April 8, 2020
JOHNS HOPKINS EPI UPDATE The WHO COVID-19 Situation Report for April 7 reported 1,210,956 confirmed COVID-19 cases (77,200 new) and 67,594 deaths (4,810 new).
FROM NEJM:
Barrier Enclosure during Endotracheal Intubation https://www.nejm.org/doi/full/10.1056/NEJMc2007589?query=featured_coronavirus
This short video shows how contaminating the insertion of a plastic tube into the windpipe of an unconscious or anoxic patient can be. It is surprising that no one thought of it before, because almost invariably the patient coughs involuntarily when this procedure is performed.
If you watch this video, you will see just how much mucous and debris can be generated and how widely it can spread. YOU WON’T FORGET TO WEAR YOUR MASK AND WASH FREQUENTLY.
NEJM EDITORIAL ATTACHED
Ten Weeks to Crush the Curve
Harvey V. Fineberg, M.D., Ph.D.
How to declare victory by June 6, D Day. Easy enough to read and appreciate. 2 pages
See attached 1
USE OF ALTERNATIVE MEDICAL CARE FACILITIES IN THE COVID-19 PANDEMIC
Eric Toner, MD, and Richard Waldhorn, MD
April 7, 2020
See attached 2
EXTENSIVE ARTICLE ABOUT DISINFECTANTS, BOUGHT AND HOMEMADE, AND HOW TO USE. WELL WORTH READING. I had to read it twice.
How to Make (and Use) a Disinfectant Against Coronavirus https://www.nytimes.com/2020/04/07/well/how-to-make-and-use-a-disinfectant-against-coronavirus.html
Includes: Complete disinfecting protocol includes four steps: Pre-cleaning, disinfecting (dwell time), wiping clean and rinsing with water.
Pre-cleaning is most important on heavily soiled surfaces, because dirt can shield pathogens underneath; it’s fine to use soap and water or a household cleaner. Disinfecting for the proper dwell time, of course, is nonnegotiable. Wiping afterward is essential because disinfectants can leave a sticky residue where pathogens can quickly resettle. And rinsing finishes the process.
*This is a good article to read yourself. I was doing a lot of things wrong. JH
UPDATE: The number of confirmed COVID-19 cases in Gregg County increased by six Tuesday to a total of 34, according to Gregg County Health Administrator A.J. Harris.
Coronavirus Tips: Frequently Asked Questions and Advice (Business as well as Medical, travel, estimates—lots of questions and answers)
Remember KMHT RADIO—our own station in Marshall carries C-19 News in addition to other news and entertainment.
The United States should enjoy a new group of “War Babies” around the holiday season next winter.
Still haven’ decided where to go for Easter — the Family Room or the Living Room.
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