Thread by @drstephcoughlin, #primarycare teams working through same issues around #COVID19:PPEAntibioticsContacting shielding & vulnerable patientsConversations [...]

💙Stephanie Coughlin

drstephcoughlin

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#primarycare teams working through same issues around #COVID19:

PPE

Antibiotics

Contacting shielding & vulnerable patients

Conversations for treatment escalation

Patients not accessing care when they need it

Some of my best picks for the week ahead

Thread 1/10

PPE @PHE_uk @AoMRC:
Where sustained transmission of #COVID19 & contact with patient not currently possible/confirmed it’s

apron, fluid resistant mask & eye protection. So, for all face to face contacts.

More details & updates

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control
Thread 2/10

PPE @PHE_uk @AoMRC:Where sustained transmission of #COVID19 & contact with patient not currently possible/confirmed it’s apron, fluid resistant mask & eye protection. So, for all face to face contacts.More details & updates https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-controlThread 2/10

@NICEComms guidance on differentiating viral #COVID19 pneumonia from bacterial pneumonia. History is key.

Don't offer abx treatment/prevention of pneumonia if #COVID19 likely cause & mild symptoms

If abx needed, 1st choice doxycycline
Do not routinely use dual abx

Thread 3/10

Updated advice from @NikkiKF @NHSEngland @PrimaryCareNHS about managing those at highest risk from #COVID19.

The FAQs help to clear up the confusion.

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/20200403-Clinician-FAQs-v_FINAL.pdf
Thread 4/10

@rcgp @VictoriaTzB & @SimonDGregory discussing ethics in #COVID19 & FAQs. Worthwhile 4 minutes.

Crucial question:
Why do health inequalities still matter when there's a pandemic on?

#COVID19 has made many more people socially vulnerable.

https://elearning.rcgp.org.uk/mod/page/view.php?id=10557
Thread 5/10

@rcgp @mariecurieuk @hospiceuk @theRCN have created a #COVID end of life care community charter to give the best possible palliative and end of life care to people affected by #COVID19 Pandemic

https://elearning.rcgp.org.uk/mod/page/view.php?id=10537

Thread 6/10

Helpful resource from @ChelwestFT for having & explaining difficult consultations with patients over the telephone during #COVID19.

Thread 7/10

@NHSBartsHealth have created an easy to follow guide for parents explaining what to do if your child is ill or injured. Accessing healthcare early in these situations can make all the difference.

@CityHackneyCCG @TowerHamletsCCG @NHSNewhamCCG @NHS_WFCCG @BD_CCG

Thread 8/10

Don’t forget #ramadan from approx 23rd April for 29/30 days. @DiabetesUK have updated their website with additional information.

If you are showing any symptom of #COVID19 it is advisable not to fast.

https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/ramadan

Thread 9/10

Finishing with a shout out to #pharmacists across the country. Working tirelessly around the clock to make sure patients have the medication they need in hospitals, and at home.

@rpharms @pcpa_org @RSharmaPharma @HPILLminster @GrahamStretch

Good luck & be kind.

Thread 10/10

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