COVID-19 Response in Low-Resource Settings

 

 

Articles on Low-Resource Setting Response:

 

African Federation of Emergency Medicine –

EMERGENCY CARE OF COVID-19 IN ADULTS IN LOW RESOURCE SETTINGS

https://www.wfsahq.org/images/African_Federation_of_Emerg_Med.pdf

 

CORE group - https://coregroup.org/resources/2019-novel-coronavirus-global-response-coordination/

 

Humanitarian and Fragile Settings - https://coregroup.org/resources/2019-novel-coronavirus-global-response-coordination/#1585071612625-29284df1-0b1a

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Why Sub-Saharan Africa needs a unique response to COVID-19, World Economic Forum: https://www.weforum.org/agenda/2020/03/why-sub-saharan-africa-needs-a-unique-response-to-covid-19/

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Health Systems in Low-Income Countries Will Struggle to Protect Health Workers from COVID-19, Center for Global Development: https://www.cgdev.org/blog/health-systems-low-income-countries-will-struggle-protect-health-workers-covid-19 

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How Do You Wash Your Hands To Fend Off Coronavirus If Water Is Scarce? NPR Goats and Soda: https://www.npr.org/sections/goatsandsoda/2020/03/30/819151076/how-do-you-wash-your-hands-to-fend-off-coronavirus-if-water-is-scarce?

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Learning from Experience, including consequences in LMICs, Lancet (Download pdf)

 

COVID-19 in West Africa, Lancet (Download pdf)

 

Frontline Health Workers Coalition Recommendations on COVID-19, with suggestions applicable to countries yet to face the pandemic (Download pdf)

 

How COVID-19 will Hit India (Lessons about mass migration from crowded cities perhaps applicable to other LMICs), New Yorker (Download pdf)

 

COVID-19:  Operational guidance for maintaining essential services, WHO (Download pdf)

 

Africa missing from coronavirus trials (Download pdf)

 

 

 

Surgical Care during COVID-19 Pandemic:

 

Anesthesia:

 

ASA COVID-19 - https://www.asahq.org/in-the-spotlight/coronavirus-covid-19-information

 

WFSA - https://www.wfsahq.org/resources/coronavirus

 

S Africa Society of Anesthesiologists - https://www.sasaweb.com/ContentDetails/ContentDetails#?ContentId=79&SubMenuType=1

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Surgery:

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Special Considerations for Children:

 

GICS – https://www.globalchildrenssurgery.org/gics-network/covid-19-resources/

 

 

 

ICU Care:

 

Resources for ICU care (for non-ICU physicians) –  https://www.sccm.org/disaster

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Online course on Ventilator Management - https://www.edx.org/course/mechanical-ventilation-for-covid-19?utm_source=STAT+Newsletters&utm_campaign=2551c7206a-Daily_Recap&utm_medium=email&utm_term=0_8cab1d7961-2551c7206a-149931581

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Lancet – Intensive Care Management of COVID-19 Patients

https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30161-2/fulltext

 

Michigan Critical Care Collaborative Network - http://www.med.umich.edu/surgery/mcccn/

 

 

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(canadiem.org)

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Prone positioning:

https://www.massgeneral.org/assets/MGH/pdf/news/coronavirus/prone-positioning-protocol-for-non-intubated-patients.pdf

 

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Personal Protective Equipment (PPE):

 

Donning (putting on PPE):

 

Fit testing N95 Masks - https://www.youtube.com/watch?v=pGXiUyAoEd8&feature=youtu.be

 

Great page from Emory on Donning, Doffing, Reusing PPE – (several graphics)

https://med.emory.edu/departments/medicine/divisions/infectious-diseases/serious-communicable-diseases-program/covid-19-resources/conserving-ppe.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Doffing (safely taking off PPE):

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Good poster – 

Proper Way to remove gloves - https://www.cdc.gov/vhf/ebola/pdf/poster-how-to-remove-gloves.pdf

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Conserving limited supplies of PPE:

 

Reuse of PPE – N95 masks - https://www.nebraskamed.com/sites/default/files/documents/covid-19/COVID-Extended-Use-Reuse-of-PPE-and-N95.pdf?date03212020

 

Strategies to optimize supply of N95 masks

https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html

 

 

Alternative methods for making PPE:

 

3-D printing resources

Face Shields – https://www.prusa3d.com/covid19/

https://www.hackthepandemic.org/3d-print-supplies

 

Cloth masks (multiple methods/styles) to be used over N-95 masks - https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html

 

 

Keeping your loved ones safe:

 

 

 

 

 

 

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Patient information resources:

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Harvard – COVID Health Literary Project – 30 language translations . . .

https://covid19healthliteracyproject.com/#

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General information:

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WHO updates:

Join WHO's Health Alert on WhatsApp: 

• Arabic
  Send "مرحبا"  to +41 22 501 70 23 on WhatsApp
  wa.me/41225017023?text=مرحبا

• French
  Send "salut" to +41 22 501 72 98 on WhatsApp
  wa.me/41225017298?text=salut

• Spanish
  Send "hola" to +41 22 501 76 90 on WhatsApp
  wa.me/41225017690?text=hola

English
Send "hi" to +41 79 893 18 92 on WhatsApp
wa.me/41798931892?text=hi

 

 

CDC Coronavirus Guide - https://www.cdc.gov/coronavirus/2019-ncov/hcp/index.html

 

 

Coronavirus on surfaces (from Lancet, March 2020, Chin et al)

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Ethical Considerations:

 

Applying humanitarian standards to fight COVID-19, Sphere (Download pdf)

 

Medical ethics in a Pandemic - https://www.ama-assn.org/delivering-care/ethics/ama-code-medical-ethics-guidance-pandemic

 

Rationing of ventilators - https://www.medscape.com/viewarticle/927794