Podcast 560:  Imaging in a COVID world

Podcast 560: Imaging in a COVID world

Contributor: Don Stader, MD

Educational Pearls:

  • COVID-19 commonly appears as a bilateral patchy infiltrate on chest radiograph, but this is a non-specific finding
    • Sensitivities range from 17-70% for COVID-19
    • Many other viral pneumonias such as RSV and influenza can have similar findings
  • Point-of-care ultrasound (POCUS) demonstrates B-lines, water-fall sign, or hepatization of the lung, but these are also non-specific
  • Computerized tomography (CT) appears to be one of the more sensitive tests for detecting COVID-19, demonstrating ground-glass opacities - often before or without the patient having symptoms
    • However, routine use of CT for diagnosis COVID-19 is strongly discouraged by many medical societies and the CDC
  • Imaging may not be necessary in most patients presenting with suspected COVID-19 for multiple reasons:
    • Diagnosis is often clinical suspicion, with or without confirmatory PCR testing (if available)
    • Imaging does little to change the management in the majority of patients with COVID-19
    • Obtaining imaging exposes additional healthcare workers
    • Cleaning protocols for units (especially CT) can be extensive and require significant downtime of the machine, thereby leading to delays in care

References

  1. Farkas, Josh. "COVID-19." EMCrit Project, 21 Apr. 2020, emcrit.org/ibcc/covid19/#labs.
  2. Guan W. et al. Clinical Characteristics of Coronavirus Disease 2019 in China. February 28, 2020, updated on March 6, 2020, at NEJM.org. DOI: 10.1056/NEJMoa2002032

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD

Episoder(1147)

Podcast # 416: Wide Complex Tachycardia

Podcast # 416: Wide Complex Tachycardia

Author: Aaron Lessen, MD Educational Pearls: Defined as QRS over 120 ms and rate over 120 Two major rhythms = Vetricular tachycardia (VT) or SVT with aberrancy Safest approach is to assume it is VT S...

12 Des 20183min

Podcast # 415: Myofascial Pain Syndrome & Fibromyalgia

Podcast # 415: Myofascial Pain Syndrome & Fibromyalgia

Author: Ryan Circh, MD Educational Pearls: Myofascial pain syndrome (MFPS) is typically unilateral with discrete points of palpable pain Often secondary to repeated use and poor posture. MFPS typical...

10 Des 20182min

Podcast # 414: Acute Limb Ischemia

Podcast # 414: Acute Limb Ischemia

Author: Dylan Luyten, MD Educational Pearls: Symptoms of acute limb ischemia are the 5 P's: Pulselessness, pain, pallor, paresthesias, and poikilothermia Sudden onset of non-traumatic extremity pai...

8 Des 20184min

Podcast # 413: Fascia Iliaca Block

Podcast # 413: Fascia Iliaca Block

Author: Katie Sprinkle, MD Educational Pearls: The fascia iliaca block is useful for hip and proximal femur fractures. Typically involves injecting 40-60 mL of diluted bupivacaine (0.25%) under the...

6 Des 20186min

Podcast #412: tPa Mission Creep

Podcast #412: tPa Mission Creep

Author: Aaron Lessen, MD Educational Pearls: Patients with "minor" strokes with NIHSS 0 to 5 can still end up having poor long-term outcomes Recent study compared use of alteplase vs. aspirin for th...

3 Des 20182min

Podcast #411: Mass Casualty Incident

Podcast #411: Mass Casualty Incident

Author: Dylan Luyten, MD Educational Pearls: Early recognition that the current situation is a mass casualty incident (MCI) is essential with establishing a sole provider/nurse to oversee Team memb...

30 Nov 20184min

Podcast #410: FAmbulance

Podcast #410: FAmbulance

Author: Aaron Lessen, MD Educational Pearls: Retrospective study looking at type of transportation and mortality outcomes for patients with penetrating trauma Mortality was 2.2 % for those brought in...

28 Nov 20182min

Podcast #409:  Acute CHF Second Liners

Podcast #409: Acute CHF Second Liners

Author: Nick Hatch, MD Educational Pearls:   Quick review on typical treatments for acute CHF: Nitrates are a mainstay to reduce preload Furosemide has fallen out of favor in regards to urgency but ...

26 Nov 20183min

Populært innen Vitenskap

fastlegen
rekommandert
tingenes-tilstand
rss-rekommandert
jss
liberal-halvtime
villmarksliv
rss-paradigmepodden
forskningno
sinnsyn
fjellsportpodden
pod-britannia
nevropodden
rss-nysgjerrige-norge
tidlose-historier
hva-er-greia-med
diagnose
rss-overskuddsliv
smart-forklart
rss-lundqvist-podden