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Medicine Grand Rounds - COVID Update and Discussion - Shared screen with speaker view
Zahna Bigham
29:49
I can hear you!
Andrew Strand
47:24
i can hear you
Taimur Dad
47:31
Sound is working great
Tamara Vesel
47:32
can here
Andrew Gerardi
47:34
I can hear you too
Denise Ford
47:35
we can hear you
ronald rperrone
47:45
ditto
Anh Lam
47:48
I could hear you.
patricia Healey
47:54
We have no audio
Monica Soares
47:54
can hear
Linda Kaplan
48:03
I can hear you
Richard Dupee
48:03
Can hear
imrana qawi
48:14
we have no audio
Linda Kaplan
48:40
now no audio
saleali
53:31
cant hear
amy simon
53:57
make sure you are unmuted as we can hear
Laurel Vuong
54:52
Can try to dial in by phone for audio
Kristoff Nelson
56:46
apparently once we hit 300 more people cannot join. For future maybe we should look how to expand the capacity as 300 individuals will easily attend these sessions
Haas
56:53
if you are having trouble with choppy audio please call in
Haas
58:28
we have exceeded 300...this is being recorded and will be available afterwards
Haas
01:14:19
several are having trouble with audio...I would encourage you to dial in and not use your computer audio 646-558-8656, mtg#162148944
Haas
01:15:22
recording will also be sent afterwards
Haas
01:16:06
we will take questions via chat and try to answer as many as possible
Haas
01:16:17
send questions via chat
jcarlson
01:22:29
the slides just disappeared
Haas
01:22:46
no more slides, just discussion
Laura Snydman
01:23:02
can you press exit on the ppt so we can see helen in a larger screen?
Laura Snydman
01:23:17
thanks
Andrew Strand
01:24:48
what are the guidelines for those that are proven infected in returning to work?
Haas
01:25:53
eeds code for today is 47shea
amy simon
01:33:05
what about looking at anti-IL-6 drugs in ongoing studies or for compassionate use?
David L
01:36:44
For Dr. Hill: unclear what the final word is on HFNC. Guidelines say treat it as an AGP. Role for trying to minimize flow (eg keep <25lpm?)
af
01:36:45
Per CDC, COVID-19 needs airborne precautions. And currently due to the shortage of N95 masks, we should be using surgical masks although wouldn’t that put us at a higher risk for getting exposed to COVID-19.
Emily Gall
01:37:21
Are there plans for a covid-specific team to reduce the number of people exposed to PUIs/confirmed positive patients?
Christina Anderlind
01:38:11
What about NSAIDs?
Jawaad Hassan
01:38:52
Employees with URI symptoms should be wearing a mask at work?
Haili Dunbar
01:39:05
How long do you expect the reduced outpatient volume to last? We're currently rescheduling non-urgent appointments to post May. Should it be later than that? How long will social distancing be advisable?
af
01:39:41
Other hospitals have COVID teams to preserve PPEs and one person wears their N95 masks for the whole rounds and then takes it off after seeing all the patients. So one mask per rounds, and they change glove and gowns between patients. Also some have been storing their N95mask in a glass box and spraying it down with disinfectant or sanitizer to be used the next day. Should we do that?
Paul Mathew
01:41:13
For patients being triaged to respiratory symptom clinics inside the hospital, there is concern about exposures to MAs/RNs and others in the trail to these multiple clinics. Should we have a concentrated screen with staff with full PPE at one single point in entry to TMC e.g. a special ER area. This may conserve HCW exposure and PPE utilization.
Emily Gall
01:41:25
Are there plans for a covid-specific team to reduce the number of people exposed to PUIs/confirmed positive patients?
Richard Dupee
01:42:20
more on ace and arb?
Joshua Kornbluth
01:44:35
Hi, Josh here from Ethics Committee - we're working collaboratively with other groups here at Tufts and also with other hospitals in Boston to craft a framework to the approach of these types of decisions. We hope to have these on paper soon to share with the institution at large
Alissa Dangel
01:45:20
Is there any thought to using anesthesia machines from outpatient surgical centers that are now theoretically closed as backup ventilators?
Linda Kaplan
01:47:09
review the process to get someone tested in the the pavilion, whom do we contact to let know pt is coming for testing?
Christina Anderlind
01:47:47
What would you recommend we do with patients presenting with a medical problem and happen to have a URI unrelated to reason for admission? Should all patients with URIs get an ID consult?
F. Clarissa yang
01:49:42
For PPE, many hospitals are using one mask per day or until soiled, and not removing the mask throughout the day. Should we think about moving that way
Alissa Dangel
01:51:51
With regards to gowns and other things, can washable cloth OR gowns (these are used in some other facilities) be used to cut down on disposable supplies if COVID can be killed with washing/detergent/bleach? Perhaps masks can be sewn/made out of these OR gown/drape materials for droplet precautions (not airborne) and washed/autoclaved and re-used?