CLINICAL GUIDANCE

GENERAL RESOURCES

 

HANDBOOK OF COVID-19 PREVENTION AND TREATMENT

 

A guide written by experts in China on diagnosis and management

WHO ACADEMY APP

 

This app provides health workers an efficient way to access the World Health Organization’s COVID-19 knowledge resources all in one place, including up-to-the-minute guidance, tools, training, self-paced learning, and virtual workshops to support health workers in caring for patients infected by COVID-19 – as well on how they can protect themselves as they do their critical work. 

HCWS, PPE, OTHER PROTECTIVE MEASURES

 

Healthcare Workers

Guidance for Healthcare Workers | WHO

Guidance on various topics, including:

  • COVID-19 outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health

  • Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected

  • Health workers exposure risk assessment and management in the context of COVID-19 virus

General Protective Measures

Respirator Trusted-Source Information | CDC & NIOSH

Infection Prevention and Control (IPC) for Novel Coronavirus (COVID-19) | WHO

This course provides information on what facilities should be doing to be prepared to respond to a case of an emerging respiratory virus such as COVID-19, how to identify a case once it occurs, and how to properly implement IPC measures to ensure there is no further transmission to health workers or to other patients and others in the healthcare facility. [Chinese, French, Italian, Japanese, Indonesian, Russian, Portuguese, Serbian, Spanish]

How To Put On, Use, Take Off and Dispose of a Mask | WHO video

How To Keep COVID-19 Out Of Your Home - Recommendations from a group of EM clinicians in the Bay Area

How to Perform a User Seal Check with an N95 Respirator - A Federal OSHA video on how to conduct a user seal check using an N95 respirator

FDA updates on hand sanitizers consumers should not use | U.S. Food and Drug Administration 

Making PPE

Mask Alternative using Halyard H600 Fabric | University of Florida Dept. of Anesthesiology (3/31/20)

Mask Alternative using Cotton Gauze 

Conservation Measures

Strategies to Optimize the Supply of PPE and Equipment | CDC 3/31/20

PPE Reuse Guidance | Mayo Clinic

Advice on Safe Use of Face Masks | Emergency Care Research Institute 3/25/20
 

Addressing COVID-19 Face Mask Shortages Q&As | Stanford Anesthesia Informatics & Media Lab 3/25/20
 

N95 Filtering Facepiece Respirator Ultraviolet Germicidal Irradiation (UVGI) Process for Decontamination and ReuseUniversity of Nebraska's procedure for decontaminating and reusing N95 FFRs

 

 

INTENSIVE CARE, VENTILATORS

Intensive Care

eProtect Respiratory Infections | WHO 

This course provides information on the basic knowledge and skills health workers need to respond to acute respiratory infection outbreaks, including what ARIs are, how they are transmitted, how to assess the risk of infection and to understand basic hygiene measures to protect themselves. [Chinese, French, Indonesian, Russian, Portuguese]

Recommendations for Triaging Critical Resources During the COVID-19 Pandemic | Society of Critical Care Medicine (SCCM) (4/24/20) 

Mount Sinai Health System Treatment Guidelines for SARS-CoV-2 Infection (COVID-19) | Mount Sinai Hospital System (4/10/20)

Clinical care of severe acute respiratory infections – Toolkit | WHO (3/13/20) 

This toolkit is intended for clinicians working in intensive care units in low- and middle-income countries, managing adult and pediatric patients with acute respiratory infection, including including severe pneumonia, acute respiratory distress syndrome, sepsis and septic shock. Its main objective is to provide some of the necessary tools that can be used to care for the critically ill patient from hospital entry to hospital discharge. 

Quick ICU Training | Critical Care Education Pandemic Preparedness Team (CCEPP)

An online tool that provides quick, accessible learning resources and reference materials for physicians, nurses, respiratory therapists, and other clinicians who are upskilling, renewing, or reviewing their knowledge and skill for redeployment to critical care during the COVID-19 global pandemic. 

Summary of recommendations on the initial management of hypoxic COVID-19 patients | Society of Critical Care Medicine (SCCM)

A Seattle Intensivist's One-pager on COVID-19 
 

Preliminary observations on the ventilatory management of COVID-19 patients | Prof. L. Gattinoni, Milan, Italy

TRAINING VIDEOS: Pulse Oximeter Resources for COVID-19 | Lifebox [Available in English, French]

TRIAGE TOOL & TRAINING VIDEOS: Using Pulse Oximetry for Decision Support for COVID-19 | Lifebox [Available in English, French, Spanish, Swahili, Amharic, Hindi]

Ventilator Management

Mechanical Ventilation for COVID-19 | Free e-course from Harvard University

Suggested COVID + ARDS Ventilator Management in an Algorithm | Northwestern Medicine

 

Recommendations on the management of pts with COVID-19 & ARDSSociety of Critical Care Medicine (SCCM)

Ventilator Production and Expansion 

Emergency Ventilator (E-Vent) Project | MIT 

An initiative to provide those with the ability to make or manufacture ventilators, the tools needed to do so in a manner that seeks to ensure patient safety. Clinicians viewing this site can provide input and expertise and report on their efforts to help their patients. 
 

3D Print Exchange | NIH 

An open-source exchange of 3D-printed ventilator and ventilator parts 

VESper ventilator expansion device

Hospitals can apply to receive source code and printing specifications for a ventilator expansion device that allows a single ventilator to support up to four patients during times of acute equipment shortage

 

MEDICINE, TESTING AND TREATMENT

Testing

How to understand pre-test probability and why testing with an accurate test is key and interpretation needs to be guarded | The Conversation (4/16/20)

Treatment

Pharmacologic Treatments for Coronavirus Disease 2019 (COVID-19): A Review | JAMA (4/13/20)

Safety and efficacy of inhaled nebulised interferon beta-1a (SNG001) for treatment of SARS-CoV-2 infection: a randomised, double-blind, placebo-controlled, phase 2 trial | The Lancet Respiratory Medicine

Medicine

COVIDPrimer | NEJM 

An educational primer in case simulation format that is meant to introduce new internal medicine interns and other providers basic concepts of managing floor patients suspected or confirmed of having COVID-19.

An ACP Physician's Guide & Resources | American College of Physicians (Updated regularly)

Interactive learning modules that cover a range of topics that are highly relevant to today's practicing internists. These modules cover clinical topics as well as practice issues, ethics, and other areas of interest to their members.

 

GUIDANCE FOR ANESTHESIA

 

GUIDANCE FOR EM, EMS, SURGICAL FIELDS, AND RRTs

Emergency Medical Services

 

Recommendations: Prehospital Emergency Medical Services (EMS) COVID-19 | WHO (3/28/20)

Emergency Medicine 

Guidelines for Emergency Airway Management | Ottawa EM

Systematic Review of the Management of Retro-Hepatic Inferior Vena Cava Injuries | Open Access Emergency Medicine

Rapid Response Teams

COVID-19 Resuscitation Algorithms | American Heart Association

Ophthalmology

Guidance for Return to Practice for Otolaryngology–Head and Neck Surgery | American Academy of Ophthalmology (5/6/20)

Otolaryngology
 

Guidance for Return to Practice for Otolaryngology–Head and Neck Surgery | American Academy of Otolaryngology–Head and Neck Surgery (5/8/20)

Framework for open tracheostomy in COVID-19 patients | ENT UK (3/19/20)

Surgery

Maximizing the Calm before the Storm: A Tiered Surgical Response Plan for COVID-19

Guidance for Triage of Non-Emergent Surgical Procedures  | American College of Surgeons

Recomendações Da Sociedade Brasileira De Cirurgia Torácica – Sbct Para Realização De Traqueostomias E Manejo Da via aérea Em Casos Suspeitos Ou Confirmados De Infecção Pelo Novo Coronavírus (Covid-19) | Sociedade Brasileira De Cirurgia Toracica [Portuguese]

Annals of Surgery: COVID-19 preparedness within the surgical, obstetric and anesthetic ecosystem in Sub Saharan Africa | Lifebox [English, French and Spanish]

Impact of Personal Protective Equipment on Surgical Performance During the COVID-19 Pandemic | World Journal of Surgery 

Standardization of elective tracheostomies at the Central Institute of the Hospital das Clínicas in São Paulo during the COVID-19 pandemic | Rev Col Bras Cir. 

Gastrointestinal Complications in Critically Ill Patients With COVID-19 | Annals of Surgery

Adapting to an Unprecedented Scenario: Surgery during the COVID-19 Outbreak | Journal of the Brazilian College of Surgeons 

Policy and Strategy for Surgical Healthcare during COVID-19 | Southern African Development Community Towards a Common Future

Surgery, Obstetrics, and Anesthesia COVID-19 Situation and Action Report

Southern African Development Community Towards a Common Future

Urology

Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic | American College of Surgery (5/7/20)

 

RADIOLOGY

 

GENDER-BASED VIOLENCE

 

MENTAL HEALTH

 

PUBLIC HEALTH + HUMANITARIAN CONDITIONS

Public Health

Public health interventions in pandemics and epidemics | WHO 

This introductory level online course provides information and tools for health workers to better manage disease outbreaks and health emergencies. Materials have been originally designed for WHO African region purposes and have therefore references to Africa more than other continents. [English/French]

Risk communication essentials | WHO 

Risk communication is a core public health intervention in any disease outbreak and health emergency. This course provides information on real-time exchange of information, advice and opinions between experts, officials and people who face a threat to their wellbeing, to enable informed decision-making and to adopt protective behaviors. [English/Portuguese]

COVID-19 and inequality: are we all in this together? | Canadian Journal of Public Health 

The current coronavirus pandemic has been frequently called a “great leveller”—it is not. It is an “inequality virus” (McGreal 2020) which has disproportionately affected marginalized groups, through both its unequal health burden and its disparity of economic losses. 

Care in Camps & Camp-like Conditions

 

Scaling Up COVID-19 Outbreak Readiness and Operations in Humanitarian Situations | IFRC, IOM, UNHCR, WHO (Mar 2020)

Homeless Populations

 

Interim Guidance for Homeless Service Providers to Plan and Respond to Coronavirus Disease 2019 (COVID-19) | CDC

 

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