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Content ArticleDrawing on research, best practice guidelines and expert clinical opinions, the COVID Trauma Response Working Group has created rapid guidance for planners putting in place psychological support for staff in the early stages of dealing with the COVID-19 outbreak. The King's Fund has developed this graphic as a quick reference version of the detailed guidance available on the traumagroup.org website.
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Content ArticleThe pictures of the amazing transformation of the London ExCel Centre into NHS Nightingale exemplify some of the incredible large-scale changes happening across the health service to respond to the Covid-19 (coronavirus) outbreak. In this blog, Beccy Baird highlights some of the amazing, less easily photographed, innovations happening in general practice, which has transformed itself in the space of just a few weeks.
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Content ArticlePalliative care services are under-resourced at the best of times. The 2017 Lancet Commission on Palliative Care and Pain Relief described the widespread lack of access to inexpensive and effective interventions as a travesty of justice. As health systems become strained under COVID-19, providing safe and effective palliative care, including end-of-life care, becomes especially vital and especially difficult, as discussed in this Lancet editorial.
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Content ArticlePresentation slides from ORCHA webinar on App safety.
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Content Article
On 30 March, in response to the UK Government asking for business to provide thousands of ventilators to help tackle the Covid-19 pandemic, Patient Safety Learning published a blog with recommendations to ensure that ventilators are ‘safe in use’ (this means making sure they are as intuitive and easy to use for frontline staff as possible, reducing the potential for error).[1] In that blog, we outlined how we had brought together human factors/ergonomics and clinical experts to discuss the design, development and use of the equipment. -
Content ArticleRosie Hughes has tested positive for the coronavirus that has killed so many of her patients. In her candid blog, published in the Guardian, she talks about her experiences, fear and the guilt she feels.
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Words of courage for medical students and residents
Patient Safety Learning posted an article in Blogs
Deborah Edberg, a family physician, reflects on her experiences working with the dying and offers advice and reassurance to the medical students fast-tracking graduation and the young residents moving into high need areas to fight the pandemic of COVID-19. -
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 ArticleFree online mental health and emotional wellbeing services have been set up to support frontline workers. Frontline19 was set up by a small team of experienced pyschotherapists as a crisis response to the COVID-19 epidemic. They are working in partnership with Helpforce and are guided by a steering committee of industry professionals. If you are a frontline worker directly affected by COVID-19 and you need support to help you through this difficult time, please register for more info. Its quick, easy and absolutely free of charge.
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Content ArticleThis guidance was published on 9 April 2020 by the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwifery. It highlights that childbearing women and newborn infants continue to require safe person-centred care during the current COVID-19 pandemic and they represent a unique population. The majority are healthy, experiencing a life event that may bring clinical, emotional, psychological, and social needs. Women and newborn infants therefore require access to quality midwifery care, multidisciplinary services and additional care for complications including emergencies, if needed. When staff and services are under extreme stress there is a real risk of increasing avoidable harm, including an increased risk of infection, morbidity and mortality, and reductions in the overall quality of care. Safety, quality and preventing avoidable harm must be key priorities in decision making. Continuation of as near normal care for women should be supported, as it is recognised to prevent poor outcomes.
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Content ArticleRead the latest episode in a series of podcasts from the Clinical Human Factors Group giving tips from frontline staff working with Covid patients.
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Content ArticleThis blog from the European Respiratory Society, discusses a joint statement that was signed by individuals working on behalf of the Italian Thoracic Society (ITS - AIPO), Association for the Rehabilitation of Respiratory Failure (ARIR) and the Italian Respiratory Society (SIP/IRS). They conclude that the dramatic spread of the current COVID-19 epidemic in Italy has spurred into action also respiratory rehabilitation specialists (pulmonologists and respiratory therapists), who have been engaged for years in the care of patients with disabilities secondary to respiratory diseases and/or conditions. Their experience acquired in the management of chronic and acute respiratory failure is proving to be a fundamental asset for the management of patients during COVID-19 epidemic. Hence, it is likely that the reorganisation involved in taking care of this scenario will not be a short-term matter.
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Content ArticleThis is the YouTube Channel for the UCSF School of Medicine in the USA. Here you are able to listen and watch webinars on the latest 'grand rounds' on COVID-19. These webinars cover: paediatrics shape of the pandemic, digital innovation epidemiology, science & clinical manifestations of COVID-19 research general updates.
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Content ArticleThe global COVID-19 pandemic has the potential to severely affect those with rheumatic diseases or who are taking immunosuppressive therapies. Information is lacking as to how these groups will fare if they become infected. A global alliance has rapidly formed to try to address this information deficit.
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Content ArticleTracey Vernon introduces a short film about how to effectively don a mask and minimise skin damage. She is the Lead Nurse for the Skin Integrity Team (SIT) at Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
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Health Education England: Preceptorship COVID-19
Claire Cox posted an article in Training & education
Health Education England (HEE) has created this accelerated preceptorship guide, for use with newly qualified practitioners (NQPs) and Health Care Professionals (HCP's) on the NMC Covid-19 temporary register in response to the COVID-19 pandemic. The guidance is focused on how health and care organisations pan-London can support newly qualified practitioners (NQPs) and health care professionals (HCPs) on the Covid-19 temporary register. This is a fast-changing and emerging situation and guidance may be subject to further development. Therefore, these principles should be used in conjunction with advice and guidance from the regulatory councils (e.g. Nursing and Midwifery Council (NMC), the royal colleges, trade unions and national HEE guidance. -
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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British Thoracic Society: COVID-19 resources for people with lung disease
Claire Cox posted an article in Guidance
The British Thoracic Society have drawn together the following links to information for patients with lung disease and COVID-19. These include: asthma cystic fibrosis mesothelioma pulmonary fibrosis sarcoidosis UK travel advice for patients tuberculosis lung cancer -
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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Content ArticleThis clinical guidance from the NHS provides information on the care of critically ill adult patients with COVID-19 to practising clinicians at the bedside. The COVID-19 pandemic is placing an extraordinary burden on critical care, which is being met through the creation of surge capacity within and beyond hospital walls. A large number of non-specialist healthcare providers will be supporting critical care specialists to provide care. Staff safety and wellbeing will be crucial in maintaining the resilience of critical care provision. This guide summarises the clinical characteristics of COVID-19 and offers advice on: • antibiotics and corticosteroids • treatment of other conditions in the context of COVID-19. • clinical decision-making when resources may be constrained • management of respiratory failure • management of other organ failure. • continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV) • early intubation – indications and role.
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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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Content Article
#SharedHearts
Claire Cox posted an article in Blogs
The Critical Care team at Brighton and Sussex University Hospitals has begun implementing a heartwarming idea, Shared Hearts, to support loved ones of patients.- Posted
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Content Article"We talk about coronavirus all the time, but it’s often in terms of a bigger picture. I find it hard to make sense of that bigger picture from the frontline. In a crisis of scale I want to tell the story I’ve seen – the story of a pandemic unfolding one person at a time." A blog published in the Guardian by Shaan Sahota, a junior doctor working in London.
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Help@Hand Community Info: App
Patient Safety Learning posted an article in Good practice and useful resources
Connect with your GP Surgery. Discover a local network of support and wellness activities. Help at Hand is free to use and personalised to you, with vital information for patients, family & friends, carers, and anyone in need of a helping hand. -
Content ArticleThe Institute of Healthcare Improvement (IHI) has put together a list of COVID-19 guidance and resources helpful for hospital and health system leaders and healthcare providers.
