Date: 18th April 2020
Inter Facility and In-Hospital
Patient Transfers:
A detail
discussion was held based on the HMC Qatar model about strict protocols for
donning and doffing of protective clothing and gadgets when conducting COVID19
Patient Transfers.
Various Videos are shared:
Various Videos are shared:
Lung Management Algorithms
Currently there are no
objective recommendations / criteria about prone ventilation. There are no directives as regards duration, and monitoring and when does one intubate. There is no recommendation about ventilation settings.
The WACEM Task force will soon come up with the recommendations, which will be a consensus document.
Telemedicine
One aspect,
which stood out, clearly was that there was a stark difference between Crisis
Telemedicine and Culture of Telemedicine.
Patient Confidentiality, Patient Safety, Care Reimbursements and Tele medical records will need to be addressed very technically and systematically as Telemedicine becomes the new norm.
In Crisis allied tools and platforms are used with very little recording of summaries of communication. If Crisis Telemedicine proceeds to be cultural telemedicine then a lot of thought will have to be put in to the four pillars of confidentiality, safety , records and reimbursements.
Patient Confidentiality, Patient Safety, Care Reimbursements and Tele medical records will need to be addressed very technically and systematically as Telemedicine becomes the new norm.
In Crisis allied tools and platforms are used with very little recording of summaries of communication. If Crisis Telemedicine proceeds to be cultural telemedicine then a lot of thought will have to be put in to the four pillars of confidentiality, safety , records and reimbursements.
Immunology
of COVID
Data on
Immune Mechanisms of COVID was presented and on discussion it was
hypothesized that COVID Storm was a hyper immune reaction where there was some
role played by IL-6. A detail discussion on Immunotherapy will be done in the
Next Conference.
Anti COVID Therapeutics:
Currently
some drugs are showing hope and so is the vaccine development. The data is
enough to suggest compassionate use only. The group could not mention anything
about Definitive EBM use of any therapy.
WACEM-ACAIM Survey Research
Leaders of
WACEM have undertaken Path breaking Research and present surveys for open
participation.
EMERGE
Study:
University of South Alabama Study
Post COVID Era
If Post COVID becomes the New Norm
Process of Medical Care will change. Detail discussion on the above area will
be done in the next meeting.
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