COVID-19: Expert Reviews of Relevant and Emerging Literature2021-04-28T15:30:24-04:00

In this commentary, physicians’ argue for an immediate digital revolution and regulation overhaul to address the surge of COVID-19.

This study argues that assuring people that their lost wages will be compensated during a self-quarantine is likely an important part of achieving compliance with public health regulations.

All over the world, in an attempt to contain COVID-19, health authorities have called for self-quarantine of individuals who have been thought to have been exposed to the virus. We hope the public will comply, but research suggests that a loss of income is a major hurdle to compliance for household quarantine.

In this article, recommendations from previous health crises of effective communication and support strategies to promote resilience are offered to improve the mental health of health care workers.

Health care providers and staff members may experience declining mental health when caring for COVID-19 patients, especially if working environments are not supportive. To reduce the potential for distress and burnout, which could lead to posttraumatic stress disorder or other chronic conditions, three crisis management strategies are propsosed for responding to this pandemic:

This study provides quantitative data on the comparative replication capacity and immune activation of SARS-CoV-2 versus SARS-CoV infection in human lung tissue, providing insight on why it is more infections, bur provokes less of a response in patients.

COVID-19 spreads easily, but we don’t completely understand the underlying mechanism confers its high transmissibility and asymptomatic infections. Researchers investigated the replication, cell tropism, and immune activation profile of SARS-CoV-2 infection in human lung tissues compared to SARS-CoV.

This article discusses why evidence and experience argue that airport screening will do little to slow the spread of COVID-19.

Airport screening is a major component of the worldwide response to the spread of COVID-19. This involves taking passengers’ temperatures and asking where they’ve traveled, at both ends of their trip. Unfortunately, both research and experience shows this will likely do very little to slow the spread of the virus. Screeners rarely intercept infected travelers.

This review article provides ED clinicians with recommendations for the evaluation and management of patients presenting with suspected COVID-19.

Care for potentially infected patients in the emergency department during the COVID-19 pandemic requires significant consideration, as the virus is primarily transmitted person-to-person through close contact by respiratory droplets. The symptoms are similar to other viral upper respiratory illnesses. Three major trajectories include:

  1. Mild disease with upper respiratory symptoms
  2. Non-severe pneumonia, and
  3. Severe pneumonia complicated by acute respiratory distress syndrome (ARDS).

Emergency physicians should focus on:

This systematic review of prediction models for COVID-19 showed that while they are quickly entering the academic literature and are urgently needed, most are poorly reported, at high risk of bias, and their reported performance is probably optimistic.

Authors reviewed and critically appraise studies of prediction models for COVID-19 in patients with suspected infection, for prognosis of patients, and for detecting those at risk of being admitted to the hospital. They included studies that developed or validated a COVID-19 related prediction model.

This article reports on the release of new crisis standards of care (CSC) guidelines by Colorado state health officials that address allocation of scarce resources if necessary during a public health emergency.

Under the guidelines, hospitals would make decisions on patient triage for receiving scarce resources, such as ventilators, using four-member triage teams. The teams would include an ethics or palliative care expert, a critical care physician, a nurse, and a hospital leader, separating this decision-making from the work of a patient’s bedside caregiver team.

A report in Nature finds that many university laboratories that have been certified to test for the virus that causes COVID-19 are not being used to capacity by hospitals/clinics due to incompatible electronic health record software (EHR) or lack of contracting/billing mechanisms.

This press release from the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) announces the resolution of a complaint against Alabama based on the state’s 2010 ventilator allocation guidelines, which were challenged as discriminating on the basis of disability and age. Among other actions, Alabama has agreed to remove all links to the 2010 guidelines from state websites.

This study evaluates the relative risk of death from COVID-19 in people <65 years old versus older individuals in the general population, provides estimates of absolute risk of death in epicenters of the pandemic, and reports what proportion of COVID-19 deaths occur in people <65 years old with and without underlying diseases. They found that individuals <65 years old have very small risks of COVID-19 death even in the hotbeds of the pandemic and deaths for people <65 years without underlying predisposing conditions are remarkably uncommon. The authors recommend pandemic management that focuses specifically

This study showed that a modified supine position combined with protective face screen to collect samples for RT-PCR is worth promoting, as it seems to be better tolerated and may yield better samples.

This study compared a modified nasopharyngeal swab sampling for COVID-19 to the traditional sitting position method were. The comparator was a supine position method+protective face screen where, when collecting a sample, the patient lay flat and wore a special protective face screen, with his or her neck slightly extending and face turned to the opposite side of the operator.

This article highlights how government officials can communicate with the public during crises to showcase their leadership in challenging circumstances.

This systematic review showed that quarantine is important in reducing incidence and mortality with respect to COVID-19, and that early implementation it with other public health measures is important to ensure effectiveness.

This article discusses proposed changes to privacy regulations to allow for less-restricted health information exchange.

This study suggests public health organizations provide the most up-to-date and timely COVID-19 information, yet other online information sources do not align with WHO’s basic protective measures.

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