Fighting Corona Virus: Experience from the front line

[Chakar The Great]

Hi I am working as a front line medical doctor in one of the largest hospital in Ireland. In these extra ordinary circumstances, we should work togather to save lives. I have been part of establishing hospital guidelines, both for diagnosis and treatment of COVID-19, both evidence based. I am also part of community based initiatives of HSE ( https://www2.hse.ie/coronavirus/) .

I am here to share my experience, answer queries and help establish SOPs in other part of world.

I would also invite other people who are at fore front of this battle against Covid-19 so that we could work to gather and learn from each other's experiences and help save lives. You dont have to a doctor to be part of this battle.

Thank you.

 

[masterchief_mirza]

Allah (swt) grant you strength in the coming months as you fight this noble fight.

In Ireland, is there a contingency plan to draft doctors from different specialties to potentially retrain and work as support for intensivists? I understand in Italy, this has already happened as their ITUs are overwhelmed. I'm not sure but perhaps they did a bit of this in China too, though they also pre-empted the crisis by moving specialist assets from other provinces into Hubei. Italy was a total shock as I understand.

 

[HRK]

@jaibi .... kindly note the member as you were seeking members who could contribute about coronavirus awareness

 

[Avicenna]

This is a needed thread.

I'm in the US in a smaller town in Texas.

This illness will undoubtedly have different effects on the community depending on demographics/location/infrastructure/population health literacy.

Over here its fairly rural but we do have a small airport linking with major TX cities with alot of travellers in this community who frequent Europe and Asia and in fact our positive cases are from these aforementioned travellers.

We attempt to triage these people in a tent outside the physical building with testing and then with either inpatient care or send them home for quarantine.

The issue now I see is perhaps sometimes these patients present with diarrhea or non respiratory symptoms and escape that initial triage screen.

So the question is at what point do you begin to suspect for COVID when now you have respiratory OR GI symptoms and potential community spread.

Thats like half the people coming into the ER?

 

[RescueRanger]

Hi I am working as a front line medical doctor in one of the largest hospital in Ireland. In these extra ordinary circumstances, we should work togather to save lives. I have been part of establishing hospital guidelines, both for diagnosis and treatment of COVID-19, both evidence based. I am also part of community based initiatives of HSE ( https://www2.hse.ie/coronavirus/) .

I am here to share my experience, answer queries and help establish SOPs in other part of world.

I would also invite other people who are at fore front of this battle against Covid-19 so that we could work to gather and learn from each other's experiences and help save lives. You dont have to a doctor to be part of this battle.

Thank you.

Please provide your input here:
https://defence.pk/pdf/threads/pdf-vs-coronavirus-call-to-arms.657753/

 

[jaibi]

Awesome to have you, brother, please can you help us out too? We'd love for you to review some information and help us get the proper word out in regional langauges

Hi I am working as a front line medical doctor in one of the largest hospital in Ireland. In these extra ordinary circumstances, we should work togather to save lives. I have been part of establishing hospital guidelines, both for diagnosis and treatment of COVID-19, both evidence based. I am also part of community based initiatives of HSE ( https://www2.hse.ie/coronavirus/) .

I am here to share my experience, answer queries and help establish SOPs in other part of world.

I would also invite other people who are at fore front of this battle against Covid-19 so that we could work to gather and learn from each other's experiences and help save lives. You dont have to a doctor to be part of this battle.

Thank you.

 

[litman]

what 's the minimum personal protective equipment being used there at your hospital by the doctors and the paramedics while treating patients with corona.

 

[Dubious]

Hi I am working as a front line medical doctor in one of the largest hospital in Ireland. In these extra ordinary circumstances, we should work togather to save lives. I have been part of establishing hospital guidelines, both for diagnosis and treatment of COVID-19, both evidence based. I am also part of community based initiatives of HSE ( https://www2.hse.ie/coronavirus/) .

I am here to share my experience, answer queries and help establish SOPs in other part of world.

I would also invite other people who are at fore front of this battle against Covid-19 so that we could work to gather and learn from each other's experiences and help save lives. You dont have to a doctor to be part of this battle.

Thank you.

Please help explain to @BHarwana that COVID-19 was not made in the lab

 

[BHarwana]

Please help explain to @BHarwana that COVID-19 was not made in the lab

I know it was not made in lab but you need to understand it is a mutation of previous strains and it is no one's fault.

 

[RescueRanger]

what 's the minimum personal protective equipment being used there at your hospital by the doctors and the paramedics while treating patients with corona.

According to the WHO and what I've seen first hand:
Surgical mask for non aspiration procedure
N95 where available
Face screen with goggles/ where face screen is nor available goggles
Sleeved apron or where unavailable they are using disposable Pinny aprons
Surgical gloves
Arm covers where available
Boot coveres where available

But in reality in Pakistan I have seen doctors with just facemasks and gloves, we have NO PPE, dont let pictures kid you. PAKISTAN is not prepared for this.

This is all the PPE one hospital had left in Pakistan.

 

[Amaa'n]

But in reality in Pakistan I have seen doctors with just facemasks and gloves, we have NO PPE, dont let pictures kid you. PAKISTAN is not prepared for this.

View attachment 616073

We don't understand the concept of secondary contamination. We are focused too much on Primary Contamincation / Direct contact with the virus where Process of Entry & Route of Entry taken is pretty straight forward and understood by everyone.

What we don't understand is that RoE may remain the same but PoE can & will change. If someone is in direct contact with a patient or Host, the virus can get deposited on anything in the surroundings, even the clothing. So the person attending the patient goes off to take the rest or break, removes the gloves & other PPE, the virus is still deposited on the clothing items and will still make it's way into the body their the defined RoE
Thats where protective clothing comes in and that too disposable or washable ......

 

[RescueRanger]

We don't understand the concept of secondary contamination. We are focused too much on Primary Contamincation / Direct contact with the virus where Process of Entry & Route of Entry taken is pretty straight forward and understood by everyone.

What we don't understand is that RoE may remain the same but PoE can & will change. If someone is in direct contact with a patient or Host, the virus can get deposited on anything in the surroundings, even the clothing. So the person attending the patient goes off to take the rest or break, removes the gloves & other PPE, the virus is still deposited on the clothing items and will still make it's way into the body their the defined RoE
Thats where protective clothing comes in and that too disposable or washable ......

Not just that, all those ministers shit posting on social media, I urge them to go and visit a hospital. People walking without scrubs, interacting with patients, then taking the same soiled clothes to their break-out room, car, home..

Dhur fittey mu! BTW, a heads up, our shipment of donated 150 n95 masks are now sitting in F****** Karachi because SINDH government has decided to requisition them, these were for hospitals in Peshawar and the isolation camp in Islamabad. I am so angry right now, I have no words!

 

[Amaa'n]

Not just that, all those ministers shit posting on social media, I urge them to go and visit a hospital. People walking without scrubs, interacting with patients, then taking the same soiled clothes to their break-out room, car, home..

Dhur fittey mu! BTW, a heads up, our shipment of donated 150 n95 masks are now sitting in F****** Karachi because SINDH government has decided to requisition them, these were for hospitals in Peshawar and the isolation camp in Islamabad. I am so angry right now, I have no words!

I requested someone in private sector to pull stock of N95 masks to be donated to Medical responders, I was going to pay out of my pocket....turns out they themselves were out of stock for months ....workers were using clothing items / vests to cover face :sigh:

 

[RescueRanger]

I requested someone in private sector to pull stock of N95 masks to be donated to Medical responders, I was going to pay out of my pocket....turns out they themselves were out of stock for months ....workers were using clothing items / vests to cover face :sigh:

Only have surgical masks, even 3M Pakistan said they can't help, I have contacts in their Karachi office and they said the factory is at max capacity and these are being diverted to Europe at present!

 

[BATMAN]

Only have surgical masks, even 3M Pakistan said they can't help, I have contacts in their Karachi office and they said the factory is at max capacity and these are being diverted to Europe at present!

If Zardari can be powerful enough to shut down Tuwarqi Steel Mills, why can't Imran Khan shut all exports of masks?

only N95 standard masks can help. So i'm telling you stop chasing masks.
Only protection you have is to isolate your cities from zairins and people returning from Italy.
This will delay the spread and hop vaccine is developed by than.
If any one has any objection, i'm open to listen.