The St.Emlyn’s Podcast
2020-03
Episodes
Saturday Mar 14, 2020
Ep 155 - Covid-19 Podcast from Italy with Roberto Cosentini March 2020
Saturday Mar 14, 2020
Saturday Mar 14, 2020
Dr Roberto Cosentini is an old friend of St Emlyn's who works in Bergamo, in Northern Italy. He is right at the heart of the recent Covid19 outbreak. He kindly found an hour to record a podcast with us on his experiences.
There are so many essential lessons in this podcast. Please share with clinical and non-clinical colleagues, as we need to plan NOW. Roberto is quite clear that if we don't train and get plans into place before the wave of cases hit us then both ourselves and our patients will suffer.
In the interest of speed I'm not going to summarise the whole podcast. You have to listen to it all yourself to see what's relevant to you. These are some of my take away messages.
Divide your department into resp patients and non-resp patients
Wear PPE and know how to use it
You will need clinicians who do not usually work in ED. Train and orientate them now (before you need them).
Most patients are hypoxic and this responds to O2 and CPAP. You're going to need a lot of CPAP and how that happens could be tricky. They found hoods the best (Ed - but how many of those do we have?).
Although hypoxic, patients have good lung compliance.
They regularly saw diurnal variation with many patients presenting in the early afternoon.
It's emotionally exhausting. Prepare yourself and your team psychologically and support them during the pandemic. Roberto's department has an embedded psychologist.
Health care worker infections were quite low (because they wore PPE for all resp cases).
Flow through the department and onto wards is absolutely vital.
Flow out the the main hospitals to other units that can rehabilitate is vital.
Decisions for ICU level care were similar to normal (in his hospital)
We rarely declare one of our podcasts a 'must listen' but this is an exception. Please listen and share widely. Please think hard about the issues Roberto raises and PLEASE ACT NOW.
vb
S
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Friday Mar 20, 2020
Ep 156 - February 2020 Round Up
Friday Mar 20, 2020
Friday Mar 20, 2020
Iain and Simon chat about the current Corona pandemic and the blog in Feb 2020.
Iain remains positive, but Simon thinks the glass is half full. Time will tell who is right (though in truth there is a lot of common ground).
S
Tuesday Mar 24, 2020
Ep 157 - ICU for the non-intensivist with Sarah Thorton
Tuesday Mar 24, 2020
Tuesday Mar 24, 2020
Simon chats to Sarah Thornton, consultant anaesthetist, intensivist and head of the NW school of anaesthesia on preparing to work in a critical care unit during the Covid-19 pandemic.
Sunday Mar 29, 2020
Ep 158 - Understanding Fear and Anxiety around COVID19 with Liz Crowe
Sunday Mar 29, 2020
Sunday Mar 29, 2020
The world is consumed by the Coronavirus pandemic, but how do we look after ourselves? Liz and Iain discuss some strategies to stay well over the coming weeks and months. Recorded on 25th March 2020.