COVID-19 Basics

Webinar Recordings
Novel Coronavirus: Basic Science

Handout:

Epidemiology; Lab Testing

(The audio of the first few minutes is a bit broken.)

Handouts:

Presentation

Handout

Q&A

Presentation and Q&A

Handouts

Presentation and Q&A

Handouts

Q&A

  • There is a panel discussion with a few live answered questions featured in the recording
  • Panelists also provided answers to additional questions that were not answered live: Panelist Responses

LINKS

Alberta HOPE COVID-19 Trial: https://www.hopecovid.ca/

COVID-19 PEP RCT: https://www.covid-19research.ca/

Convalescent Plasma Donation: https://www.blood.ca/en/convalescentplasma
Requirements for donations are:

  1. PCR confirmed COVID-19
  2. >28 days from symptoms resolution
  3. men <67 years of age 4) CBS will be taking donors across Canada in locations where CBS has plasmapheresis, in Alberta that includes eligible male donors who are able to get to the Edmonton and Calgary donations sites
  4. If you are interested in being contacted as a possible donor, sign up at the link above.
Presentation

Handouts

Q&A

Time Question
00:26 Should all MDs (when assessing patients) be wearing masks given high risk of COVID-19 positive patients even without symptoms?
03:53 What should we tell people about wearing masks in public? If people want to wear masks when out in public what type/kind/advice would be best?
05:03 I've heard corona virus immunity is good but only lasts for about 3 months; can we expect a second wave of cases beginning in about 3 months?
07:30 What is the sensitivity and specificity of the test?
10:03 Kindly discuss the information currently circulating on the internet that ACE inhibitor or ARB can predispose someone to more severe COVID symptoms?
11:05 There are reports coming out of the US that perhaps the early intubation strategy is not the way to go. The term now being used is permissive hypoxia. These are different type of hypoxia respirator failure, perhaps more in line with severe asthma exacerbation. New term I have read about called Atelecectal trauma where in some US ICU’s prior to intubation they prone the patient. Bottom line early intubation may be doing more harm than good. Thoughts please?
14:16 How long a mask is good for before we need to take it off and enchange for another one?
15:33 Can someone who has been sick with COVID-19 and recovered still infect people?
15:45 Once a patient has recovered, can they become ill again with CoV-19?
15:53 Of those COVID patients who are unwell enough to be intubated, how many are predicted to survive to discharge?
16:30 The GIM group at SHC in Calgary have heard that with the STI swabs being used for testing (as the NP swabs were low in supply), that the sensitivity of the testing is only 75%…could you further elaborate on whether or not this is true, and the implications of such a low sensitivity for hospitalized patients who present with classic symptoms, but test negative for both COVID and the usual RVP?
19:30 Can you comment on NSAID use?
20:00 Essentially all international governing groups have recommended N95 masks for endoscopy procedures for ALL patients. AHS continues to recommend the opposite. Can you please comment on this?
23:00 Can you explain how and when during doffing, we should be cleaning our stethoscopes? It is impossible to have one per patient room (work in hospice). Thank you.
24:40 Any plans to convert hospitals, thereby saving some hospitals for ongoing non-COVID-19 patients?
26:40 When do you think testing for immunity will be available?
28:21 What is the relative risk of transmission outdoors in flowing air vs inside? Are we being inappropriately strict about travelling in parks, neighbourhoods, etc.?
30:30 If a patient is confirmed to be COVID-19 + and is chronically on methotrexate for rheumatoid arthritis - should we hold the MTX and if yes for how long?
32:00 How would you advise community physicians to handle asymptomatic patient requests for office visits for issues that are not acute? ( ex. well pregnancy checkups in non complicated patients, blood pressure rechecks, other follow ups)
33:53 Recently published article indicates that someone who was vaccinated against TUBERCULOSIS with BCG vaccine are more immune towards Corona Virus and CoViD. Can you tell more about it?
34:24 How do we make dx of secondary bacterial pneumonia (in the community) or if considered do we just treat on spec (patient in self isolation and may not even be seen in person)?
35:10 Is there is program in Alberta to collect and use Convalescent anti-serum for treatment of acute COVID-19 infection?
37:05 Could you give the latest information on CPAP / BiPap and are they considered a risk for transmission?
37:55 If a doctor were to test positive, would they require the whole medical office to close?
40:41 Is there a provincial initiative to ramp up palliative home services? ESP for elderly who may decline hospital care or who may be turned away (though of course we hope the latter doesn’t happen). How would meds or delivery happen?

Other Resources
Scientific Advisory Group Rapid Reviews