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This is happening now! @ISMICS webinar on #COVID19 "Lessons and Perspectives from Italy and New York!
Moderated by Dr. @drbypass
Featuring Drs. Gino Gerosa, Mattia Glauber, Eric Lehr, and Nirav Patel
Link -> https://zoom.us/j/406456900
Ping @STS_CTsurgery @AATSHQ @ctsnetorg https://twitter.com/ISMICS/status/1247235389242425345
Moderated by Dr. @drbypass
Featuring Drs. Gino Gerosa, Mattia Glauber, Eric Lehr, and Nirav Patel
Link -> https://zoom.us/j/406456900
Ping @STS_CTsurgery @AATSHQ @ctsnetorg https://twitter.com/ISMICS/status/1247235389242425345
/1 #Tweetorial to follow on the #COVID19 "Lessons and Perspectives from Italy and New York" from the @ISMICS webinar 
/2 Dr. Gino Gerosa from Italy:
- protect your healthcare workers with adequate PPE, otherwise, many will fall ill and be taken out of patient care
- isolate those infected -> ideally dedicate areas or hospitals to #COVID19 patients to not contaminate
- test pts and your ppl
- protect your healthcare workers with adequate PPE, otherwise, many will fall ill and be taken out of patient care
- isolate those infected -> ideally dedicate areas or hospitals to #COVID19 patients to not contaminate
- test pts and your ppl
/3 Dr. Mattia Glauber from Italy: #COVID19 @ISMICS webinar
- death rate can be very high -> 32% of all infected
- death rate varies by location
- the importance of social distancing cannot be overstated
- death rate can be very high -> 32% of all infected
- death rate varies by location
- the importance of social distancing cannot be overstated
/4 Dr. Mattia Glauber from Italy: #COVID19 @ISMICS webinar
- protect your healthcare workers -> otherwise many will die
- need to expand your ICU capacity while maintaining ability to deal with emergency non-COVID cases such as acute coronary syndrome
- protect your healthcare workers -> otherwise many will die
- need to expand your ICU capacity while maintaining ability to deal with emergency non-COVID cases such as acute coronary syndrome
/5 Dr. Mattia Glauber from Italy: #COVID19 @ISMICS webinar
- The importance of standardizing your definitions cannot be overstated
- Maintain excellent communication
- Set guidelines and criteria to bring everyone on the same page
- Share healthcare personnel and resources
- The importance of standardizing your definitions cannot be overstated
- Maintain excellent communication
- Set guidelines and criteria to bring everyone on the same page
- Share healthcare personnel and resources
/7 Dr. Mattia Glauber from Italy: #COVID19 @ISMICS webinar
Phase 1
- beware of cardiac surgery patients who initially test negative for #COVID19 -> they may in fact still be positive and manifest symptoms postoperatively
- high rates of vascular complications
Phase 1
- beware of cardiac surgery patients who initially test negative for #COVID19 -> they may in fact still be positive and manifest symptoms postoperatively
- high rates of vascular complications
/8 Dr. Mattia Glauber from Italy: #COVID19 @ISMICS webinar
Phase 2
- prepare for the building of temporary ICU modules to host critical patients
Phase 2
- prepare for the building of temporary ICU modules to host critical patients
/8 Dr. Eric Lehr from Seattle: #COVID19 @ISMICS webinar
Status update of capacity at hospitals in Washington
- 30% of vented pts had #COVID19
- 30% of pts with #COVID19 admitted to ICU died
- majority of pts had no comorbidites
- #COVID19 does not discriminate by age
Status update of capacity at hospitals in Washington
- 30% of vented pts had #COVID19
- 30% of pts with #COVID19 admitted to ICU died
- majority of pts had no comorbidites
- #COVID19 does not discriminate by age
/9 Dr. Eric Lehr from Seattle: #COVID19 @ISMICS webinar
- cardiovascular surgery cancellations due to #COVID19 in Seattle
- cardiovascular surgery cancellations due to #COVID19 in Seattle
/10 Dr. Eric Lehr from Seattle: #COVID19 @ISMICS webinar
Interesting that many patients with massive pulmonary embolism, perhaps due to higher rates of CT scans?
Interesting that many patients with massive pulmonary embolism, perhaps due to higher rates of CT scans?
/11 Dr. Eric Lehr from Seattle: #COVID19 @ISMICS webinar
Lessons learned:
- limit exposure of your team and healthcare personnel
- organize hospital to limit spread
- utilize telemedicine
- risk stratify and triage pts
- conserve healthcare personnel and resources
Lessons learned:
- limit exposure of your team and healthcare personnel
- organize hospital to limit spread
- utilize telemedicine
- risk stratify and triage pts
- conserve healthcare personnel and resources
/12 Dr. Eric Lehr from Seattle: #COVID19 @ISMICS webinar
- #COVID19 cases are not learning cases for your residents or medical students
- treat every airway as a potential #COVID19 patient
- ideally utilize negative pressure rooms
- #COVID19 cases are not learning cases for your residents or medical students
- treat every airway as a potential #COVID19 patient
- ideally utilize negative pressure rooms
/14 Dr. Nirav Patel from New York: #COVID19 @ISMICS
What New York did in preparation for #COVID19
- suspend nonCOVID research enrollment
- be selective in surgeries one does
- ideally every pt should be tested before surgery
- beware of robotic surgery -> CO2 aerosolization
What New York did in preparation for #COVID19
- suspend nonCOVID research enrollment
- be selective in surgeries one does
- ideally every pt should be tested before surgery
- beware of robotic surgery -> CO2 aerosolization
/15 Dr. Nirav Patel from New York: #COVID19 @ISMICS webinar
How to organize your team:
- intubation team
- procedure team
- proning team
- pyramidal critical care team
How to organize your team:
- intubation team
- procedure team
- proning team
- pyramidal critical care team
