EMplify by EB Medicine
Episode 38 - COVID-19 Update: An Interview with Andrea Duca, MD
COVID-19 Update 03-18-2020 - An interview with Andrea Duca, MD, Emergency Physician in Bergamo, Italy
01:29 Dr. Andrea Duca introduction.
02:05 What were your shifts like at the start of the epidemic?
04:50 Were you testing patients for CoOVID-19 initially?
05:08 Were the COVID-19 tests completed in-house or sent out to a government lab?
05:35 The arrival of the first cases. Then… and now.
07:03 What percent of your daily volume is due to COVID-19 patients?
08:17 Are COVID-19 patients diverted to a regional facility?
09:13 Are you still testing patients for COVID-19 today?
09:57 What is your current medication protocol?
10:35 Which antivirals are you currently using?
11:14 Do you use non-invasive ventilation?
13:35 What kind of isolation do you use, airborne or droplet?
14:46 Do you put on new PPE as you go room to room?
15:21 What PPE do you currently use?
15:38 When did you create dirty and clean zones in the emergency department?
16:45 Do you have a dirty and clean side in the waiting room?
17:03 What is your annual emergency department volume? Daily volume?
18:04 How many treatment rooms are in your emergency department?
18:38 What percent of patients are admitted? Do you have borders?
19:54 Where do discharged patients go?
20:14 Have you personally been infected?
20:58 Do you test your staff who are ill? What is your protocol for infected staff?
22:46 What percent of the ED staff were sick at any given time? And inpatient nurses?
24:00 How did you deal with so many inpatient nurses being sick?
24:36 What are your surgeons, who cannot operate, currently doing?
25:35 Are you running out of non-invasive ventilation equipment?
26:20 Summary of current workflow for infected staff.
26:36 How do you use ultrasound for COVID-19 patients in the ED?
29:50 What criteria must a patient meet to be discharged?
31:00 EMS and their role in community screening.
32:20 What are you looking for on ultrasound examination?
34.42 What size chest tube are you utilizing for a pneumothorax in a patient with positive pressure ventilation?
26:33 What inpatient location are patients sent to? By what criteria?
37:05 Have you seen any infected pregnant patients or staff?
38:02 Have you seen any infected children?
38:43 Are you still testing patients? How many times are you testing them?
39:21 What psychological support do you have for staff?
42:25 What would you have liked to know early on, that yo