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Healthcare Personnel Use of PPE for COVID-19 Spurs Fungal Outbreak
Healthcare personnel’s (HCP) practice of wearing multiple layers of gowns and gloves to treat COVID-19 patients contributed to an outbreak of Candida auris bloodstream infections at a Florida hospital, the Centers for Disease Control and Prevention reported.
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CDC: Moderna COVID-19 Vaccine Causes Rare Anaphylactic Shock
From Dec. 21, 2020, to Jan. 10, 2021, the Vaccine Adverse Event Reporting System detected 10 cases of severe anaphylaxis after immunization with the Moderna COVID-19 vaccine, the Centers for Disease Control and Prevention reported. Ten cases coming out 4,041,396 first doses of the vaccine translates to 2.5 cases per million shots administered.
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Overcoming COVID-19 Vaccine Hesitancy in Healthcare Workers
A striking 20% of nurses in the United States are refusing offers to be immunized with COVID-19 vaccine, according to the results of a national survey.
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New CDC Director Takes Helm Amid Raging Pandemic
The Centers for Disease Control and Prevention has seen its pandemic response politicized and undermined over the past year, but a new director appointed by the Biden administration aims to restore the battered agency to its world-class standing.
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Vaccines Threatened, Still Effective Against COVID-19 Variants
Current vaccines are holding against an emerging array of highly transmissible SARS-COV-2 variant strains, but researchers are warning that a somewhat literal “arms race” has begun between immunization science and relentless evolution.
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Pediatric Drowning
Pediatric drowning events are associated with consequences varying from transient pulmonary symptoms to devastating neurologic disability. All acute care providers need to be prepared to diagnose and effectively manage a child with this type of injury.
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Why Is There Group Beating?
The ECG in the figure was obtained from a 40-year-old man with an irregular heartbeat. How would one interpret this rhythm?
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Prophylactic PCI for Vulnerable Plaques
In this proof-of-concept trial, treatment of non-flow limiting vulnerable plaque by PCI with bioabsorbable stents resulted in no significant difference in lesion-related events compared with optimal medical therapy.
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Air Pollution and Cognitive Decline
In this large prospective cohort study of subjects in Manhattan, researchers demonstrated an association between exposure to air pollution and decline in cognitive function over time in one cohort, but not the other.
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Capacity and COVID-19: Where Is Case Management?
As of this writing, there are reports about hospitals across the country that have reached or exceeded capacity. These hospitals have only one or two available critical care beds, and some have no open medical or surgical beds. It is clear the hospitals are overwhelmed with COVID-19 cases, and they are coming at rates that are outside the bounds of anyone’s experience. But as I listen, I have to wonder. Where is case management? Are these administrators using case management to its fullest? Is there a capacity management plan?