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Journal and News Scan

Source: New England Journal of Medicine
Author(s): Robert D. Truog, Christine Mitchell, George Q. Daley

A thoughtful commentary about the need for a triage committee to determine the optimal allocation of ventilators in a time of competing needs, and how these determinations are best communicated to caregivers and families.

Source: Journal of Critical Care
Author(s): Andrea Cortegiania, Giulia Ingoglia, Mariachiara Ippolitoa, Antonino Giarratanoa, Sharon Einavb

This is an interesting systematic review looking at the evidence so far for chrloroquine for COVID. it is a fast moving field but this cheap option to treat coronavirus may soon become accepted for treatment once the studies have been fully evaluated. 

Source: Canadian Journal of Anesthesia
Author(s): Lian Kah Ti, Lin Stella Ang, Theng Wai Foong, Bryan Su Wei Ng

Succinct recommendations for the management of COVID-19 cases in the operating room.  Includes infographic outlining comprehensive operating room workflow, detailing the roles and responsibilities of each OR team member.

Source: The Lancet
Author(s): Michael A Matthay, J Matthew Aldrich, Jeffrey E Gotts

A succinct comment with a wealth of up-to-date references vis-a-vis the SARS-CoV-2 pandemic.

Source: STAT PLUS
Author(s): John P.A. Ioannidis

Interesting input from a Stanford expert on the hottest topic on the planet at the moment.

Source: STAT
Author(s): Susie A. Han and Valerie Gutmann Koch

The authors describe a thoughtful process for resource utilization in the setting of competing needs that optimizes survival for a popultion. Examples of existing guidelines are provided.

Source: Imperial College COVID-19 Response Team
Author(s): Neil M Ferguson, Daniel Laydon, Gemma Nedjati-Gilani, Natsuko Imai, Kylie Ainslie, Marc Baguelin, Sangeeta Bhatia, Adhiratha Boonyasiri, Zulma Cucunubá, Gina Cuomo-Dannenburg, Amy Dighe, Ilaria Dorigatti, Han Fu, Katy Gaythorpe, Will Green, Arran Hamlet, Wes Hinsley, Lucy C Okell, Sabine van Elsland, Hayley Thompson, Robert Verity, Erik Volz, Haowei Wang, Yuanrong Wang, Patrick GT Walker, Caroline Walters, Peter Winskill, Charles Whittaker, Christl A Donnelly, Steven Riley, Azra C Ghani on behalf of the Imperial College COVID-19 Response Team.

This important paper is the modeling that the UK has based its advice on. 

Source: Journal of the National Cancer Institute
Author(s): Rustain L Morgan, Sana D Karam, Cathy J Bradley

The authors examined the SEER database to assess racial disparities in use of PET for lung cancer staging 2007-2015 and subsequent one-year survival. Blacks  (OR 0.54) and Hispanics (OR 0.72) were less likely to undergo PET compared to non-Hispanic whites. Use of PET was associated with improved survival (HR 0.61).  

Source: The Glenfield Hospital
Author(s): Sameer Hanna

Simulation of the intubation plan for COVID-19 patients in the current pandemic. Simulation follow the FICM, RCoA, ICS and AAGBI online published guidance.

Source: The Washington Post
Author(s): Harry Stevens

This is a very interesting article with four scenario live simulators that demonstrate what happens to the peak of the outbreaks in various sitations from no isolation to severe isolations for a population. A very useful graphical tool to show why this is an important strategy at the moment. 

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