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Recommendations for Performing Procedures on Patients With Known or Suspected COVID-19 (ASA, 2020)
https://emedicine.medscape.com/viewarticle/928107

The guidelines on performing procedures in patients with known or suspected COVID-19 were released on March 20, 2020, by the American Society of Anesthesiologists (ASA).[1] Performance of Procedures on Patients With Known or Suspected COVID-19 The patient should not be brought to the holding or postanesthesia care unit (PACU) areas. A designated operating room (OR) should be allocated and signs...

Colorectal Cancer: Proposed Treatment Guidelines for the COVID-19 Era
https://emedicine.medscape.com/viewarticle/928133

In light of the rapid changes affecting cancer clinics due to the COVID-19 pandemic, Drs David Kerr and Rachel Kerr, both specialists in gastrointestinal cancers at the University of Oxford in Oxford, United Kingdom, drafted these guidelines for the use of chemotherapy in colorectal cancer patients. Drs Kerr and Kerr are putting forth this guidance as a topic for discussion and debate, and Meds...

COVID-19 Ventilation Clinical Practice Guidelines (ESICM, 2020)
https://emedicine.medscape.com/viewarticle/928191

Ventilation clinical practice guidelines in adults with COVID-19 were released by the European Society of Intensive Care Medicine and the Society of Critical Care Medicine.[1] Ventilation-Related Recommendations and Suggestions for Adults With COVID-19 It is suggested to start supplemental oxygen if the peripheral oxygen saturation (SPO2) is less than 92%. It is recommended to start supplementa...

OSHA Guidance on Preparing the Workplace for COVID-19 (2020)
https://emedicine.medscape.com/viewarticle/928202

Occupational Safety and Health Administration (OSHA) has issued guidance on preparing workplaces for COVID-19. It focuses on the need for employers to implement engineering, administrative, and work practice controls and personal protective equipment (PPE), as well as considerations for doing so.[1] To reduce the impact of COVID-19 outbreak conditions on businesses, workers, customers, and the ...

Is Protocol-Driven COVID-19 Ventilation Doing More Harm Than Good?
https://emedicine.medscape.com/viewarticle/928236

Editor's note: Find the latest COVID-19 news and guidance in Medscape's  Coronavirus Resource Center. Physicians in the COVID-19 trenches are beginning to question whether standard respiratory therapy protocols for Acute Respiratory Distress Syndrome (ARDS) are the best approach for treating patients with COVID-19 pneumonia.  At issue is the standard use of ventilators for a virus whose present...

AMSA President: COVID-19 Shouldn't Sideline Med Students
https://emedicine.medscape.com/viewarticle/928296

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. COVID-19 has shaken up everyone in medicine, from experienced doctors to those still in training. I know that many medical students feel that they have been thrown to the sidelines, forced to watch as our educators and more experienced peers enter a life-or-death fight. Students do not have to s...

Keeping Kids Mentally Healthy During a Pandemic
https://emedicine.medscape.com/viewarticle/928331

The parent of a normally healthy, happy kindergartener whom you've cared for since birth calls. Her child is refusing to go outside of the home because he is scared of "the virus." This is not your only patient with behaviors or somatic complaints that are out of character during normal times. What do you do? We spoke with John D. Guerry, PhD, a clinical psychologist at Children's Hospital of P...

Guidelines for Radiotherapy in Prostate Cancer During the Pandemic
https://emedicine.medscape.com/viewarticle/928338

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. A team of radiation oncologists has devised recommendations and a framework for managing radiotherapy in prostate cancer patients during the COVID-19 pandemic. The framework involves using remote visits via telemedicine, avoiding radiotherapy in applicable cases, deferring radiotherapy as approp...

COVID-19: My Social Media Journey Over Cancer Delays
https://emedicine.medscape.com/viewarticle/928431

This transcript has been edited for clarity. Hello, it's Professor Karol Sikora here, talking not about cancer as usual on Medscape, but about my Twitter account. It is related. About 3 weeks ago, it was clear that policies about COVID-19 as the infection rate surged in Britain, meant that cancer patients and cardiac patients were being put off, they were being pushed aside. And of course with ...

CDC Issues New Return-to-Work Guidelines
https://emedicine.medscape.com/viewarticle/928492

Editor's note: Find the latest COVID-19 news and guidance in Medscape's  Coronavirus Resource Center. The CDC is releasing new guidance on return-to-work rules for critical workers exposed to a COVID-19 case, or a suspected case, replacing previous guidance to stay home for 14 days. "One of the most important things we can do is keep our critical workforce working," CDC director Robert Redfield...

Dementia Experts Point to Patients' Special Needs During COVID-19 Pandemic
https://emedicine.medscape.com/viewarticle/928490

(Reuters Health) - The "double hit" of dementia and the coronavirus pandemic creates an especially vulnerable group of patients and caregivers, dementia experts say. During the COVID-19 outbreak in China, national organizations released guidelines about how to provide support, and multidisciplinary teams started free counseling services. Other countries can follow their approach, the experts wr...

Fast Five Quiz: Fungal Infection Management
https://emedicine.medscape.com/viewarticle/928542

Fungi are naturally occurring and ubiquitous eukaryotic organisms that can sometimes cause infections in humans through primary contact (such as inhalation of fungal spores, leading to localized pneumonia) or, more commonly, via opportunistic infections in individuals who are immunocompromised (those with AIDS; azotemia; diabetes mellitus; lymphoma, leukemia, or other hematologic cancers; and b...

New Score Predicts When Patients With CLL Should Start Treatment
https://emedicine.medscape.com/viewarticle/928630

Most patients with chronic lymphocytic leukemia (CLL) are diagnosed with early stage disease and are managed with active surveillance, but there is much uncertainty over when to start treatment. A simple prognostic model, based on the sum of three routine tests, can now help with this decision, say researchers. The new score is effective in predicting the amount of time a patient with CLL will ...

New Guideline to Improve Ménière's Disease Diagnosis, Treatment
https://emedicine.medscape.com/viewarticle/928652

A new clinical practice guideline from the American Academy of Otolaryngology‒Head and Neck Surgery Foundation (AAO-HNSF) is providing evidence-based recommendations for the diagnosis and treatment of Ménière's disease. A disorder of the inner ear, Ménière's disease causes spontaneous attacks of vertigo, each lasting 20 minutes to 12 hours. It also includes low- to mid-frequency sensorineural h...

Guidance on Infant Symptoms, Cow's Milk Allergy Not Evidence-Based
https://emedicine.medscape.com/viewarticle/928660

NEW YORK (Reuters Health) - Guidelines that suggest managing crying, vomiting and other common infant symptoms as cow's milk allergy (CMA) are not based on evidence, especially those suggesting that breastfeeding women exclude dairy products to address these symptoms, according to a new report. "The level of cow's milk protein in human breastmilk of a women consuming large quantities of dairy f...

COVID-19 Daily: US HCW Infections and Deaths, CPR Guidance
https://emedicine.medscape.com/viewarticle/928793

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Here are the coronavirus stories Medscape's editors around the globe think you need to know about today:  CDC Quantifies Deaths, Infections of Healthcare Workers  As of April 9, more than 9000 healthcare workers in the United States had diagnosed cases of COVID-19 and at least 27 had died, accor...

Managing AML in a Pandemic: There's No Avoiding Difficult Choices
https://emedicine.medscape.com/viewarticle/928852

Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. I am sitting in Manhattan, in the middle of a nightmare. We are at the epicenter of the COVID-19 outbreak in the United States. The hospitals where I practice—Weill Cornell Medical and NewYork-Presbyterian—have become frontline outposts more or less solely devoted to treating this devastating virus. Gail J. Ro...

COVID-19: Testing Times for Everybody?
https://emedicine.medscape.com/viewarticle/929083

This transcript has been edited for clarity. Hello, it's Karol Sikora here, talking now about antibody testing. We at the Rutherford Cancer Centres, the network of four centres scattered around the UK, decided to test our staff for antibodies IgG [immunoglobulin G] and IgM [immunoglobulin M] against coronavirus. Test, Test, Test The logic really comes from Tedros Adhanom Ghebreyesus, the WHO Di...

NIH Panel Issues Guidelines for COVID-19 Treatment
https://emedicine.medscape.com/viewarticle/929203

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. In the face of the rapidly evolving COVID-19 pandemic and the absence of FDA-approved treatments, the National Institutes of Health (NIH) has issued "living" treatment guidelines. The recommendations will be updated online as new data from peer-reviewed publications and other authoritative infor...

COVID-19 Daily: New Treatment Guidelines, Surge Preparation
https://emedicine.medscape.com/viewarticle/929233

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Here are the coronavirus stories Medscape's editors around the globe think you need to know about today:  New Treatment Guidelines From NIH Panel The National Institutes of Health (NIH) has issued "living" treatment guidelines for COVID-19, which will be updated online as new data from peer-revi...