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Episode 36: COVID-19

PHEM Cast

PPE As at May 1st, the advice from PHE is ‘ There is currently sustained transmission of COVID-19 throughout the UK as defined by the four nations Public Health experts, therefore there is an increased likelihood of any patient having coronavirus infection. Here is a review of both if you’d like to read more.

PPE 52
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ACMT Toxicology Visual Pearl: The Black Eschar

ALiEM

ED providers are only exposed in these cases if they have direct contact with drainage from open wounds while not using PPE or there is concern for aerosolization of spores For inhalational anthrax exposure, AVA should be given in combination with antimicrobials (ciprofloxacin or doxycycline) for 60 days. 2011 Dec;1(6):496-501.

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Hand Examination & Pathology

Don't Forget the Bubbles

It is important to note that PPE must be worn as the blood may squirt out of the opening in the nail plate as the high pressure is released. A BestBets evidence review in 2011 looked at 4 published papers between 1948 & 2011. Some departments have specific cauterising devices. They do not improve outcomes.