Covid-19 — STAT 03.25.20

I get this newsletter by email every morning.  Fascinating reporting.

‘We didn’t follow through’ on lessons learned from Ebola

Former Pentagon aide Christopher Kirchhoff wrote a 2016 report about lessons from the Ebola epidemic. He talked with STAT’s Andrew Joseph about the Covid-19 response:

  • On why governments aren’t more prepared: “We made some initial investments to grow the capacity of the system but we didn’t follow through.”
  • On outbreaks worse than Ebola: “Those of us in the Ebola response knew we got lucky, not only because the pathogen wasn’t airborne, but because the outbreak happened where it did.”
  • On testing: “It’s hard to express in words how our inability to test early and to contact trace has set us back. It’s honestly launched us into a new reality that none of us have clear or clever ideas about what to do.”

 

Deluged by Covid-19 patients, hospitals turn to remote monitoring to deliver care at home

Desperate to free up beds for only the sickest Covid-19 patients, hospitals nationwide are considering the use of an emerging generation of technologies to monitor patients from their homes. They want to avoid the fate of Bergamo, Italy, where centralized care in hospitals appears to have contributed to a sharp rise in the infection rate and death toll, leaving health care workers overwhelmed. Doctors in that city issued an urgent plea to counterparts across the globe to care for more patients outside hospitals. That means ramping up digital tools, making sure doctors and patients are adequately trained to use them, and integrating them with other parts of a hospital’s technology infrastructure, including electronic record keeping systems. STAT’s Casey Ross explains what’s involved.

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Update –

A reader reported the STAT link above did not work.  Try the link below:

https://www.statnews.com/

 

Alcohol Delivery Sales Surge Amidst Social Distancing — VinePair

Americans are spending more time than ever at home right now, with trips outdoors limited to only the absolutely necessary. While alcohol businesses, including wine and liquor stores, wineries, breweries, and distilleries, have been deemed “essential” in states where work restrictions are in effect, U.S. drinkers are increasingly making their alcohol purchases online. Over the…

via Alcohol Delivery Sales Surge Amidst Social Distancing — VinePair

Triple. Digit. Growth.

As an EM doc said in a prior post Coronavirus made simple by your friendly neighborhood emergency physician when you fall don’t go to the ER.

Coronavirus made simple by your friendly neighborhood emergency physician

When should I go to my doctor? The simple answer is when you can’t breathe or can’t hold down fluids. If you are having mild symptoms (fever, body aches, dry cough), stay home, and self-isolate. By going to the doctor, you risk spreading the virus to others, including us. If you go to the ER, we will see you but, if you are only having mild symptoms, you will likely be sent home with no COVID-19 test, no treatment, and a hospital bill.

Lastly, a personal plea. Many people are stuck at home with nothing to do. While alcohol is a disinfectant of sorts, it is not going to treat COVID-19! If you are drinking, have fun, but please wear a helmet and shoulder pads so that when you fall and hit your head, you do not have to come in and see me in the ER. We already see too many alcohol-associated visits in the emergency department. In a related note, drugs will make you feel strange. If you choose to use edibles or try new things because you are idle, please don’t do drugs and come in because you feel weird. I can’t fix that. As I told a patient this week, “You are high. If you don’t like this feeling, then don’t do drugs.”

Coronavirus made simple by your friendly neighborhood emergency physician

Amen.  Entire article is at the link above.

The coronavirus pandemic in five powerful charts — CVD

Nature.com From papers published to carbon emissions to confirmed cases, these data reveal an unprecedented viral outbreak and its impacts around the world. A worker disinfects a mosque in Istanbul as part of city-wide efforts to contain the spread of COVID-19.Credit: Chris McGrath/Getty How is the coronavirus spreading around the world?

via The coronavirus pandemic in five powerful charts — CVD

This is an interesting view on the pandemic.