Category Archives: Covid-19

*Updated: Are ACPs still required to complete 24h of CME for 2020, given the COVID pandemic?

In response to COVID-19 I have two main questions Intubation: With intubation should we be switching to airborne precautions for PPE? NSAIDs: I have read multiple reports from credible sources about withholding NSAIDs from COVID-19 patients. Will this be something coming down the pipe for people who screen positive? Nasal Intubation: Due to removal of CPAP (one of the main reasons nasal intubations became rare) will be seeing nasal intubation reintroduced to services that just removed it as another alternative as we don’t know truly when we will be returning to practice as normal?

What is a hydrophobic submicron filter? What does it do and does it have other names? FYI - Equipment standard has it listed on page 57

Are sublingual medications part of the considerations, since IN and buccal are?

With regards to considerations for Bronchoconstriction it says that with severe resp distress and a cough (with or without need for BVM) that we can consider IM epi “as per the bronchoconstriction medical directive”. Does that mean they still need to have a hx of asthma?

What is a closed suctioning system?

Does the suctioning restriction apply to all forms of suctioning?

Are we entitled to the scientific reasoning why we are no longer providing CPAP to patients? What is the expectation when I am unable to confirm COVID-19 and my immediate presentation would improve with CPAP administration?

I am seeing information from sources I trust discouraging the use of BVM’s (even with filters) and BIPAP for suspected COVID-19 patients with respiratory distress (due to the danger of aerosolizing the virus). NRB use (also not ideal) with early (Safe) intubation (no pre oxygenation with BVM) is encouraged. the last update from SWORBP stated that CPAP should be avoided with suspected Corona virus patients (I’m assuming for the same reason), but continuing to advocate for assisted ventilations. Any update on BVM use?

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