes flow charts for: early recognition of high-risk and critically ill patients management of critically ill patients.
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- ICU/ ITU/ HDU
- Symptoms
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Content ArticlePatient safety has been increasingly recognised as an issue of global importance. To overcome this issue,Ministry of Health and Family Welfare, Government of India, has taken an initiative for patient safety by introducing a National Patient Safety Implementation Framework (NPSIF), which positions patient safety as fundamental element of healthcare. NPSIF is intended to be adopted by both, public and private, sectors to address the various issues arising while providing qualitative healthcare services.
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- Patient safety strategy
- Diagnosis
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Content ArticleTo provide support and advice to women it is important that healthcare professionals understand the changes that women face at the time of their menopause and the issues related to improving health after menopause. This updated publication from the Royal College of Nursing (RCN) aims to help health care professionals gain awareness of the menopause and the safety and efficacy of modern therapy options available. This publication is endorsed by the British Menopause Society.
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- Womens health
- Nurse
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Content ArticleThis article in The Lancet aimed to review published work about the efficacy and safety of electroconvulsive therapy (ECT) with simulated ECT, ECT versus pharmacotherapy and different forms of ECT for patients with depressive illness. The authors designed a systematic overview and meta-analysis of randomised controlled trials and observational studies. They concluded that: ECT is an effective short-term treatment for depression, and is probably more effective than drug therapy. bilateral ECT is moderately more effective than unilateral ECT. high dose ECT is more effective than low dose.
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- Mental health
- Treatment
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Content ArticleIn this article, Rachel Star Withers shares her account of receiving electroconvulsive therapy to treat her severe depression and schizophrenia while in her final year at college. She describes how the treatment robbed her of her memory, reading and writing abilities, but saved her life. Without ECT, Rachel believe she would have committed suicide. She talks about the need to educate people about the realities of ECT and undo unhelpful 'horror-story' stereotypes.
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- Mental health
- Treatment
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Content ArticleIn this blog for the Citizens Commission on Human Rights, Jane London shares her account of how electroconvulsive therapy (ECT) has affected her life since early adulthood, resulting in severe memory loss and heart problems. Jane shares how her physical medical problems including appendicitis and a severe heart attack were put down to depression, and how she was nearly forced to have ECT against her will in England in 1966. When her abusive marriage ended in 1968 and Jane returned to Australia her mother insisted she have ECT, despite her depression being temporary and related to her marriage ending. After 14 treatments, Jane left the treatment facility and received talking therapy to help her recover. Jane talks about the dramatic adverse effect ECT has had on the rest of her adult life.
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- Mental health
- Depression
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