Editor’s note: Find the latest COVID-19 news and guides in Medscape Coronavirus Resource Center.
Here are the coronavirus stories you should know about Medscape editors around the world:
Stroke in Young Adults
Investigator from the Mount Sinai Health System in New York City reported five cases of large ship stroke over a 2 week period in COVID-19 patients under the age of 50 years – a seven-fold increase from usual.
The cases, which only involve mild symptoms of COVID-19 or not, are explained in the rapid communication that will be published online April 29 at Journal of New England Medicine.
“It is very surprising to know that the virus seems to cause disease through the process of blood clotting,” lead researcher Thomas Oxley, MD, PhD, told Medscape Medical News, added that the message for neurologists and other doctors was “we learned that this can disproportionately affect large vessels more than small vessels in terms of stroke presentation.”
Abbott Test Safety Issues?
Lab workers at the Abbott Laboratory are raise alarm bells about the safety of the widely distributed fast coronavirus test praised repeatedly by President Donald Trump. They are particularly concerned about the risk of infection in those who handle the test, saying the test requires more than usual protection for those who carry it out.
Kaiser Health News reports this and other “hiccups” in connection with this test, as well as plans to develop safety recommendations to overcome the problem.
Burton “Bud” Rose, MD, a well-known kidney specialist, entrepreneur, and creator of the popular online medical education resource UpToDate, died Friday of complications from COVID-19 at the age of 77. You can read more about his achievements and his invaluable contribution in this regard. tribute move for “Steve Jobs of medicine” on statnews.com.
VTE vs Risk of Bleeding
Doctors have sounded alarms about the high level of thrombosis among COVID-19 patients, and This week’s news that Broadway star Nick Cordera amputated one of his legs as a result of thrombotic complications COVID-19 carries a major problem.
Now the panel consists of 36 international experts issue report summarize the evidence about thrombotic pathogenesis, diagnosis, and management in patients with COVID-19 as well as management of thrombotic disease in patients without COVID-19. The panel also discussed concerns about balancing the need for thromboprophylaxis against the risk of bleeding.
“There is so much confusion, so much heterogeneity in the way people practice – and given, imperfect evidence – but I think it’s time to give a comprehensive assessment of the known literature but also some consensus based recommendations,” Behnood Bikdeli, MD, New York Hospital – Presbyterian / Columbia University Irving Medical Center and Yale University Research and Evaluation Center, New Haven, Connecticut said theheart.org | Medscape Cardiology.
As part of efforts to allow people to travel or return to work, several governments have initiated the idea of giving an “immune passport” which indicates that a person is free of COVID-19.
Not too fast, said the World Health Organization (WHO), which has published guidelines on adjusting public health and social measures for the next phase of the pandemic response. WHO states there is currently no evidence that people who have recovered from COVID-19 and have antibodies protected from subsequent infections.
In a scientific summary published online April 24, WHO states that research on this issue is ongoing, but at this time evidence is still lacking about the effectiveness of antibody-mediated immunity to ensure that a person is risk-free, and that the use of such classifications can increase the risk of ongoing viral transmission.
WHO WE ARE
The United States will not have an official role in a new WHO initiative involving several world leaders and is designed to accelerate the development of tests, drugs, and vaccines against the corona virus.
The Access to COVID-19 Tools Accelerator initiative, an “important collaboration” aimed at accelerating the development of tools and ensuring equal access throughout the world, was announced on Friday after a decision by President Trump to delay US contributions to global health agencies, such as reported by The Hill. A spokesman for the US mission in Geneva said there will be no official US participation.
In hypoxic patients with COVID-19 and indications for endotracheal intubation, the airway expert must perform intubation, N-95 / FFP-2 respirator masks or equivalent must be used, and PPE prevention measures and other infection control must be carried out, according to new guidelines of Critical Care Medical Association and European Intensive Care Medicine Association.
Staff attendance in the room must be minimized and the use of videolaryngoscopy should be considered if available, note the authors.
Medscape Medical News has provided a quick summary guidelines, which also address patients whose endotracheal intubation is not indicated and who do not tolerate additional oxygen or use of high-flow nasal cannula.
As frontline health workers who treat patients with COVID-19, they are committed to a difficult and draining job and put themselves at risk of infection. More than 500 worldwide have died.
Medscape has published a warning list to commemorate them. We will continue to update this list if needed. Please help us make sure this list is complete by sending names by age, profession, or specialization, and location through this form.
Sharon Worcester is a reporter for MDedge, which is owned by the same parent company as Medscape. He has more than two decades of experience reporting health care.
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